8/3

Question 1

presentation of sAH

Answer 1

meningeal irritation

Question 2

severity of COPD

Answer 2

FEV1 >80% - mild
FEV1 60-79 - mod
FEV1 30-59 - severe
FEV1<30 - v severe

Question 3

complicaition of hip replacement

Answer 3

periop - nn damage, VTE, intraop fracture, surg site infection
leg length discrepency
post dislocation - internal rotation and leg short
aseptic loosening

Question 4

presentation of NOF

Answer 4

external rotation and shortening

Question 5

causesof bacterial meningitis at 6-60yrs

Answer 5

neisseria meningitidis

strep pneumoniae

Question 6

common cause of meningitis >60

Answer 6

strep pneumoniae
n. meningitidis
listeria monocytogenes

Question 7

raised BNP

Answer 7

LV dysfuction e.g. MI, valvular disese

CKD

Question 8

reduced BNP level

Answer 8

ACEi
ARB
diuretics

Question 9

complicaiton of radical prostatectomy

Answer 9

erectile dysfunction

Question 10

extradural vs subdural

Answer 10

extradural - lucid period

subdural - fluctuating conscioussness

Question 11

jacksonian movements

Answer 11

movement travelling proximally

Question 12

extra-intestinal features in IBD

Answer 12

derm - erythema nodosum, pyoderma gangrenosum
ocular - ant uvieits, episcleritis, conjunctivitis
msk - club, asym large joint arthritis, sacroilitis
hpb - PsC (UC )
amyloidosis

Question 13

shock causing warm peripheries

Answer 13

distributive

Question 14

causes of distributive shock

Answer 14

neurogenic
anaphylactic
septic

Question 15

confirm dx of metastatic spinal cord compression

Answer 15

MRI of spine

Question 16

coagulase-neg staph treated with

Answer 16

vancomycin

Question 17

hashimotos is a RF for what cancer

Answer 17

thyroid lymphoma

Question 18

pseudobulbar palsy features

Answer 18

spastic tongye
slow thick hot pot speech
brisk jaw reflex
emotional lability
UMN features

Question 19

mx of nec fascitis

Answer 19

surg debridement and washout

Question 20

presentation of nec fascitis

Answer 20

rapid spreading cellulitis 
unwell
blister and erythema
severe pain
severe - grey skin or crepitus
tachycardic, tachypnoeac, hypotensive, pyrexial

Question 21

HCM associated with

Answer 21

wolf parkinson white (delta waves, short PR interval, long QRS)

Question 22

short PR interval

Answer 22

<120ms

Question 23

limited systemic slcerosis ab

Answer 23

anti-centromere

Question 24

limited systemic slcerosis features

Answer 24

CREST
calcinosis
raynaud phenomenon
oesohpageal dysmotility
sclerodactyly
telangiectasia

Question 25

myocplasma pneumonioae associated with

Answer 25

erythema multiforme

Question 26

cancer - meta or dysplasia

Answer 26

dysplasia