Every passmed question i ever got wrong

Question 1

Treatment of asymptomatic first degree heart block in a young person

Answer 1

No treatment needed

Question 2

The most common and important viral infection in solid organ transplant recipients

Answer 2

Cytomegalovirus

Question 3

Which types of shock will cause warm peripheries?

Answer 3

Neurogenic, septic shock, anaphylactic

Question 4

Main ECG abnormality in hypercalcaemia

Answer 4

Shortening of QT interval

Question 5

Prominent U waves

Answer 5

Hypokalaemia

Question 6

Does Bullous Pemphigoid or bullous pemphigus involve the mouth?

Answer 6

Bullous pemphigus involves the mouth

Question 7

Treatment of bullous pemphigoid

Answer 7

Oral steroids

Question 8

In bullous pemphigoid, what are the antibodies directed against?

Answer 8

Directed against the hemidesmosomal proteins

Question 9

How to differentiate between HHS and DKA?

Answer 9

HHS does not cause hyperketonemia and metabolic acidosis (i.e. pH will be fine)

Question 10

MEN I may also be linked with which condition?

Answer 10

Zollinger Ellison syndrome

Question 11

What condition might people with Zollinger Ellison also have?

Answer 11

MEN 1

Question 12

What do parotitis and spider navei suggest?

Answer 12

Suggest excessive alcohol intake

Question 13

If you have a stroke, what side is the homonymous hemianopia on?

Answer 13

The homonymous hemianopia is always on the same side as the paresis

Question 14

Treatment of intrahepatic cholestasis of pregnancy>

Answer 14

Urseodeoxycholic acid

Question 15

What will LFTs show in intrahepatic cholestasis of pregnancy?

Answer 15

High gamma GT and high ALP (cholestatic picture), with a lesser rise in ALT
Patients may also be jaundiced with right upper quadrant pain and steatorrhoea

Question 16

Investigation of choice to detect liver cirrhosis

Answer 16

Transient elastography

Question 17

Anticoagulation and stroke

Answer 17

Right so, you give aspirin 300mg for 14 days

Then start your anticoagulation stuff (e.g. LMWH and warfarin)

Question 18

Which condition is most strongly associated with H pylori infection?

Answer 18

Duodenal ulceration

Question 19

What type of cells would you see in gastric adenocarcinoma?

Answer 19

Signet ring cells

Question 20

Treatment of mild croup

Answer 20

Oral dexamethasone

Question 21

Most common cause of death in infants greater than 1 month but less than one year old

Answer 21

Sudden infant death syndrome

Question 22

Most common cause of death in infants more than 1 year old

Answer 22

Accidents

Question 23

Name a medication you should avoid in bowel obstruction

Answer 23

Metaclopramide - it is a prokinetic and could cuase perforation in bowel obstruction

Question 24

Causes of Dupuytrens

Answer 24

Phenytoin
Manual labour
Alcoholic liver disease
Trauma to the hand
(family history)

Question 25

What might low platelet counts and raised fibrin degradation products suggest?

Answer 25

DIC

Question 26

Treatment of acute cholecystitis

Answer 26

IV antibiotics and early laparoscopic cholecsytectomy within 1 week of diagnosis

Question 27

Diabetes management in pregnancy - which medications are okay to use?

Answer 27

Can use metformin/insulin | I.e. stop sulphonylurea

Question 28

A known complication of gastrectomy

Answer 28

Subacute combined degeneration of the cord (because you are removing the cells that secrete intrinsic factor)

Question 29

U waves on ECG

Answer 29

Hypokalaemia

Question 30

Causes of massive splenomegaly

Answer 30

CML Myelofibrosis Malaria Visceral leishmaniasis

Question 31

Treatment of acute otitis media with perforation

Answer 31

Oral antibiotics | -review child with perforation in 4 weeks time

Question 32

Treatment for psoriatic plaques

Answer 32

Topical steroid and topical calcipotriol

Question 33

Treatment of erythema nodosum

Answer 33

No active treatment, arrange routine follow up

Question 34

Goserelin mechanism of action

Answer 34

GnRH agonist

Question 35

Which part of the ear is most important to visualise

Answer 35

The attic

Question 36

Management options for basal cell carcinoma

Answer 36

``` Surgical removal Curettage Cryotherapy Topical cream: imiquimod, fluorouracil Radiotherapy ```

Question 37

Skin lesion that may occur at site of previous trauma

Answer 37

Dermatofibroma

Question 38

Meningitis treatment for infant <3 months

Answer 38

IV amoxicillin and IV cefotaxime | amoxicillin to cover for listeria

Question 39

Meningitis treatment for infant >3 months

Answer 39

IV cefotaxime

Question 40

The three D's of pellagra

Answer 40

Dermatitis, dementia/delusions, leading to death

Question 41

Pellagra is a deficiency of which vitamin

Answer 41

B3 (niacin)

Question 42

Which condition might you see trident hands in

Answer 42

Achondroplasia

Question 43

What can ankylosing spondylitis be associated with

Answer 43

Achilles tendonitis

Question 44

Achilles tendonitis is associated with which joint condition?

Answer 44

Ankylosing spondylitis

Question 45

Which investigation is contraindicated in raised ICP?

Answer 45

Lumbar puncture is contraindicated - do CT head

Question 46

How should you prescribe maintenance fluids?

Answer 46

Maintenance fluids should be prescribed at 30ml/kg/24 hour