extra passmed questions 6

Question 1

1st line treatment for acute bronchitis

Answer 1

doxycycline first line

not in preggers ladies or kiddos: then use amoxicillin

only consider abx if pts

• systemically unwell
• pre-existing co-morbiditis
• CRP >100

Question 2

Coal workers’ pneumoconiosis typically causes fibrosis in which zone:

Answer 2

upper zone fibrosis

Question 3

COPD - still breathless despite using SABA/SAMA and asthma/steroid responsive features

Answer 3

add a LABA + ICS

Question 4

what is first line in pharma treatment of COPD:

Answer 4

either SABA or SAMA

salbutamol or Ipatropium

Question 5

treatment of choice for allergic bronchopulmonary aspergillosis

Answer 5

oral prednisolone

Question 6

duodenal ulcer causes

Answer 6

1. H.pylori
2. NSAIDS
3. SSRIs

Question 7

what syndrome presents with the following:

1. sudden onset abdo pain
2. ascites
3. tender hepatomegaly

Answer 7

budd chiari

clot formation in hepatic vein

Question 8

is alcoholic hepatitis what is the AST/ALT ratio?

Answer 8

alcoholic hepatitis is 2:1

Question 9

most appropriate maintenance treatment option for ulcerative colitis:

Answer 9

oral azathioprine

Question 10

what type of antibodies associated with primary biliary cirrhosis?

Answer 10

anti mitochondrial

Question 11

asthmatic + supraventricular tachycardia : describe steps in management

Answer 11

1. vagal manouevers e.g. valsalva , carotid sinus massage
2. IV adenosine (BUT CONTRAINDICATED IN ASTHMATICS SO GIVE VERAPAMIL INSTEAD)
3. Eletrical cardioversion

Question 12

STEMI management recap

Answer 12

PCI within 2 hrs.

if not: fibrinolysis within 12 hrs onset

Question 13

MI 5 days ago.

Patient now breathless and uncomfortable. There are bilateral basal crackles on the chest.

New pan-systolic murmur heard on auscultation.

Diagnosis:

Answer 13

VSD - complication following MI.

Pan-systolic murmur = obvious sign.