9/06

Question 1

diabetes diagnosis from 2 hours OGTT

Answer 1

> 11.1, impaired = >7.8

Question 2

endometriosis diagnosis

Answer 2

TVUS -> diagnostic laparotomy

Question 3

when can women switch from cyclical to continuous HRT

Answer 3

1 year of no periods or 1 year of completed HRT

Question 4

high LH and testosterone

Answer 4

PCOS

Question 5

fibroids mx

Answer 5

mirena coil
tranexamic acid
myomectomy, endometrial ablation or hysterectomy

Question 6

menorrahgia cause unknown tx

Answer 6

mirena coil
mefanemic acid

Question 7

urge incontinence in elderly/confused

Answer 7

mirabegron

Question 8

androgen insensitivity syndrome genotype

Answer 8

46 XY

Question 9

turners syndrome genotype

Answer 9

45 XO

Question 10

malignant hyperthermia from suxamethonium tx

Answer 10

dantrolene

Question 11

short term tx of SIADH

Answer 11

fluid restriction

Question 12

MRSA tx

Answer 12

vancomycin

Question 13

breast cancer tumour marker

Answer 13

ca 15-3

Question 14

angina tx

Answer 14

beta blocker or CCB (diltiazem or verapamil if alone, amlodipine or nifedipine if in comb with beta blocker)

Question 15

cause of roseola infantum

Answer 15

HHV6

Question 16

oesophageal atresia in neonate finding on USS

Answer 16

polyhydramnios

Question 17

diagnostic thresholds for diabetes mellitus

Answer 17

fasting glucose is >= 5.6 mmol/L
2-hour glucose is >= 7.8 mmol/L

Question 18

anti depressants safe in breast feeding

Answer 18

sertraline or paroxetine

Question 19

downs syndrome quadruple test

Answer 19

↓ AFP
↓ oestriol
↑ hCG
↑ inhibin A

Question 20

post partum thyroiditis tx

Answer 20

propranolol

Question 21

what is raised AFP in preg assoc with

Answer 21

abdominal wall defects eg omphalocele

Question 22

umbilical cord prolapse mx

Answer 22

push the presenting part of the fetus back up
women on all 4s
tocolytics
fill bladder with saline

Question 23

c peptide levels in T1DM

Answer 23

low

Question 24

benzo overdose

Answer 24

flumazenil

Question 25

heparin overdose

Answer 25

protamine sulphate

Question 26

beta blocker overdose

Answer 26

if bradycardic - atropine
resistant cases - glucagon

Question 27

organophosphate poisoning

Answer 27

atropine

Question 28

SGLT 2 eg flozins MOA

Answer 28

increase urinary secretion of glucose

Question 29

in hosp >48 hrs = HAP

Answer 29

treat with piperacillin with taz

Question 30

autonomic dysreflexia (occurs after spinal cord injury) features

Answer 30

severe hypertension
sweating above the level of the lesion
agitation

Question 31

diverticula most common location

Answer 31

sigmoid colon

Question 32

plantar wart/veruca tx

Answer 32

salicyclic acid

Question 33

tacrolimus immunosuppression side effect

Answer 33

nephrotoxicity

Question 34

LR6 SO4 A03

Question 35

layers of abdo wall

Answer 35

1. skin
2. superficial fascia
3. anterior rectus sheath = external oblique and internal oblique aponeurosis
4. rectus muscle
5. posterior rectus sheath
6. transversalis fascia
7. extraperitoneal fat
8. peritoneum

Question 36

acute promyelocytic leukaemia blood film

Answer 36

auer rods