Imperial PP 2

Question 1

which ligament is MOST COMMONLY damaged in ankle inversion

Answer 1

a. Anterior tabofibular ligament

Question 2

what cells does a fibroadenoma contain

Answer 2

stromal and epithelial components

Question 3

what catheterisation should you do for a neurogenic bladder (e.g. MS)

Answer 3

INTERMITTENT CATHETERISATION

Question 4

how do you treat prostate cancer with gleason score of 6

Answer 4

no treatment - watchful waiting :)

Question 5

Gram positive bacilli causing meningitis.

Answer 5

listeria

Question 6

which bone is fractured causing diploplia and facial anaesthesia

Answer 6

ZYGOMATIC

Question 7

motor function of ulnar nerve in the hand

Answer 7

Wrist flexion
Flexion of the little finger
Abduction of the index and little finger
Adduction of the thumb

Question 8

what Z drug is likeluy to cause pt to fall=?

Answer 8

ZOLPIDEM

Question 9

CN 3-6 dysfunction means the lesion is where?

Answer 9

CAVERNOUS SINUS

Question 10

what causes shoulder pain at 80-120 degree

Answer 10

subacromial bursitis

Question 11

how does anterior uveitis present

Answer 11

pain
photophobia
blurred vision / reduced acuity

Question 12

what is fundoscopy like in anterior uveritis

Answer 12

SMALL AND IRREGULAR PUPIL

Question 13

what is pupil like in acute glaucoma

Answer 13

FIXED AND DILATED

Question 14

what is another name for herceprin

Answer 14

trastuzumab

Question 15

causes of neurogenic bladder

Answer 15

CNS (Alzhemiers, spina bifida, MS etc)

PNS lesions (nerve damage due to diabetes, alcohol, B12 def, pelvic surgery)

Question 16

sx neurogenic bladder

Answer 16

DETRUSOR OVERACTIVITY OR UNDERSACTIIVY

overactive:
- frequency
- urgency
- dribbling

underactive:
- urinary retention

Question 17

which investigations must you get for calcaneal fracture BEFORE SURGERY

Answer 17

X ray AND CT

Question 18

normal urine output

Answer 18

2ml/kg/h

Question 19

first line medical management for urge incontinence

Answer 19

ANTIMUSCARINIC (oxybutinin, tolterotide – but avoid if closed angle glaucoma)

Question 20

what is the best X ray view for a vertebral body crush fracture

Answer 20

LATERAL

Question 21

what is another name for typhhoid

Answer 21

enteric fever

Question 22

sx enteric fever / typhoid

Answer 22

myalgia arthralgia
fatigue
high fever
rose spots

sx start about two weeks after exposure

Question 23

how does a brachial cyust present

Answer 23

painless swelling under neck

becomes larger with infection

Question 24

what is the best marker for iron stores

Answer 24

Ferritin

Question 25

how do you treat vWD

Answer 25

tranexamic acid for mild bleeding
desmopressin (DDAVP): raises levels of vWF by inducing release of vWF from Weibel-Palade bodies in endothelial cells
factor VIII concentrate

Question 26

what is the MOST COMMON bleeding disorder

Answer 26

vWF

Question 27

what iss the most common CLOTTING disorder

Answer 27

F5 Leiden