dec 2022

Question 1

MM Dx ?

Answer 1

Whole body MRI

Question 2

Hyperemesis gravidarum
Rx ?

Answer 2

cyclizine

Question 3

Phenytoin toxicity ?

Answer 3

YES, Even with normal Phenytoin level in blood

Question 4

Methotrexate
toxicity
what to monitor ?

Answer 4

LFTs
(wrong answer - peak exp flow rate)

Question 5

Ciclosporin toxicity
1 cause ?

Answer 5

use of cannabis oil

Question 6

Amiodarone induced thyroiditis
type 1
?

Answer 6

increase iodine load

Question 7

pt in v-fib
after 3rd shock
what next drug ?

Answer 7

300mg Amiodarone

Question 8

pt with euvolemia with low Na+
What next step in dx ?

Answer 8

urine osmolality
(Dx - SIADH)

Question 9

Suspecting esophageal rupture
best initial Invx ?

Answer 9

CXR

Question 10

young man, progressive loss of central vision, central scotoma, peripheral - telangiectasis/increase vessel tortuosity
Dx ?

Answer 10

leber optic atrophy

Question 11

IIH
Rx ?

Answer 11

acetazolamide

Question 12

Carpel tunnel syn
Rx (esp during pregnancy) ?

Answer 12

splinting
(if not responding to splinting/local steroids inj - next step is surgery)

Question 13

Pneumocystis pneumonia
(pt on immuno-suppressants)

Answer 13

IV Co-trimoxazole

Question 14

a-flutter
ECHO normal
next Rx step ?

Answer 14

flecanaide

Question 15

IPF
stable pt
Rx ?

Answer 15

Nintidanib

Question 16

Eosinophilic GPA
Rx ?

Answer 16

steroids

Question 17

twitching of left arm - spread to whole body

Answer 17

focal impaired awareness seizures