Fits

Question 1

Causes of fits / what blood tests to do

Answer 1

Low calcium
low sodium
low glucose
Low potassium (though this would affect the heart more quickly, causing VF)

Question 2

Treatment for fits

Answer 2

Diazepam 10mg IV or PR

Question 3

Name a space occupying lesion caused by TB

Answer 3

Vasogenic oedema

Question 4

What do you call an enlarged ventricle?

Answer 4

Hydrocephalus

Question 5

Commonest causes of space occupying lesion in brain

Answer 5

Metastases - lung cancer in men and breast cancer in woman

Question 6

Of the brain tumours, which is the commonest causes of a space occupying lesion in the brain?

Answer 6

Meningiomas

Question 7

Histopathology - pink and purple, which is good?

Answer 7

Nuclei - blue
Therefore purple = bad
Pink is good

Question 8

What might you see on histology of TB in the adrenals?

Answer 8

Necrotising granulomatous cells

Question 9

Treatment for TB + regime

Answer 9

Rifampicin
Isoniazid
Pyrazinamide
Ethambutol

4 Abx for 2 months
Then 2 Abx for 2 months in case of resistance

If the pt is susceptible to all four, then

Question 10

OCP + rifampicin

Answer 10

OCP becomes less effective if on rifampicin

Question 11

Low sodium, high potassium

Answer 11

Addisons

Question 12

Treatment for Addisons

Answer 12

Prednisolone mg daily (because rifampicin is an enzyme inducer)
Fludrocortisone 100mcg daily