Incorrect Answers

Question 1

Which one of the following side-effects is most associated with ciclosporin use?

Answer 1

Hepatotoxicity

Question 2

First line management for mild-moderate flare of distal UC?

Answer 2

Rectal Mesalazine - topical rectal aminosalicylates

Question 3

First line management for severe flare of UC

Answer 3

IV Corticosteroids

Question 4

What will induce remission of Crohns Disease?

Answer 4

Prednisolone - Glucocorticoids

Question 5

Management for new onset AF

Answer 5

Electrical Cardioversion

Question 6

Antibiotic therapy (whilst waiting for blood test results) for infective endocarditis

Answer 6

IV Amoxicillin

Question 7

Symptoms of Tension Pneumothorax

Answer 7

Severe respiratory distress, tracheal deviation, unilateral absent breath sounds and haemodynamic instability

Question 9

What can reverse Rivaroxaban/Apixaban?

Answer 9

Andexanet Alfa - haemorrhagic stroke

Question 10

Management of mania/hypomania in patients taking antidepressants?

Answer 10

Stop Venlafaxine and start Risperidone - stop antidepressant and start antipsychotic therapy

Question 11

Patent ductus arteriosus presentation?

Answer 11

Continuous ‘machinery’ murmur, bounding collapsing pulse and wide pulse pressure

Question 13

What anti-depressant after myocardial infarction?

Answer 13

Sertraline

Question 14

How does Lidocaine work?

Answer 14

Blockage of sodium channels

Question 15

ECG findings in patient with hypothermia?

Answer 15

Long QT interval

Question 17

Achalasia increases the risk of which cancer in the oesophagus?

Answer 17

Squamous Cell Carcinoma

Question 18

Barrett’s Oesophagus increases the risk of what cancer?

Answer 18

Adenocarcinoma

Question 19

Why do patients with coeliac disease require regular immunisations?

Answer 19

Functional Hyposplenism

Question 20

Most important blood test to perform when on Carbimazole?

Answer 20

FBC - Agranulocytosis is associated with Carbimazole

Question 21

Management for Primary Hyperaldosteronism

Answer 21

Spironolactone

Question 22

Management for Torsades de Pointes?

Answer 22

Magnesium Sulfate

Question 23

Management for euvolemic hyponatraemia?

Answer 23

Fluid Resuscitation

Question 24

Make diagnosis from a presentation of iron-deficiency anaemia, polyps in jejunum?

Answer 24

Peutz-Jeghers Syndrome

Question 25

Investigating suspected PE: If PE Wells score is 4 or less and D-dimer negative - what next?

Answer 25

Stop anticoagulation and consider alternative diagnosis

Question 26

First line management for Hypercalcaemia?

Answer 26

IV Saline

Question 27

Carbimazole or Propylthiouracil for pregnant women?

Answer 27

Propylthiouracil

Question 28

Management for minimal change disease?

Answer 28

Prednisolone

Question 29

First line management for Ventricular Tachycardia/ peri-arrest situation?

Answer 29

Amiodarone

Question 30

What medication causes galactorrhoea?

Answer 30

Metoclopramide - dopamine receptor antagonist

Question 31

What is the most common complication of Meningitis?

Answer 31

Sensorineural hearing loss

Question 32

Presentation of gastrointestinal illness —> pain in back of legs —> weakness and diminished reflexes in lower limbs?

Answer 32

Guillian-Barre syndrome

Question 33

Presentation of right-sided hearing loss, vertigo and tinnitus?

Answer 33

Vestibular Schwannomas - cranial nerves 5,7,8

Question 34

First line management to prevent angina attacks?

Answer 34

Verapamil - calcium channel blocker