important

Question 1

Chest drain has not re-expanded pneumothorax

Answer 1

1. Wait for 48 hours
2. Requires negative suction (-10/-20)

Question 2

Air leak in a chest drain post pneumothorax management

Answer 2

• High volume/low pressure suction should be used

Question 3

Brain mets imaging

Answer 3

CT head with contrast

Question 4

GBS resp monitoring

Answer 4

FEV1

Question 5

CREST cause of death

Answer 5

Pulmonary arterial hypertension

Question 6

What is rheumatoid factor

Answer 6

Antibody targeting Fc portion of IgG1

Question 7

Side effect of sulfalazine

Answer 7

Reduction in sperm count

Question 8

TTP management

Answer 8

Plasma exchange

Question 9

Lithium therapy when to check after initiation

Answer 9

5-7 days, taken 12 hours after dose

should be done weekly until lithium levels stable, then monthly until 6 months then 3-6 monthly

Also need to check thyroid and renal function 6 monthly

Question 10

HUS toxin

Answer 10

Shiga from E Coli

Question 11

Papillary necrosis

Answer 11

• caused by XS NSAIDs
• proteinuria and haematuria
• may require a ureteric stent

Question 12

Medullary sponge kidney

Answer 12

Increased risk of renal stones seen in pregnancy

Question 13

Interstitial nephritis causes

Answer 13

NSAIDs
Penicillins

Question 14

Acute renal transplant rejection cause

Answer 14

T cell rejection

Question 15

Renal artery stenosis imaging

Answer 15

Magnetic resonance angiography

Question 16

Timings IgA and post strep glomerulonephritis

Answer 16

IgA: 2-3 days
Post sterp: 2-3 weeks

Question 17

MS flare mangement

Answer 17

ORAL methylpred to start and then IV if fails

Question 18

Pathological change seen in Wernicke-Korsakoff

Answer 18

Neuronal loss in the mammillary bodies

Question 19

Typical or atypical antipsychotics cause Parkinsonism

Answer 19

Typical

Question 20

Bipolar management

Answer 20

Lithium –> valproate –> carbamazapine

Question 21

PBC

Answer 21

Anti-mitochondrial antibodies

Question 22

Restrictive cardiomyopathy

Answer 22

Granular sparking appearance

Question 23

Prolonged QT which channel

Answer 23

Potassium

Question 24

Anorexia bloods

Answer 24

Low LH, low FSH, low oestradiol

Question 25

Anakinra use

Answer 25

Viral pericarditis (Il-1), if patient has been having lots of attacks

Question 26

Pregnancy hepatitis infection

Answer 26

Hep E is bad

Question 27

Pemphigoid/pemphigus
oral mucosa affected

Answer 27

Pemphigus

Question 28

Treatment for memory loss in Lewy-Body dementia

Answer 28

Donepezil

Question 29

IgA nephropathy ix

Answer 29

24 hour urinary immunoglobulins

Question 30

Yellow-white pigment in eye

Answer 30

Candida

Question 31

Ank spon lung imaging

Answer 31

Lung function tests then can do CT high resolution if restrictive pattern seen