7/06

Question 1

tx of acute phase vestibular neuronitis

Answer 1

prochlorperazine

Question 2

acute otitis media tx

Answer 2

analgesia only

Question 3

+ve dix hallpike test

Answer 3

rotatory nystagmus

Question 4

labyrinthitis - hearing loss

Answer 4

vestibular neuronitis - no hearing loss

Question 5

when should intranasal steroids be given for sinusitis

Answer 5

symptoms persisting > 10 days

Question 6

small eyes and polydactyly

Answer 6

Patau syndrome

Question 7

learning difficulties and macrocephaly

Answer 7

fragile X

Question 8

ACEi not tolerated

Answer 8

ARB eg candesartan

Question 9

nerve injury loss of extension of fingers

Answer 9

radial

Question 10

BMI calculation

Answer 10

weight (kg) / height (m squared)

Question 11

complication of hyphaema

Answer 11

glaucoma

Question 12

flashes and floaters

Answer 12

posterior vitreous detachment

Question 13

sight risk factor for retinal detachment

Answer 13

myopia

Question 14

scleritis painful

Answer 14

episcleritis not painful

Question 15

definitive tx of acute angle closure glaucome

Answer 15

laser peripheral iridotomy

Question 16

sight risk factor for AACG/OACG

Answer 16

hypermetropia/myopia

Question 17

severe hepatitis in a pregnant women

Answer 17

hep E

Question 18

holmes adie pupil

Answer 18

women
dilated pupil (Holme = hole)
slow accommodation and no response to light
if becomes small stays small
assoc with absent ankle/knee reflexes

Question 19

argyll robertson pupil

Answer 19

Accommodation Reflex Present, Pupillary Reflex Absent
small irregular pupils
assoc with neurosyphillis and diabetes

Question 20

RAPD =

Answer 20

marcus gunn pupil

Question 21

herpes simplex keratitis tx

Answer 21

topical aciclovir

Question 22

invx if wet ARMD suspected

Answer 22

fluorescein angiography

Question 23

which eye drops result in fungal infections -> corneal ulcers

Answer 23

steroid

Question 24

peripheral curtain over vision/peripheral darkening

Answer 24

retinal detachment

Question 25

contralateral hemiplagia and hemiparesis + ipsilateral 3rd nerve palsy

Answer 25

webers syndrome

Question 26

hypercalcaemia ecg

Answer 26

short QT

Question 27

paracetamol LFT findings

Answer 27

hepatocellular picture High ALT Normal ALP ALT/ALP ratio high

Question 28

DVT tx when GFR<15

Answer 28

unfractionated heparin

Question 29

kallman syndrome

Answer 29

LH FSH and testosterone low

Question 30

klinefelters

Answer 30

LH FSH high testosterone low

Question 31

MI bundle branch block affected artery

Answer 31

LAD

Question 32

3rd nerve palsy

Answer 32

eye is down and out

Question 33

bilous vomiting on the first day

Answer 33

intestinal atresia

Question 34

most common cause of bacterial tonsilitis

Answer 34

strep pyogenes

Question 35

cocaine toxcity

Answer 35

benzo

Question 36

ejection systolic murmur

Answer 36

pulmonary stenosis

Question 37

anti emetic in parkinsons

Answer 37

domperidone

Question 38

emergency colon surgery

Answer 38

hartmanns procedure

Question 39

what should be co-prescribed for first 3 weeks of goserelin tx

Answer 39

Anti-androgen treatment eg cyproterone acetate

Question 40

marker assoc with testicular seminomas

Answer 40

HCG

Question 41

prostatitis tx

Answer 41

quinolone eg ciprofloxacin for 14 days

Question 42

ACEi drops eGFR

Answer 42

renal artery stenosis or fibromuscular dysplasia in young women

Question 43

surgical tx of achalasia

Answer 43

Heller cardiomyotomy

Question 44

marker assoc with testicular teratomas

Answer 44

HCG and AFP