7/3

Question 1

presentation of common peroneal nerve injury

Answer 1

weakness dorsiflexion
loss sensation to lat foot and dorsum
weakness of foot eversion

Question 2

most common cause of adult nephrotic syndrome

Answer 2

membranous nephropathy

Question 3

nephrotic syndrome cause associated with malignancy

Answer 3

membranous nephropathy

Question 4

renal biopsy - membranous nephropathy

Answer 4

thick BM

subepithelial electron dense deposits -spike and dome appearance

Question 5

mx - membranous nephropathy

Answer 5

ACEi/ ARB
immunosuppression
anticoag

Question 6

how fast are RBCs transfused in an emergency

Answer 6

stat

Question 7

Ix - CCF

Answer 7

bloods
BNF - if normal exc HF
CXR, ECG and if abnormal - ECHO

Question 8

mx - stroke and AF

Answer 8

warfarin

Question 9

ptosis + dilated pupil

Answer 9

third nerve palsy

Question 10

ptosis + constricted

Answer 10

horner’s

Question 11

low bicarb indicates

Answer 11

metabolic acidosis

Question 12

presentation pharyngeal pouch

Answer 12

dysphagia
aspiration pneumonia
halitosis
common in elderly - weakness in mm layer called killian dehiscence

Question 13

Ix of aortic dissection

Answer 13

CXR
CT angio - stable, false lumen
TOE - unustable pt

Question 14

mx - aortic dissection

Answer 14

A - surg mx, control BP to 100-120

B - conservative, bed rest, reduce BP with IV labetalol

Question 15

______ differentiates true seizures from pseudoseizures

Answer 15

prolactin

Question 16

se of thiazide diuretics

Answer 16

hypercalcaemia

Question 17

vit C deficiency presentation

Answer 17

bleeding gum

Question 18

niacin deficiency presentation

Answer 18

diarrhoea
dementia
dermatitis

Question 19

vit A deficiency

Answer 19

night blindness

Question 20

b6 deficiency

Answer 20

anaemia
irritable
seizures

Question 21

low plt, raised transaminase -

Answer 21

dengue fever

Question 22

mx - CCF in afro-caribbean pt

Answer 22

hydralazine and nitrate

Question 23

factors needing vit K to be activated

Answer 23

II
VII
IX
X

Question 24

drugs causing cholestasis

Answer 24

COCP
abx - erythromycin, flucloxacillin, co-amox
steroids, testosterone
phenothiazines - chlorpromazine
sulphonylureas
fibrates
nifedipine

Question 25

drugs causing liver cirrhosis

Answer 25

methotrexate
methyldopa
amiodarone

Question 26

drugs causing hcc

Answer 26

paracetamol
sodium valproate
phenytioin
halothane
anti tb
statins
alcohol
amiodaroine
methyldopa
nitrofurantoin

Question 27

rapid growth breast lump

Answer 27

phyllodes tumour

40-50s