30/03/18

Question 1

Which antipsychotic is especially assocaited with prolonged QT interval?

Answer 1

haloperidol

Question 2

What type of immunisation are biologics e.g adalimumab?

Answer 2

passive immunisation (anything with “mab”= monoclonal antibody)

Question 3

What type of antipsychotic reduces the seizure threshold?

Answer 3

atypicals

Question 4

What bone is most likely to be broken in a FOOSH?

Answer 4

distal shaft of radiu

Question 5

How does CSF go from the third ventricle to the 4th ventricle?

Answer 5

cerebral aqueduct

Question 6

What is the venous drainage of the right adrenal?

Answer 6

directly into IVC

Question 7

What is the venous drainage of the left adrenal?

Answer 7

left renal vein

Question 8

What is the most common type of bladder cancer?

Answer 8

transitional cell carcinoma

Question 9

What is the difference between cellulitis and erysipelas?

Answer 9

cellulitis involves deeper dermis and subcut tissues whereas erysipelas only affets upper dermis and superficial lymphatics (clearly demarcated)

Question 10

What happens dermatologically in staphylococcal scalded skin syndrome?

Answer 10

destruction of keratinocyte attachment in the stratum granulosum

Question 11

Who often gets staphylococcal scalded skin syndrome?

Answer 11

children and adults with CKD

Question 12

What organism causes erysipelas?

Answer 12

strep. pyogenes

Question 13

What is given to paitents allergic to penicillin for cellulitis?

Answer 13

clarithromycin

Question 14

What is tumour lysis syndrome?

Answer 14

hyperkalaemia; hyperphosphataemia; hyperuricaemia and hypocalcaemia; renal failure; cardiac arrhythmia

Question 15

When does tumour lysis syndrome occur?

Answer 15

during treatment of high grade lymphomas and leukaemias

Question 16

What should be given to prevent tumour lysis syndrome?

Answer 16

IV allopurinol or IV rascburicase

Question 17

What organelle is responsible for the catabolism of long chain fatty acids?

Answer 17

peroxisomes

Question 18

What is the function of lysosome?

Answer 18

breakdown of large molecules such as proteins and polysaccharides

Question 19

How much of the cardiac cycle does diastole take up at rest?

Answer 19

2/3rds

Question 20

What receptors in the SA node does NA bind to?

Answer 20

beta1

Question 21

What nerve supplies the aortic baroreceptors?

Answer 21

vagus

Question 22

What nerve supplies the carotid barorecetpors?

Answer 22

CN IX

Question 23

What stimulates the baroreceptors?

Answer 23

arterial stretch

Question 24

Can you give live vaccines to a patient with splenectomy?

Answer 24

yes

Question 25

What does a granuloma consist of?

Answer 25

microscopic aggregation of macrophages with epithelial type arrangement

Question 26

What are the boundaries of hesselbachs triangle?

Answer 26

rectus muscles; inferior epigastric vessels; inguinal ligament (RIP)

Question 27

What forms the posterior wall of hte femoral canal?

Answer 27

pectineal lig

Question 28

What level is the intercristal plane?

Answer 28

L4