Lastmin

Question 1

Who gets a statin in T1DM

Answer 1

If disease has lasted over 10 years OR over 40yrs old OR nephropathy

Question 2

Who gets a statin for primary prevention

Answer 2

Q risk over 10
cKD
Some T1DM

Atorva20

Question 3

When to refer undescended testes

Answer 3

3m.
Fix at 1y
R>l

Question 4

What is rapidly progressive glomerulonephritis

Answer 4

Goodpastures

Question 5

When would you consider aspirin in CKD

Answer 5

If q risk above 20

Question 6

What are the features of rapidly progressive glomerulonephritis

Answer 6

Good pastures - cough up blood (alveolar haemorrhage)
Anti GBM
Glomerulonephritis

Question 7

Reed sternburg

Answer 7

Hodgkins

Question 8

Richter transformation

Answer 8

CLL

Question 9

HTN In pregnancy definition

Answer 9

> 140/90 or more than 30 syst or 15 diastolic from booking

Question 10

Resus status is a problem in pregnancy if…

Answer 10

Mum negative
(Negative needs anti D)

Question 11

Measles

Answer 11

Paramyoxyvirus

Question 12

Rubella

Answer 12

Togavirus

Question 13

Bowel ca screening

Answer 13

FIT 60-74

Question 14

Breast ca screening

Answer 14

3y mammo 50-70

Question 15

Which testicular tumours are sensitive to radiation

Answer 15

Seminomas

Question 16

Seizure when woken from sleep started corner of mouth

Answer 16

Benign Rolandic

Question 17

Deja vu/speech/taste/smell sx, automatisms

Answer 17

Temporal lobe epilepsy

Question 18

Abpi

Answer 18

Less than 0.5 critical
0.5-0.8 arterial/mixed
0.8-1.3 normal
Above 1.3 calcified

Question 19

DEXA

Answer 19

Greater than -1 normal
-1–2.5 osteopenia
>-2.5 osteoporosis

Question 20

Osteomalacia bloods

Answer 20

Decreased Vit D, ca, phos
Raised ALP
TREAT WITH VIT D

Question 21

Which head injury gives you a lucid period

Answer 21

Extradural

Question 22

Which vessel SDH

Answer 22

Bridging vein

Question 23

Which vessel Extradural

Answer 23

Middle meningeal

Question 24

What side is varicocele in renal ca

Answer 24

Left

Question 25

Amiodarone monitoring

Answer 25

iod - thyroid
Everything but infective ones

TFT, LFT, U&E, CXR prior to treatment
TFT, LFT every 6m

Question 26

Methotrexate monitoring

Answer 26

MUFL

FBC U&E LFTs before starting.

Weekly

2-3 months thereafter

Question 27

Azathioprine monitoring

Answer 27

FBC, LFT before treatment

FBC weekly for the first 4 weeks

FBC, LFT every 3 months

Question 28

What do you need to monitor for valproate

Answer 28

LFT 6m

Question 29

What do you need to monitor for pioglitazones

Answer 29

LFT

Question 30

Salmonella drug

Answer 30

Sipro

Question 31

which abx can lower seizure threshold?

Answer 31

ciprofloxacin

Question 32

which abx prolong QT

Answer 32

macrolides (azithro/erythro)

Question 33

reversal for dabigatran

Answer 33

Idarucizumab

Question 34

genital wart tx

Answer 34

multiple, non-keratinised warts: topical podophyllum
solitary, keratinised warts: cryotherapy

Question 35

Ix of choice for demyelinating lesions

Answer 35

MRI brain and spine with contrast

Question 36

Beta blockers exacerbate psoriasis true or false

Answer 36

true

Question 37

Example of a tocolytic

Answer 37

nifedipine

Question 38

Thyroxine increases risk of osteoporosis true or false

Answer 38

True

Question 39

How to treat vitiligo

Answer 39

Topical steroids and sun protection

Question 40

Disease that causes itch blisters on hands

Answer 40

Pomphylox