March AFT

Question 1

What are these antibodies for?
ANA +ve
Anti-Ro
Anti-La

Answer 1

Sjogen’s

Question 2

Widespread ST elevation is classical of what condition that’s not a STEMI?

Answer 2

Pericarditis

Question 3

Hand, foot and mouth disease cause?

Answer 3

Coxsackie A

Question 4

Pre-renal acute kidney injury secondary to hypotension leads to what?

Answer 4

Acute tubular necrosis

Question 5

Incremental Cost effectiveness equation?

Answer 5

Cost per QALY

Question 6

AAA under 45mm management?

Answer 6

yearly scans

Question 7

AAA between 45-54mm management?

Answer 7

3 monthly scans

Question 8

Difference between presentation of Crohn’s and Coeliac?

Answer 8

Crohn’s is quite a signif diagnosis so would probably present with a slightly less prolonged history

Question 9

Depo-Povera in 40 y/o woman? yay or nay?

Answer 9

NAY
Osteoporosis maybs

Question 10

Haemodynamically unstable AF, no past AF history management?

Answer 10

DC cardioversion +anti-coags

Question 11

Hepatic pattern is what?

Answer 11

Raised ALT rather than ALP

Question 12

Red scaly patch on someone kinda predisposed to sun cancer?

Answer 12

Bowen’s

Question 13

Artery affected in dislocation of knee?

Answer 13

Popliteal artery

Question 14

Inter-arm differential BP of 20mmHg is sus of what?

Answer 14

Dissection

Question 15

Pemphigus vulgaris presentation?

Answer 15

Mouth lesions
Fragile blisters

Question 16

Sandpaper type rash = what?

Answer 16

Scarlet fever

Question 17

Treatment of scarlet fever?

Answer 17

Oral penicillin V
Clarithro if allergic

Question 18

Progesterone’s effect on acne?

Answer 18

NIL

Question 19

Is an ileal stricture characteristic of UC or Crohn’s?

Answer 19

Crohn’s affects the small bowel

Question 20

What medication should you advise pregnant women to take if at high risk of pre-eclampsia?

Answer 20

Aspirin 75-150mg daily from 12 weeks until birth of baby

Question 21

Antibodies for nasal saddle deformity?

Answer 21

Anti-neutrophil cytoplasmic antibodies

Granulomatosis with polyangitis (Wegner’s)

Question 22

Treatment of encepahlopathy?

Answer 22

Lactulose

Question 23

Pulmonary haemorrhage + AKI suggests what?

Answer 23

Good pasture syndrome

Question 24

What is a short bowel length?

Answer 24

Less than 180-200cm

Question 25

Anti-CCPs ABs can indicate?

Answer 25

Rheumatoid arthritis

Question 26

Delay in first stage of labour treatment?

Answer 26

Amniotomy

Question 27

Scombroid poisoning?

Answer 27

Fish related allergy

Question 28

If a person has free fluid + sus ectopic what do you do?

Answer 28

Diagnostic laparotomy as this indicates that the fallopian tube has started to rupture

Question 29

A regurg is what type of murmur?

Answer 29

High pitched early diastolic murmur with decreasing intensity over tricuspid area

Question 30

Treatment of mouth candida?

Answer 30

Nystatin 1ml, QDS