General medicine/random

Question 1

What can precipitate guttate psoriasis?

Answer 1

Streptococcal infection

Question 2

What is the first step in management of htn in a 50 year old patient?

Answer 2

ACEI

Question 3

What is the first step in management of htn in a 58 year old patient?

Answer 3

Calcium channel blocker

Question 4

In a patient with EBV, what antibiotic can cause a rash to develop?

Answer 4

Amoxicillin

Question 5

What HbA1c level is diagnostic of T2DM?

Answer 5

6.5 (48 mmol/mol)

Question 6

What is the first line treatment for Raynaud’s?

Answer 6

Nifedipine (ca channel blocker)

Question 7

What drug can be sed to control AF in an asthmatic?

Answer 7

Diltiazem (ca channel blocker)

Question 8

What organism that can cause pneumonia can also cause erythema multiforme?

Answer 8

M. pneumoniae

Question 9

In paediatrics what is the likely cause of a fever followed by a rash?

Answer 9

Roseola infantum

Question 10

What diabetic medication can cause weight gain and increases insulin sensitivity?

Answer 10

Thiazolidinediuretics, e.g. pioglitazone

Question 11

What autoantibody can be measure in a patient with SLE?

Answer 11

anti- dsDNA

Question 12

What is the antibiotic of choice for whooping cough?

Answer 12

Erythromycin

Question 13

The prodrome of what paediatric infection is characterised by fever, irritability and conjunctivitis?

Answer 13

Measles

Question 14

What drug can worsen symptoms of parkinson’s disease?

Answer 14

Metoclopramide

Question 15

Which testicular cancer can present with normal serum HCG and AFP levels?

Answer 15

Seminoma

Question 16

What antibiotics should be avoided in epilepsy?

Answer 16

Ciprofloxacillin

a quinolone

Question 17

What is the preferred antidepressant following an MI?

Answer 17

Sertraline

Question 18

What drugs are contraindicated with sildenafil? (viagra)

Answer 18

Nitrates and nicroandil

Question 19

What antibiotic is 1st line for C. difficile? If this isn’t working what can be used?

Answer 19

Metronidazole

Vancomycin

Question 20

What medications can increase stroke and VTE risk in the elderly?

Answer 20

Anti psychotics

Question 21

What kind of bacteria is gonorrhoea?

Answer 21

Gram -ve diplococcus

Question 22

What dermatological condition is associated with coeliac’s?

Answer 22

Dermatitis herpatiformis

Question 23

What is the APTT like in antiphospholipid syndrome? What about the platelets?

Answer 23

APTT long

Low platelets

Question 24

What infection can reactivate herpes simplex?

Answer 24

Strep pneumoniae

Question 25

What diabetic medications can be give in pregnancy?

Answer 25

Insulin (preferred)

Metformin

Question 26

What should you do to the glucocorticoid dose if an Addison’s patient is acutely unwell?

Answer 26

Double it

Question 27

What cancers is the COCP protective against?

Answer 27

Ovarian and endometrial

Question 28

What drugs can cause blurred vision and dry mouth?

Answer 28

TCAs, e.g. imipramine

Question 29

What MMSE score suggests dementia?

Answer 29

24 or less

Question 30

What section of the mental health act allows admission for 28 days?

Answer 30

2

Question 31

What section of the mental health act allows admission for 6 months?

Answer 31

3

Question 32

What section of the mental health act allows 72 hr assessment of a patient not already in hospital?

Answer 32

4

Question 33

St John’s wort can interfere with medications - give 3 examples

Answer 33

Warfarin
Ciclosporin
COCP

Question 34

What SSRI requires a 1 week washout period?

Answer 34

Fluoxetine

Question 35

What anti epileptic is most associated with weight gain?

Answer 35

Sodium valproate

Question 36

What can be given as migraine prophylaxis is b blockers aren’t suitable?

Answer 36

Topiramate