General mix (5)

Question 1

Myxoedemic coma

Answer 1

hypotensive, bradycardic, hypotheric

• Old people
• Give IV levothyroxine
• Fluid overload in the heart

Question 2

pleural effusion: exudate

Answer 2

infection and malignancy

protein >3g

Question 3

pleural effusion: transudate

Answer 3

CCF and liver failure

protein <3g/dl

Question 4

pneumonia parrot

Answer 4

Chlamydia psittaci

Question 5

which channel affected in CF

Answer 5

Cystic Fibrosis Transmembrane Conductance Regulator (CFTR)

• chloride channel

Question 6

management of simple pneumothroax

Answer 6

No SOB and <2cm- follow up in 2-4 weeks

SOB or >2cm- aspiration and reassess

• failed aspiration chest drain

Question 7

tension pnuemothroax manageemnt

Answer 7

1. insert large bore cannula in the 2nd intercostal mid-clavicular line
   2) followed by chest drain after decompression (safe triangle

Question 8

drugs which cause PF

Answer 8

amiodarone

methotrexate

bleomycin

nitrofurantoin

Question 9

well score for DVT

Answer 9

<2 D-dimer

>2 ultrasound

Question 10

well score for PE

Answer 10

<4 D-dimer

>4 do CTPA

Question 11

provoked DVT anticoag

Answer 11

3 months

Question 12

active cancer DVT

Answer 12

6 months minimum

Question 13

if paralysis in cold limb

Answer 13

amputation

Question 14

ABPI

Answer 14

leg pressure /arm pressure

Question 15

ABPI <0.5

Answer 15

severe PAD

Question 16

ABPI: 0.5- 0.79

Answer 16

moderate PAD

Question 17

ABPI: 0.9-0.8

Answer 17

mild PAD

Question 18

ABPI: 0.9-0.8

Answer 18

mild PAD

Question 19

if suspect of acute limb ischaemia

Answer 19

do duplex US and then VT angio

Question 20

aortic dissection on x-ray

Answer 20

widened mediastinum

Question 21

type A dissection

Answer 21

A massive problem- surgery

Question 22

def of leg ulcer

Answer 22

break in skin not healed in 2 weeks

Question 23

stopping lactorrhea

Answer 23

dopamine agonist- cabergoline

Question 24

calcium in ostoeporosis vs osteomalaecia

Answer 24

• osteoporois- normal
• osteomalaecia- low

Question 25

pagets vs eczema

Answer 25

look. very similar * eczema spares the nipple * pagets disease of the **nipple**

Question 26

mastectomy

Answer 26

removal of all tissue of the affected breast alongisde skin * multifocal or high disease to breast ratio

Question 27

transudate

Answer 27

protein \<30 * cardiac failure * cirrhosis

Question 28

excudate

Answer 28

\>30g/l * infection * malignancy

Question 29

coeliac rash

Answer 29

Dermatitis herpetiformis

Question 30

which microbe associated with infective endocarditis within 2 month of prosthetic valve surgery

Answer 30

staphylococcus epidermis

Question 31

strep bovis

Answer 31

infective endocarditis- colorectal cancer

Question 32

strep sanguinis and viridans

Answer 32

infective endocarditis- poor dental hygeine

Question 33

genetic cause of DVT

Answer 33

anti-phospholipid sydrome

Question 34

common feature of anti-phospholipid

Answer 34

miscarriages

Question 35

what drug can worsen psoriasis

Answer 35

propanolol

Question 36

eGFR and vasoconstriction/ dilatation

Answer 36

Question 37

which drug in renal transplant can cause squamous cell carcinoma

Answer 37

tarcolimus

Question 38

which drug in renal transplant can cause squamous cell carcinoma

Answer 38

tarcolimus