9/3

Question 1

cells seen in hodgkin’s lymphoma

Answer 1

reed-sternberg cells

Question 2

reed-sternberg cells also called

Answer 2

mirror image nuclei

Question 3

mx of thoracic night pain + prostate cancer

Answer 3

emergency - ? met cancer causing spinal cord compression

Question 4

complications post renal transplant

Answer 4

hyperacute rejection - pre-existing ab, minutes to hours
acute graft failure - <6M
chronic graft failure >6M

Question 5

Mx As

Answer 5

NsAIDs
physio
DMARDs e.g. sulphasalazine
anti-TNF

Question 6

dx of coeliac disease

Answer 6

jejunal biopsy

Question 7

side affects of aminosalicylates

Answer 7

pancreatitis

mesalazine has a higher risk

Question 8

meralgia paraesthetica

Answer 8

compression of lateral cutaneous nerve of thigh

burning sensation of antero-lat aspect og thigh

Question 9

xray - gout

Answer 9

joint effusion
punched out erosion with sclerotic margins
eccentric erosion
tophi

Question 10

dx pckd

Answer 10

uss

Question 11

strep boviscommonly found in

Answer 11

GIT

Question 12

findings on colonoscopy - CD

Answer 12

intermittent inflam - skip lesions
cobblestone mucosa - ulceration and mural oedema
rose thorn ulcers +- fistulae/ abscesses
non-ceseating granuloma

Question 13

mx gastric cancer

Answer 13

local - partial or total gastrectomy
neoadjuvant chemo
no radiotherapy

palliatve - sx and chemo

Question 14

ECG Pe

Answer 14

sinus tachycardia

S1Q3T3 - rare

Question 15

deteriorating on PE

Answer 15

thrombolysis with alteplase

Question 16

cHAMPs

Answer 16

complaint
hpc
allergies
medications
pmh
social

Question 17

female of child bearing age - check for

Answer 17

pregnancy test!!!!
any chance you could be pregnant
taking any contraception
missed any pills

Question 18

Mx appendicitis

Answer 18

obs
abdo exam, urine dip, pregnancy test
testicular exam
access, bloods (FBC, UE, CRP, LFT, coag, G&s, blood cultures)
IVI, antiemetic, analgesia, surg review
Uss 
peritonitic - sepsis 6!
NMB for surg review and poss lap appendicectomy

Question 19

hx

if taking a pill… ask

Answer 19

have you missed any pills
do you take it regularly
any chance you can be pregnant

Question 20

signs of peritonism

Answer 20

guarding - local
global guarding - more urgent senior reivew
septic 6

Question 21

if not sure about doing sepsis 6

Answer 21

still do sepsis 6

Question 22

wernicke’s encephalopathy tetrad

Answer 22

confusion
ataxia
nystagmus
opthalmoplegia

Question 23

amiodarone associaed with

Answer 23

hypo and hyperthyroidism

Question 24

management of displacement fracture

Answer 24

closed reduction