Karim Meeran 1 - internal med

Question 1

List 5 features of rheumatic fever

Answer 1

Subcutaneous nodules
Arthritis 
Myocarditis 
Chorea 
Erythema marginatum

Question 2

What is the pathology of rheumatic fever?

Answer 2

AI disease where cross reactive ABs attack self AGs eg in basal ganglia.

Question 3

List normal Na result

Answer 3

135 - 145

Question 4

List normal K result

Answer 4

3.5 -5

Question 5

List normal urea result

Answer 5

Around 4

Question 6

List normal creatinine result

Answer 6

<100

Question 7

Low iron, high platelets, low MCV.

Dx?

Answer 7

Iron deficiency anaemia, secondary to slow GI bleed

Question 8

What does a normal RDW show?

Answer 8

Homogenous population of RBCs

Question 9

What does a high RDW show?

Answer 9

Anisocytosis (different sizes of RBCs)

Question 10

List 3 scenarios in which you would have a high RDW

Answer 10

Coeliac
Malabsorption
Chronic disease

Question 11

What is pernicious anaemia?

Answer 11

Lack of intrinsic factor leading to B12 deficiency

Question 12

Low WCC, fever, low platelets. Travel Hx.

Dx?

Answer 12

Malaria

Question 13

Exceptionally high WCC.

Dx?

Answer 13

CML

Question 14

Irregular R-R intervals. No p waves.

Dx?

Answer 14

AF

Question 15

List Tx for AF

Answer 15

Beta blocker eg metoprolol

Digoxin

Question 16

What is the Tx for Graves disease?

Answer 16

Carbimazole

Question 17

Spider naevi refill from the _____ ?

Answer 17

Inside out

Question 18

Where are spider naevi found?

Answer 18

In distribution of SVC, which is above nipple line

Question 19

When are Campbell de Morgan spots found?

Answer 19

Over 40s

No known pathology

Question 20

Jaundice and raised ALP.

Dx?

Answer 20

Obstructive jaundice eg pancreatic cancer

Question 21

Jaundice with raised AST and ALT.

Dx?

Answer 21

Hepatitis

Question 22

ALT > AST in what?

Answer 22

Viral hepatitis

Question 23

AST > ALT in what?

Answer 23

Cirrhosis

Question 24

What does S3 indicate?

Answer 24

Heart failure due to rapid ventricular filling

Question 25

What does S4 indicate?

Answer 25

LVH due to chronic HTN