etcs

Question 1

dermatitis, diarrhea, dementia.

what element is deficient?

Answer 1

Dx. Pellagra

deficiency in Vitamin B3 (niacin) or tryptophan

Question 2

Screening recommendation

cholesterol
DM (fasting blood glucose)

Answer 2

cholesterol : every 5 years from 45 yo

fasting blood glucose : every 3 years from 40 yo.

Question 3

driving restriction after AAA repair.
private
commercial

Answer 3

private : 4 weeks

commercial : 3 months

Question 4

fluid resuscitation in burn patients

eg. 80 kg, 15% BSA burnt.

Answer 4

Modified parkland formula
3ml HS x BW (Kg) x TBSA = 3600ml

1/2 in the first 8 hrs
1/2 in the following 16 hrs

Question 5

body surface area estimation ?

draw

Answer 5

arm 4.5% leg 9%
front torso, back torso each 18%
head 18%
palm+fingers 1%

Question 6

AAA surgery, recovery uneventful.

when can the patient drive?

Answer 6

private : 4 weeks

commercial : 3 months

Question 7

35 yo, confusion, dysarthria, wide-base gait. personality change, family Hx

Dx and Dx test?

Answer 7

Wilson’s disease

serum copper and ceruloplasmin

Question 8

stroke, TIA, good recovery.

when can the patient drive?

Answer 8

after 4 weeks and assessment by an occupational therapist.

Question 9

a man with azoospermia. which test to do next

Answer 9

serum FSH

Question 10

epilepsy. driving restriction?

non-commercial and commercial

Answer 10

non-commercial vehicle : 1 yr seizure free

commercial vehicle : 10 yrs seizure free

Question 11

epilepsy, well controlled for the past 12 months with med. a self-limiting seizure episode.
driving restriction?

Answer 11

trigger identified : the patient can drive after 4 weeks.

trigger not identified : after 3 months.

Question 12

acute MI

driving restrictions?

Answer 12

private car : 2 weeks

commercial car : 4 weeks

Question 13

effetcts on calcium?

Vit D excess
Thiazid diuretics 
 metastatic ca
sarcoidosis 
CRF
hyperparathyroidism

Answer 13

Vit D excess - increase  
Thiazid diuretics - increase 
 metastatic ca - increase 
sarcoidosis - increase 
CRF - decrease 
hyperparathyroidism  - increase

Question 14

coronary artery bypass surgery

driving restriction?

Answer 14

private : 4 weeks

commercial : 3 months

Question 15

percutaneous coronary intervention

driving restriction?

Answer 15

private : 2 days

commercial : 4 weeks

Question 16

cardiac arrest.

driving restriction?

Answer 16

private : 6 months

commercial : 6 months

Question 17

DVT

driving restriction?

Answer 17

private : 2 weeks

commercial : 2 weeks

Question 18

pulmonary embolism

driving restriction?

Answer 18

private : 6 weeks

commercial : 6 weeks

Question 19

syncope (due to cardiovascular causes)

driving restriction?

Answer 19

private : 4 weeks

commercial : 3 months

Question 20

Dx criteria of metabolic syndrome

Answer 20

three of following five

1. abdominal obesity
2. hypertriglyceridemia ( > 1.7mmol/L)
3. low HDL (< 1 mmol/L in men, < 1.3 mmol/L in women)
4. Hypertension ( > 130/85)
5. fasting glucose > 5.5 mmol/L

Question 21

the best lab test to diagnose alcoholism ?

Answer 21

carbohydrate-deficient transferrin

50% sensitivity