Clinical Problem Solving

Question 1

Chemotherapy agent causing peripheral neuropathy

Answer 1

Vincristine

Question 2

Abx mastitis during breast feeding

Answer 2

Flucloxacillin

Question 3

Abx dental abscess

Answer 3

amoxicillin

Question 4

Sodium valproate inhibits which enzyme

Answer 4

P450

Question 5

At what interval post-partum do women require contraception

Answer 5

21 days from giving birth

Question 6

Developmental milestones: palmar grasp

Answer 6

5-6 months

Question 7

Developmental milestones: tower of 3-4 blocks

Answer 7

18 months

Question 8

Developmental milestones: draws a circle

Answer 8

3 years

Question 9

Eczema not improving with emollient - next step

Answer 9

Mild steroid in addition to emollient e.g. 1% hydrocortisone

Question 10

Tear drop scaly papules on trunk and limbs

Answer 10

Guttate psoriasis

Question 11

Management of human bites

Answer 11

Co-amoxiclav

Question 12

left eye redness, grittiness and feeling of foreign body, photophobia

Answer 12

Keratitis

Conjunctivitis - no photophobia, little or no pain

Question 13

Lung function test results in restrictive lung disease

Answer 13

FEV1 reduced

FVC significantly reduced

FEV1/FVC normal or increased

Question 14

Which HbA1c target for type 1 diabetics

Answer 14

48mmol/mol

Question 15

Post-vasectomy follow up

Answer 15

Semen analysis at 16 and 20 weeks

Question 16

Which stoma to defunction the colon after anterior resection

Answer 16

Loop ileostomy

Question 17

Contraceptive - time until effective (if not first day of period)

COC, injection, implant, IUS

Answer 17

7 days