Key stuff to review

Question 1

African americans in a study exposed to syphillis - why unethical

Answer 1

Failure to consider welfare/exposing them to disease when there is active treatment

Question 2

Presentation of stroke but CT is clear –> seizure + next step

Answer 2

• Levetiracetam +/- EEG (brain activity)

Question 3

Staphylococcal scalded skin syndrome –> red, flaky skin on child

Answer 3

• Caused by bacterial infection –> exotoxins released

Question 4

Pemphigus vulgaris –> more likely to have mucosal lesions

Answer 4

.

Question 5

Erythema nodosum + hypercalcaemia

Answer 5

Sarcoidosis

Question 6

Infective endocarditis antibx

Answer 6

Gentamicin + vancomycin or amoxicillin ?

Question 7

Mitral valve coagulation

Answer 7

Warfarin

Question 8

APS treatment?

Answer 8

Warfarin or heparin ?

Question 9

How to protect against skin cancer

Answer 9

UV protection

Question 10

Who at risk of skin cancer

Answer 10

immunosuppressed

Question 11

Melanoma under microscope

Answer 11

Blue-white veil

Question 12

Boot shaped heart

Answer 12

Tetralogy of Fallot
(VSD, overiding aorta, pulm. valve stenosis, right ventricular hypertrophy)

Question 13

Intermittent pneumatic compression (IPC)

Answer 13

Basically mechanical stockings –> used to help prevent blood clots in the deep veins of the legs
- DVT prophylaxis for stroke pt on warfarin

Question 14

Loss of personality stroke

Answer 14

Frontal (ACA)

Question 15

Nail infection + skin involvement in patient with diabetes

Answer 15

Candida ?

Question 16

Beck’s triad –> low BP (weak pulse or narrow pulse pressure), muffled heart sounds, raised JVP

Answer 16

Cardiac tamponade

Question 17

Recurrent infections in kid X-ray

Answer 17

Ciliary dyskinesia

Question 18

Transudate –> worked on shipyard + heavy alcohol hx

Answer 18

Liver cirrhosis

Question 19

Test for ectopic ACTH production in small cell lung cancer

Answer 19

Cortisol levels?

Question 20

Ace levels test for sarcodosis?

Answer 20

.

Question 21

Sleep apnoea test

Answer 21

Polysomnography

Question 22

Pedal oedema cause in heart failure pt

Answer 22

Amlodipine –> Ca channel blocker contraindicated in HF !!

Question 23

Derm quality of life index –> DLQI

Answer 23

.

Question 24

Knee extension muscle injury

Answer 24

Quads

Question 25

Difference between acne and rosacea

Answer 25

Blepharitis/ocular involvement in rosacea

Question 26

Warfarin knee swelling

Answer 26

Haemarthrosis

Question 27

Acyclovir moa

Answer 27

competitively inhibits viral DNA polymerase

Question 28

Teenager with NOF

Answer 28

Internal fixation

Question 29

Stroke patients with high risk of aspiration pneumonia

Answer 29

PEG feed/NG tube/SALT assessment

Question 30

Hep A transmission

Answer 30

Faecal-oral

Question 31

Broca's area lobe and Wernicke's area lobe

Answer 31

- Broca's --> frontal - Wernicke's --> temporal (arcuate fasciculus connects the two)

Question 32

Parkinson's neurotransmitter

Answer 32

Lack of Dopamine ?

Question 33

Unstable INR in patients with risk factors clotting -->

Answer 33

switch to DOAC

Question 34

On nitrofurantoin and dry cough + ground glass opacities

Answer 34

Nitrofurantoin toxicity

Question 35

Superior cerebellum

Answer 35

/

Question 36

Pneumonia after GI surgery

Answer 36

Pseudomonas aeruginosa

Question 37

Pleural effusion safe spot

Answer 37

5th ICS

Question 38

Stroke within last 12 hours --> next steps?

Answer 38

Ct perfusion or MRI

Question 39

Wrist drop after night out?

Answer 39

Radial nerve injury --> wrist extensors paralysed

Question 40

Patients with anti-c blood must receive c-ve blood

Answer 40

.

Question 41

TB spread

Answer 41

Airborne

Question 42

Little finger tingling

Answer 42

ulnar nerve

Question 43

Kid with asthma --> ABPA

Answer 43

.

Question 44

Small cell lung cancer --> Lambert Eaton (muscle weakness + neuro stuff)

Answer 44

.

Question 45

Loud S1 diastolic murmur

Answer 45

Mitral stenosis ?

Question 46

Why does oral route have less bioavailability than IV`

Answer 46

First pass metabolism

Question 47

EPO levels in thalassaemia --> High

Question 48

Brugada syndrome --> ICD

Question 49

Old lady keeps bruising, all labs fine and no symptoms -->

Answer 49

senile purpura

Question 50

young man with systolic murmur and tall QRS complexes

Answer 50

HOCM

Question 51

route of tetanus vaccine

Answer 51

IM

Question 52

valve replacement 6 weeks ago, unwell now --> causative organism

Answer 52

S. Epidermidis

Question 53

vet who works with sheep and cows with pneumonia

Answer 53

Coxiella