Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Sheff 3a > Exam Questions I Got Wrong > Flashcards

Exam Questions I Got Wrong Flashcards

1
Q

Pharmacological mx of RDS

A

Sufactant - curosurf or Survanta [brands]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define cyanosis

A

> 5/dL of deoxygenated haemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Blood in urine post IE cause?

A

Immune complex nephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 clinical examination findings in polyhydroaminos

A

Indistinct fetal parts
Ballotable fetal parts
Indistinct fetal heart by auscultation
Overdistended uterus
Symphyseal-fundal height larger than dates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Factors leading to polyhydroaminos ? Ix for these?

A

Fetal infection
Oesophageal / duodenal atresia
Macrosomia
Maternal diabetes

Ix
Detailed ultrasound
GGT
TORCH screen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 main complications of polyhydroaminos

A

Pre-term labour
Malpresentation
Prolapsed cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Screening test for CF?
Phynketonuria?
Congenital hypothyroidism?

A

Immunoreactive trypsin
Phenylalanine
TSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Outcomes of phenylketonuria

A

Severe developmental delay
Seizures
Mouse odour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What should GP give if suspects meningitis before sending to secondary care?

A

IM benzylpenicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Most likely cause of meningitis in 14 yr old

A

Group B neisseria meningitides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

2 reasons to screen urine for delirium

A

Elicit drugs

Infection / renal problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why do you get acute dystonic reaction?

A

Blockage of dopamine receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Schitz lobe most affected?

A

Temporal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Blood tests for pre-eclampsia

A

FBC
Platelets
Ruin acid
Liver function tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

3 treatments to alleviate pre-eclampsia

A

Delivery
Labetalol
Mgso4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pre eclampsia pre dispose

A

Nulliparity
First baby with new partner
Twin pregnancy
Chronic hypertension
SLE
Renal disease
Strong family history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A 55 year old man is admitted to the psychiatric ward for a routine
detoxification from alcohol. He lives alone and he has had epileptic seizures
in the past when being detoxified and so admission is thought to be prudent.
He has neglected himself for several months living on lager alone. He arrives
thin and dishevelled. He is started on benzodiazepine drug therapy to
alleviate his symptoms. He feels very anxious with some nausea.
1. State the name of one other drug you would prescribe (do not give
doses) and give the reason

A

Thiamine

He is likely to be depleted of Vitamin B1 and it is
given to prevent the development of Wernicke’s
encephalopathy or Korsakov’s syndrome. Also
prevent heart failure developing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

3 markers in blood for heavy drinking up to admission?

A

MCV
Gamma GT
Blood alcohol levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Alcoholic develops severe abdo pain

Likely complication and test?

A

Pancreatitis

Serum amylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Man given disulfiram

What dangerous side-effect may occur (possibly resulting in death) if he
drinks alcohol whilst taking this drug, which enzyme does antabuse
block and what biochemical product accumulates in the blood to cause
this side-effect?

A

Hypotension
Alcohol dehydrogenase
Acetaldehyde

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A 22 year old man is admitted to the psychiatric ward complaining of auditory
hallucinations and is clearly paranoid. He agrees to stay for help and
assessment

If this is a drug problem, which illicit drug is likely to be responsible,
which neurotransmitter does it affect, and in what way does it affect this
neurotransmitter?

A

Amphetamine
Dopamine
Increase dopamine levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

2 blood markers neuroleptic malignant syndrome

A

WWC

Creatine kinase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Most likely cause of death in neuroleptic malignant syndrome

A

Pneumonia

pulmonary embolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Nephrotic syndrome with
The child is admitted to hospital for investigation. Examination of the chest
reveals stony dullness to percussion at both chest bases, with reduced air entry.
Why?

Why do you get prolonged cap refill?

4 blood tests to assess nephrotic ?

Develops ascites and fever what is cause?
Organism is gram positive lanceolate?

2 CV complications and treatment?

Prophylactic medication ?

A

Pleural effusions due to hypoalbuminaemia

Reduced plasma volume

Urea and creatinine
Plasma proteins/albumin
Haemoglobin
Cholesterol

Peritonitis
Strep pneumoniae

HTN - atenolol 
Pericardial effusion (due to low albumin -> water leaves vessels) - Diuretics Or plasma expanders Eg Albumin (Human albumin solution)

Penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Good histological prognosis vs bad in nephrotic
Good - minimal change | Bad - membranous glomerulonephritis
26
Sx of hypertension in preggo
Headache Visual disturbances Nausea/vomiting Photophobia Epigastric pain Oedema Fits Poor urinary output
27
3 signs of eclampsia on physical exam
Hypereflexia Papilloedema Peripheral oedema Clonus
28
Blood for pre eclampsia bar FBC / U+E
Uric acid LFTs Clotting screen
29
2 microbial causes of tonsillitis
Ebsteins Barr Strep pyogenes Adenovirus
30
Reaction in anaphylaxis
Type 1 hypersensitivity
31
2 drugs administered in emergency anaphylaxis
Oxygen Hydrocortisone Adrenaline
32
Name one macrolide
Erythromycin Clarithromycin Azithromycin
33
Patient with post strep glomerulonephritis 5th day has He is managed with careful fluid balance for a few days. On the fifth day of admission urea and electrolytes are: Urea 18mmol/l (< 7) Creatinine 315 μmol/l (73-109) Sodium 140 mmol/l (135-144) Potassium 7.2 mmol/l (3.5-4.7) What has happened? Which is life threatening and how to manage?
Renal failure with hyperkalaemia Dextrose and insulin
34
Internal and external boundaries of epidural space
Dura matter and ligamentum flavum
35
2 drug therapies that would be CI for epidural
Anticoagulant Eg warfarin | Anti-platelet Eg aspirin
36
2 obstetric reasons to be denied epidural
Fetal distress | Antepartum haemorrhage
37
Percentage of epidurals work?
85-92%
38
3 complications of epidural
Failure to achieve analgesia Hypotension Urinary retention Headache due to dural tap Delay of second stage
39
2 causes of recurrence of intussusseption | Usual diagnosis using?
USS Anatomical abnormality acting as intussusseption Meckel’s diverticulum Polyp
40
Depression in 69 yr old | 3 blood tests bar FBC, ESR, CRP, LFT, Ca, Glucose
TFT U+E B12 folate VRDL
41
What are neurofibrillary tangles
Paired helical axons of degenerated neurones
42
Mechanism of donepezil
ACETYLcholinersterase inhibitors
43
Why is vascular dementia related to cardiac problems
Infants occur in all parts of body including MI
44
Blood tests for chronic alcohol use
LFT - GGT (AST, ALT) Prothrombin Low albumin High bilirubin
45
What is Delirim Tremens
o Acute alcohol withdrawal reaction o Peaks at 72hr Acute confusional state and hallucinations
46
Describe wernicke s / Korsakoffs ?
• Description of Wernicke’s encephalopathy [1] o Confusion o Ataxia o opthalmaplegia Description of Korsakoff’s syndrome [1] o Confabulation o Retro and ante grade Amneasia o Personality changes
47
4 pre op blood tests and why
o FBC – anaemia o U&Es – renal function o Cross match + group and save – in case of blood loss o Clotting screen – risk of bleeding
48
Test for downs at 15 weeks
Quad test
49
• Man has diarrhoea, sweating, tremor, weight loss etc. GP believes he has hyperthyroidism, name three blood tests for thyroid disease and give rational [3] • Name three treatments you would give and rational [3] o • List three important things that you would do next [3] • Description of thyrotoxicosis, what would you do [1]
``` o TFTs – to see T4 and TSH levels (split into two) o Antibodies (TSH receptor antibody) – possible see the causegraves disease o U&Es – if the diarrhea is affecting him ``` • Name three treatments you would give and rational [3] o Radio active iodine – to destroy the overactive thyroid cells o Thyroxine – to replace the thyroid not being reduced o Propranolol – symptomatic relief Carbimazole• List three important things that you would do next [3] o Repeat T3 and t4 levels o Regular ECG o Eye tests • Description of thyrotoxicosis, what would you do [1] o IV propranolol o corticosteroids o carbimazole PO o ?fluid
50
Supplied but not needed or demanded
o Over 75 health check by GP |  Proven not to help and they don’t ask for it need to be reminded
51
Supplied and needed but not demanded ? Why?
o Baby guthries testing |  Mother would rather their babies weren’t harmed but needed for early diagnosis of conditions
52
• Child has fever/malaise, limp, hepatosplenomegaly etc. what two conditions do you want to rule out [2] o Name two blood tests you would perform [2] • What initial imaging would you request [3] • Name three classes of drugs for arthritis (not biologics) and give example [3]
o Leukaemia o Septic arthritis • Name two blood tests you would perform [2] o FBC o LFTs ``` • What initial imaging would you request [3] o Uss of the abdomen o X-ray of the hip o Uss hip • Name three classes of drugs for arthritis (not biologics) and give example [3] o NSAIDs – ibuprofen o DMARDS – methotrexate o Corticosteroids - pred ```
53
* 9 month old child presents with redness in the creases of neck, axilla and groin, his skin is peeling, what is the diagnosis [1] * What is the causing organism [1] * Why does the skin peel [1] * The child becomes unresponsive, what three things would you do immediately [3] * Child weighs 9kg, calculate maintenance fluid over 24 hours [1] * Child is 5% dehydrated, calculate total fluid given over 24 hours [1] * What two systems would you monitor after giving gentamycin [2]
• 9 month old child presents with redness in the creases of neck, axilla and groin, his skin is peeling, what is the diagnosis [1] o Scalded skin syndrome • What is the causing organism [1] o Staph aureaus • Why does the skin peel [1] o Staph releases endotoxin, between layers of skin • The child becomes unresponsive, what three things would you do immediately [3] o Call for help o Assess ABCDE o Perform simple airways manove / give O2 • Child weighs 9kg, calculate maintenance fluid over 24 hours [1] o 900 • Child is 5% dehydrated, calculate total fluid given over 24 hours [1] o 1350 • What two systems would you monitor after giving gentamycin [2] o Ears and kidneys
54
2 drugs that aggravate Parkinson’s? | How does writing look?
Metoclopramide Olazipine Micrographia that tails off
55
* Elderly man with COPD admitted for acute exacerbation and receives treatment, 4 days later he wishes to discharge himself, what four pieces of information are required to plan his discharge [4] * 3 days later (and not back to full health) he is adamant he wants to go home, what assessment would you perform [2] * Where could he be discharged to that is not his own home [2] * What type of support could he receive at home [2]
``` o Drugs o OT o Physio o F/U appointment o Letter GP ``` • 3 days later (and not back to full health) he is adamant he wants to go home, what assessment would you perform [2] o Mental Capacity assessment for self-discharge • Where could he be discharged to that is not his own home [2] o Rehabilitation hospital o Nursing home • What type of support could he receive at home [2] o Respite care o Social workers o Community nurses
56
4 principles of couples therapy
``` o Promote communication o Change views of relastionship o Modifies dysfunctional behavior o Decreases emotional avoidance o Promotes strength ```
57
3 interventions for orgasmic disorder
o Sensate focus o Lube o Eros device o Kegel exercises
58
4 tests of negligence
o Does dr have duty of care o Was there a breach duty of care broken o Did the patient come to harm o Did the breach cause the harm
59
Hello
Suck my balls
60
Boy sore throat, petichae on soft palate, exudate on tonsils, tender lymphadenopathy Diagnostic ix?
Mono spot test (EBV)
61
Post strep tender noodles on shins ? When else do you get them?
Erythema nodosum | TB and IBD
62
Difference between chlamydia and gon on gram stain
Gram negative Gon - diplococcus Clam - rod / cocci
63
Cause of gynacomastia in male drugs
Antipsychotics | Spironolactone
64
Test to determine gonn and sensitivity | Symptomatic
Urethral swab and culture sensitivity
65
medication for acute alcohol withdrawal
Chlordiazepoxide
66
Blood tests in paracetamol overdose
``` U+e LFTs Glucose - due to hepatic necrosis Clotting screen ABG - acidosis can occur ```
67
Paracetamol overdose presentation
24hrs asx -> hepatic necrosis -> RUQ pain and jaundice [Encepalopathy, oliguria, hypoglycaemia, lactic acidosis].
68
Septic screen
``` FBC Cultures X-ray Urine sample LP ```
69
3 components of child emergency assessment
Appearance Work of breathing Circulation to skin
70
Parts of appearance in paeds ?
TICS | Tone, irritability, consolability, look, speech
71
4 things to know for discharge planning
Details of patients condition Info on their medicines Contact information after discharge Arrangements for continuing social care support Arrangements for continuing health support
72
What is the rule of rescue
Perceived duty to saved endangered life where possible, regardless of cost, even if the money could be spent better elsewhere
73
Seconds of nice traffic light
Colour -pale, mottled, ashen, blue Activity- No response to ques, does not wake, weak high pitched cry Respiratory - Grunting, RR>60, Circulation and hydration - reduced skin turgor Other - Eg temp, rash, seizure, focal neuro
74
Score system for DVT ? Ix? Mx?
Wells Ultrasound D-diner test LMWH
75
3 supportive measures on discharge
Carers Caterers Care package
76
2 psychosocial measures for post discharge of schitz
Family psychoeducation | Social skills training
77
Anaemia in alcohol abuse
Macrocytosis | MCV
78
Features of moderate, severe life threatening asthma
Moderate - PEF 50-75%, increased Sx, Sa02 >92% Severe - PEF 50-75, Sa02 <92%, inability to complete sentences Life threatening - PEF <50%, Sa02<92%, silent lungs, not talking, lethargy
79
2 drugs that worsen Parkinson’s
Metoclopramide - dopamine receptor antagonist Antipsychotics - Dopamine receptor antagonists
80
Must score
1 being under 20 BMI, 2 being under 18.5 BMI 1 5% unplanned weight loss, 2 for >10% weight loss past 6 months 2 acutely unwell / not eating for 5 days Out of 6 0 low risk, 1 medium risk, 2 high risk
81
Specialist investigation for fetal growth
Uterine artery Doppler
82
6 questions for asthma control
- How many times a day does he need his blue inhaler - Does he get out of breath/how many times a day - Asthma attacks - Days of school - Waking up in night - Coughing - Technique
83
4 qualitative methods for evaluating healthcare
- Focus groups - Observation - Interviews - Document review
84
Man who is about to undergo a palliative shunt as a result of a cholangiocarcinoma. He also has diagnosed advanced COPD. Prior to the operation, he signed a DNACPR. Beneficence and non-maleficence apply
1. What is beneficence and apply this principle to this patient (2) Whether or not an intervention would be of benefit to the patient in this case would rescussitation would not help his long term condition / cure him 2. What is non-maleficence and apply this principle to this patient (2) That do no harm is to occur to the patient – going against patient’s wishes is causing harm goes against wishes
85
Report to who in never events
GMC Patient and family CQC
86
20 year old female who broke up with boyfriend 2 weeks ago. Taken 12 paracetamol tablets with 500ml vodka. Had previously gone to GP for low mood, feeling empty and worthless. Sent message to ex-boyfriend saying ‘bye cruel world’. Superficial cuts on forearm, old scars. a. 4 blood tests (apart from paracetamol levels) (4m)
LFT U+e FBC Clotting
87
6 screening dementia
``` Glucose B12 folate FBC Alcohol Calcium Medication / toxic screen ``` All the mental tests Eg MMSE ....
88
CI for heparin
Peptic ulcers
89
2 things to help intention become a behaviour
perceived control (back pain heavy task) anticipated regret, prep actions, implementation intentions (what If – need a fag ), relevance to self
90
7. Crying infant 6 month old, apyrexial, petechial rash on neck, immobile left arm, crying when left arm moved. Crying throughout assessment. a. 3 initial investigations
Blood and culture X-ray arm MSU / culture
91
ABG: high pH, low CO2, normal O2, normal HCO3 and base excess. Interpretation of blood gases – what does it show and what is the cause?
Respiratory alkalosis - hyperventilation = low co2 and high ph
92
3 aspects following hyperthyroid treatment
USS of neck, repeat levels, regular ECG and eye tests

Sheff 3a (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions