Gen med

Question 1

Peutz-Jeghers syndrome

Answer 1

Autosomal dominant
Numerous small bowel polyps
Pigmented lesions on lips palms soles
Conservative unless develop complications

Question 2

Hodgkins lymphoma

Answer 2

30s mostly males
supraclavicular rubbery lump sometimes pain on alcohol consumption
B sx present

Question 3

bells palsy

Answer 3

rx with high dose pred if present within 72 hrs of sx onset

Question 4

Von willebrand

Answer 4

Prolonged aptt
Normal pt
Abnormal platelet aggregation
Von Willebrand factor is crucial for platelet adhesion and stabilization of Factor VIII, explaining both the impaired platelet aggregation and the mildly reduced Factor VIII level

Question 5

Tetanus vaccine

Answer 5

a patient has had 5 doses of tetanus vaccine, with the last dose < 10 years ago, they don’t require a booster vaccine nor immunoglobulins, regardless of how severe the wound is