Knowledge gaps

Question 1

Treatment of HCM?

Answer 1

A: amiodarone
B: beta blocker or verapamil
C: cardioverter defib
D: dual chamber pacemaker
E: endocarditis prophylaxis

Question 2

For how long after pregnancy do you not need to consider emergency contraception?

Answer 2

21 days

Question 3

When can the IUD be inserted post partum?

Answer 3

Within the first 48 hours or after 4/52

Question 4

What are the live attenuated vaccines?

Answer 4

MMR
BCG
ORAL polio
ORAL typhoid
ORAL rotavirus
Yellow fever
NASAL flu

Question 5

Examples of inactivated pathogen vaccinations?

Answer 5

Rabies
Hepatitis A
IM flu

Question 6

Examples of toxoid vaccinations?

Answer 6

Tetanus
Diptheria
Pertussis

Question 7

Examples of conjugate/sub-unit vaccines?

Answer 7

Hepatitis B
HPV
Meningococcus (conjugate)
Pneumococcus (conjugate)
Haemophilus (conjugate)

Question 8

Impaired fasting glucose values?

Answer 8

6.1- <7.0

Question 9

IGT definition?

Answer 9

Fasting blood glucose <7.0
+ 7.8-11 at 2 hours post OGTT

Question 10

Definition of hyperemesis gravidum

Answer 10

> 5% pre pregnancy weight loss
AND
Dehydration
AND
Electrolyte imbalance

Question 11

Latanoprost side effects?

Answer 11

Brown pigmentation of the iris and long eyelashes

Question 12

Latanoprost MOA + class?

Answer 12

Prostaglandin analogue
Increases uvescleral outflow

Question 13

Timolol MOA + class?

Answer 13

B blocker
Reduces aqueous production

Question 14

Timolol warnings?

Answer 14

Avoid in asthmatics and HF patients

Question 15

Brimodine class + MOA

Answer 15

Sympatheticomimetics
Reduces production and increases outflow

Question 16

Issues with brimodine?

Answer 16

Cannot be taken with MOAi and TCA
Can cause hyperaemia

Question 17

Pilocarpine?

Answer 17

Miotic as is a muscarinic agonist
Causes headache constricted pupil, blurred vision
Increases uveoscleral outflow

Question 18

Maintaining remission in Crohn’s disease?

Answer 18

Azathioprine or mercaptopurine

Question 19

Symptoms of carcinoid tumour?

Answer 19

Basically just serotonin syndrome
Flushing
Diarrhoea
Bronchospasm
Right heart valvular stenosis
Hypotension
Pellagra
Cushings

Question 20

Diagnosis of carcinoid tumour?

Answer 20

Urinary 5-HIAA
plasma chromogranin A y

Question 21

Treatment of carcinoid tumours?

Answer 21

Octreotide
cyproheptadine for the diarrhoea

Question 22

Why should allopurinol and azathioprine not be prescribed together?

Answer 22

Allopurinol increases the risk of azathioprine toxicity
Azathioprine is a pro drug and its active form is broken down to urate by xanthine oxidase which is what allopurinol inhibits to reduce serum urate!

Question 23

Monitoring in haemachromatosis?

Answer 23

Ferritin and transferrin saturation
Aiming for transferrin saturation of <50% and ferritin <50

Question 24

Iron studies in haemachromatosis?

Answer 24

High transferrin saturation
High ferritin
High iron
Low TIBC

Question 25

Earliest auscultation sign for LVH?

Answer 25

S3 gallop rhythm

Question 26

Contra-indications to nitrofurantoin?

Answer 26

CKD 3 or above

Question 27

SBP prophylaxis?

Answer 27

Ciprofloxacin
<15g/L protein on tap

Question 28

Sick sinus syndrome pathophys?

Answer 28

SAN dysfunction

Question 29

Contraindication to donepezil

Answer 29

sick sinus syndrome

Question 30

What is a diagnostic ABPI?

Answer 30

<0.9

Question 31

Management of peripheral arterial disease?

Answer 31

80mg atorvastatin + CLOPIDOGREL

Question 32

Inaccurately high HbA1c?

Answer 32

Splenectomy
IDA
B12/folic acid def
Long life span of RBCs

Question 33

Inaccurately low HbA1c?

Answer 33

G6PD def
Sickle cell
Hereditary spherocytosis
Beta thalassaemia