June 2021

Question 1

SLE
rash, arthritis, renal dysfunction
Rx ?

Answer 1

Mycophenolate mofetil
(cyclophosphamide - RPGN)

Question 2

CAH
High suspicion
Dx ?

Answer 2

ACTH stimulation test

Question 3

inclusion body myositis

Answer 3

weakness of wrist and finger flexors, weakness of knee extension,

Question 4

cryoglibinemia

Answer 4

HCV association
small joint arthritis
GN
purpuric rash
cirrhotic liver

Question 5

levomepromazine

Answer 5

phenothiazine class
palliative care - control intractable N/V and distress/agitation, hallucination

Question 6

midazolam

Answer 6

anxiolytic in palliative care

Question 7

CML
Rx ?

Answer 7

Imatinib

Question 8

myocarditis
role of steroids/colchicine ?

Answer 8

Nil

Question 9

bleomycin A/E on lungs ?

Answer 9

intersticial pneumonitis

Question 10

Genta level 1.5
next step ?

Answer 10

omit dose and repeat level in 12 hrs
(dose already above target 1)

Question 11

PCOS
how to improve fertility ?

Answer 11

weight loss
(clomiphene - if weight loss not helpful)

Question 12

marathon runner, vitals normal, GCS 13, Na 129, s/osmolarity 262.
cause of hyponatremia ?

Answer 12

exercise-induced hyponatremia