EFA/EMQ corrections

Question 1

what scan for metabolically active metastases?

Answer 1

FDG-PET scan

Question 2

what scan for BONE metastases in patient with lung cancer?

Answer 2

technetium 99m bisphosphonate

Question 3

good scan for primary endocrine tumours?

Answer 3

Gallium pet ct

Question 4

causes of Left ventricular hypertrophy?
diagnosis?
what happens to apex position?

Answer 4

Hypertension
ecg
Normal position, not displaced as muscle grows inwards not out

Question 5

when does apex beat get displaced?

Answer 5

LVH dilatation in heart failure eg due to ischemia in heart attack

Question 6

19 year old back from holiday. hot swollen painful knee joint
gram negative intracellular diploccocci

most likely diagnosis?

Answer 6

Neisseria gonorrhea

Question 7

19 year old, septic, pyrexial, stiff neck. lumbar puncture reveals gram negative intracellular diploccoci

most likely diagnosis?

Answer 7

Neisseria meningitidis

Question 8

6 year old. septic, pyrexial stiff neck. lumbar puncture reveals gram negative rods

most likely diagnosis?

Answer 8

Hemophilus influnzae.

ecoli not seen in lumbar puncture CSF unless premature baby. ecoli is gram negative rod seen in urine infections

Question 9

19 year old, septic, pyrexial. negative blood cultures. but cold aglutinnins

most likely diagnosis?

Answer 9

mycoplasma

Question 10

19 year old, mild fever for several months (PUO) after 2 months, blood cultures come back positive for gram positive cocci

most likely diagnosis?

Answer 10

strep viridans

dental work may cause endocarditis

Question 11

19 year old sepsis, blood cultures gram positive diplococci. most likely cause?

Answer 11

strep pneumonia

Question 12

complication of arterial dug injection to femoral artery

IVDU who has had rhabdomyolysis, what do you see in urine dip and urine microscopy?

Answer 12

emboli -> ischemic foot
rhambdomyolysis

urine dip - +ve for hemoglobin due to myoglobin
urine microscopy - no red cells

Question 13

what type of hearing loss does paget disease cause?

Answer 13

both nerve and conductive hearing loss
bone growth -> skull can compress the nerve

Question 14

what is most increased in a patient with osteomalacia?

Answer 14

alkaline phosphatase

increased bone loss and bone formation occuring

Question 15

after an MI what happens to AST?

Answer 15

increases

the following increase following MI:

troponins
CK MB
AST
LDH

Question 16

what rises most in chronic renal failure caused by a fall in GFR?

Answer 16

creatinine

Question 17

What is the marker of glucose control over the last 3 weeks?

Answer 17

fructosamine

Question 18

secondary hyperparathyroidism signs?

Answer 18

low calcium
raised PTH

Question 19

primary hyperparathyroidism

Answer 19

high calcium!!
normal or raised PTH!!

Question 20

diabetes insipidus is now known as?

Answer 20

vasopressin deficiency

Question 21

30 year old man presented with jaundice and conjuctival hemorrhages. He had recently been canoeing in the US and had felt run down upon his return to the UK

Answer 21

leptospirosis