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1
Q

Who does post-natal baby checks?

A

GP

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2
Q

Cyclizine mechanism of action?

A

Anti-histamine, piperazine derivative with H1-recpetor antagonist

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3
Q

Ondansetron mechanism of action?

A

5-HT receptor antagonist

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4
Q

Mechanism of action of Domperidone/prochlorperazine?

A

Dopamine antagonist - Domperidone is a peripheral dopamine (D2 and D3) antagonist

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5
Q

Saline electrolyte levels?

A

Na 154, Cl 154, all else 0

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6
Q

Dextrose fluid electrolyte levels?

A

Glucose 50, all else 0

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7
Q

Hartmann’s electrolyte levels?

A

Na 131, Cl 111, Bicarb 29, K 5, Ca 2

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8
Q

Saddle nose problem, high serum ACE (-ve canca). Dx?

A

Sarcoidosis - NB GPA not answer here

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9
Q

32 year old female with symmetrical polyarthritis and proteinuria?

A

SLE

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10
Q

Female with dactylitis and DIP?

A

Psoriatic arthritis

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11
Q

Male with sternal pain, lytic lesions - what Ix to Dx?

A

Protein electrophoresis to look for Bence-Jones proteins in MM

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12
Q

What therapy is Beck’s triad?

A

CBT

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13
Q

What fruit/veg interacts with Warfarin?

A

Green veg as high in vitamin K

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14
Q

Freudian theory

A

Psychoanalytical

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15
Q

Fruit that interferes with statins?

A

Grapefruit

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16
Q

Someone taking amoxicillin who comes in vomiting?

A

Alcohol?

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17
Q

Surfer who has gradual hearing loss?

A

Exostosis

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18
Q

Someone with hearing loss after getting off a plane?

A

Tympanic membrane rupture or glue ear

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19
Q

Female with dysphagia and anaemia?

A

Patterson-Kelly-Brown - this is a condition where iron deficiency is associated with a post-cricoid oesophageal web

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20
Q

Mild dyskariotic smear result - what to do?

A

Repeat smear in 6 months

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21
Q

Severe dyskariotic smear result - what to do?

A

Colposcopy

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22
Q

Colposcopy shows ulcerated/malignant type lesion with discharge - what Tx?

A

LLETZ

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23
Q

Man dragged out of the river from drowning. What type of shock and ABGs?

A

Hypothermic - mixed metabolic and respiratory acidosis

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24
Q

Man in RTA, c-spine ok, airway ok, weak radial pulse. What type of shock is most likely?

A

Hypovolaemic

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25
Q

Someone you give fluids to then they rapidly deteriorate - what do you do now?

A

Stop fluids, give IV furosemide

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26
Q

Adrenaline doses - what does 1:1000 mean?

A

1mg = 1ml of the fluid

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27
Q

Pulseless VT - what Tx?

A

Amiodarone 300mg (know dose)

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28
Q

Bradycardia what Tx?

A

Atropine 500mcg

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29
Q

Someone on SABA and steroid using SABA 4 times a day - next step?

A

Add LABA

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30
Q

Why doesn’t trimethoprim work for upper UTI?

A

It doesn’t penetrate renal parenchyma

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31
Q

Why does antibiotic not help ulcer on foot?

A

It needs drainage - abscess walled off from the drug and so the bacteria live on

32
Q

Rectal issue - too painful to examine - what do you do?

A

Examine under anaesthetic

33
Q

Blood on toilet paper, painful?

A

Anal fissure

34
Q

Ank spond and then has blood diarrhoea for 2 weeks. Dx?

A

UC

35
Q

Cruise down Nile river and then watery diarrhoea 6 weeks later - Ix?

A

Test urine or stool microscopy to look for eggs

36
Q

Ix for chlamydia in male?

A

First pass urine for PCR

37
Q

Man Tx with antibiotics for a presumed pneumonia, smoker, returns 6 weeks later still hoarse. What do you do?

A

Refer urgently to ENT

38
Q

Bullous pemphigoid BM appearance?

A

IgG linear deposits

39
Q

Stabbed in the neck and shoulder pain - what nerve damaged?

A

Axillary nerve

40
Q

Elbow replacement then tingling in ring finger, positive Froment’s sign?

A

Cubital tunnel syndrome

41
Q

Internal and shortened limb?

A

Posterior dislocation at hip

42
Q

Tx of tibial fracture in middle aged?

A

Closed fractures with minimal displacement are managed non-operatively with a leg cast - cast application is delayed 3-5 days to allow time for swelling to reduce. Open fixation required if it is an unstable fracture

43
Q

Anterior uveitis Tx?

A

Topical prednisolone

44
Q

1st line in AACG (glaucoma)?

A

IV acetazolamide

45
Q

Preeclampsia prevention?

A

Aspirin, Labetalol, Nifedipine, Hydralazine

46
Q

Women without uterus has hot flushes and night sweats. What HRT do you use?

A

Oestrogen only

47
Q

Woman aged 39 with TAH BSO for endometriosis - what do you put them on?

A

Sequential

48
Q

First Mx for squints?

A

Correction of any refractive errors

49
Q

MS optic neuritis left eye

A

Central scotoma

50
Q

Man, 21, MS presentation picture, nystagmus and pupils not looking the same direction?

A

Internuclear ophthalmoplegia

51
Q

Heliotrope rash and liner streaks hands

A

Dermatomyositis

52
Q

Woman collapses, has high potassium and low sodium, daughter says she hasn’t taken her meds?

A

Addisonian crisis

53
Q

Tx for acne in girl wanting contraception?

A

Dianette - OCP

54
Q

White patches vaginal walls?

A

Candida albicans

55
Q

Bilateral red eyes in child?

A

Chlamydia conjunctivitis

56
Q

Woman with a lesion on leg, hard centre, getting it checked after her friend had skin cancer. Its been there for years?

A

Dermatofibroma

57
Q

Absent granular layer, hyperproliferation of keratinocytes?

A

Psoriasis

58
Q

Someone who can’t consent to treatment after accident what law?

A

Common law

59
Q

Schizo woman being detained who does she go to to appeal?

A

Advocacy worker

60
Q

Malaria and typhoid tx?

A

Malarone. Typhoid also ampicillin

61
Q

Haematuria in someone coming back from abroad?

A

Schistosomiasis

62
Q

Woman taking NSAIDs for hip replacement develops bleeding. What ulcer type?

A

Acute erosive gastritis

63
Q

Hypothermia ECG change?

A

J-waves

64
Q

Best way to measure BP in 65 year old man in HDU?

A

Invasive BP monitoring

65
Q

Best way to measure BP in GP surgery?

A

Validated arm cuff (semi-automatic)

66
Q

Best way to measure BP in white coat hypertension?

A

Ambulatory monitoring

67
Q

65 year old lady vacant pauses, distracted. Lasts several hours and recovers in less than 24hrs?

A

Partial status epilepticus

68
Q

Most apt thing these children can do?

Child born at 34 weeks no issues, now 1?

A

Cruising round furniture

69
Q

Most apt thing these children can do?

Child born at 40 weeks, now 3 months old?

A

Head control

70
Q

Child at 2 weeks old, very unwell, respiratory distress, temperature. What is likely causative organism?

A

RSV - bronchiolitis

71
Q

Child who was feeding well until change from milk to solid foods?

A

Coeliac disease

72
Q

Scan for someone with prostate cancer and back pain?

A

Technetium bone scan

73
Q

MI patient. What Ix?

A

ECG and Troponin - there is each on their own as well so be careful not to miss it

74
Q

1st line for BPH?

A

Tamsulosin - alpha blocker

75
Q

Someone on IV co-amoxiclav and clarithromycin for severe pneumonia whose obs have been stable for 48 hrs. What do you do?

A

Step down to oral doxycycline

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