engagement_sessions_flashcards
Which patient is most likely to benefit from long term (life-long) anticoagulation after a DVT in the following circumstances?
a. 30 year old man after a long walk
b. 30 year old woman during pregnancy
c. 30 year old woman on COCP
d. 60 year old man after flying from Kuala Lumpur
e. 75 year old man after hip replacement
75 year old man after hip replacement
A 40 yo man is found to have a pulmonary embolism. What is the most appropriate first line of treatment?
a. Aspirin 600mg stat
b. Compression stockings
c. Fresh frozen plasma
d. Low molecular weight heparin
e. Warfarin
Low molecular weight heparin
A 67 year man presents with DVT. He is anticoagulated with apixaban but also has a 3 month history of weight loss. What is the most appropriate next step?
a. Perform an abdo-pelvic CT
b. Reverse anticoagulation
c. Supplement his diet with vitamin K
d. Switch to Low molecular weight heparin
e. Switch to warfarin
Perform an abdo-pelvic CT
Which of the following is plant-based vitamin D?
a. 1, 25 dihydroxy cholecalciferol
b. Calcitriol
c. Cholecalciferol
d. Ergocalciferol
e. One alpha calcidol
Ergocalciferol
Which has the lowest calcium?
a. Breast cancer
b. Osteoporosis
c. Pagets disease of the bone
d. Primary hyperparathyroidism
e. Secondary hyperparathyroidism
Osteoporosis
Severe childhood onset SLE with normal levels of C3 and C4 occurs in which of the following:
a. C1q deficiency
b. C3 deficiency with presence of a nephritic factor
c. C9 deficiency
d. MBL (Mannose-binding lectin) deficiency
e. Nephrotic syndrome
C1q deficiency
Which of these is the commonest cancer seen in the liver?
a. Cholangiocarcinoma
b. Liver cell (hepatocellular) carcinoma
c. Metastatic adenocarcinoma
d. Metastatic sarcoma
e. Oat cell carcinoma
Metastatic adenocarcinoma
A patient with liver disease is found to have palmar erythema, dupuytrens contracture, spider naevi and gynaecomastia.
a. Chronic stable liver disease
b. Hepatitis
c. Liver failure
d. Obstruction of the bile ducts
e. Portal hypertension
Chronic stable liver disease
Some years later the same patient is found to have ascites, and you notice a visible vein on the anterior abdominal wall.
a. Chronic stable liver disease
b. Hepatitis
c. Liver failure
d. Obstruction of the bile ducts
e. Portal hypertension
Portal hypertension
What else are you likely to find on careful abdominal examination.
a. A palpable bladder
b. An enlarged prostate gland on PR
c. Bilateral palpable kidneys
d. Hepatomegaly
e. Splenomegaly
Splenomegaly
A 30 year old patient decides to go on a strict weight losing diet, and succeeds in losing weight from 68kg down to 60kg in 2 months. A fasting blood test gave the following results:
Albumin 40g/L (37–49)
Globulin 25g/L (24–27)
Total bilirubin 52µmol/L (1–22)
Alanine aminotransferase 30U/L (5–35)
Aspartate aminotransferase 20U/L (1–31)
Alkaline phosphatase 45U/L (45–105)
Gamma glutamyl transferase 30U/L (4–35)
What is the likely cause of the results above?
Gilbert’s syndrome
