Medicine Flashcards
What QRISK2 score requires a patient to be started on statins?
A) 5% B) 7% C) 10% D) 12.5% E) 15%
C) 10%
Which antibiotic should be used to treat a recurrent episode of C. diff infection (<12 weeks)
A) ciprofloxacin B) co-amoxiclav C) fidaxomicin D) prednisolone E) vancomycin
C) fidaxomicin
Next step in management for C diff for a patient not responding PO vancomycin?
A) IV vancomycin B) IV vancomycin + IV fidaxomicin C) IV vancomycin + IV metronidazole D) PO vancomycin + IV metronidazole E) PO vancomycin + PO fidaxomicin
D) PO vancomycin + IV metronidazole
Management of patient with INR 6.1
A) oral vitamin k 5mg and continue warfarin at lower maintenance dose
B) give half the usual dose for 5 days then continue as normal
C) oral vitamin K 5mg and stop warfarin for 2 days
D) withhold 2 doses of warfarin and reduce subsequent maintenance dose
E) admit to hospital until inr normal
D) withhold 2 doses of warfarin and reduce subsequent maintenance dose
Treatment for torsades de pointes?
A) IV naloxone B) IV MgSO4 C) DC cardioversion D) IV amiodarone E) IV verapamil
B) IV MgSO4
COPD management in patient unresponsive to salbutamol inhaler A) LTRA B) Theophylline C) LABA + ICS D) LABA + LAMA E) LABA + LAMA + ICS
D) LABA + LAMA
3 day history of bloody diarrhoea and fever, stool samples have grown salmonella. Which abx?
A) metronidazole B) doxycycline C) clarithromycin D) ciprofloxacin E) amoxicillin
D) ciprofloxacin
HIV patient suffering with seizures - brain CT shows single lesion with homogenous enhancement, thallium SPECT scan shows increased uptake (positive). Most likely cause of symptoms?
A) cryptococcus B) CNS lymphoma C) CNS tuberculosis D) HIV encephalitis E) Toxoplasmosis
B) CNS lymphoma
A patient with a subarachnoid haemorrhage may become haemodynamically unstable - ECG feature?
A) no p waves B) peaked t waves C) polymorphic ventricular tachycardia D) normal E) prolonged qrs duration and s wave in v1
C) polymorphic ventricular tachycardia
What medication would be used first line to induce remission in an acute flare of Crohn’s disease?
A) azathioprine and sulfasalazine B) azathioprine only C) glucocorticoids and sulfasalazine D) glucocorticoids only E) sulfasalazine and infliximab
D) glucocorticoids only
After a stroke, a patient is suffering with speech, language and swallowing. She then becomes increasingly SOB, has developed a cough and is pyrexial. What will most likely be seen on the CXR?
A) raised left hemidiaphragm B) bilateral pleural effusion C) consolidation in right lung D) consolidation in left lung E) tracheal deviation to the right
C) consolidation in right lung
What ECG abnormality is seen with hypercalcaemia?
A) long PR interval B) short PR interval C) long QT interval D) short QT interval E) depressed T waves
D) short QT interval
T1DM patient presents with 6W history of worsening hbA1c, nausea, bloating and vomiting. Most likely cause?
A) gastropareses B) crohns C) ulcerative colitis D) IBS E) gastric cancer
A) gastropareses
80y/o M, persistent back pain, bony tenderness in thoracic spine, restricted range of movement, blood tests show raised calcium and leucopenia. Next most appropriate action?
A) measure serum PTH B) urgent protein electrophoresis and bence jones protein testing C) refer to physio D) urgent spine MRI E) appropriate analgesia
B) urgent protein electrophoresis and bence jones protein testing
66 y/o male with hypertension and hypokalaemia- abdo CT shows bilateral adrenal enlargement and adrenal vein sampling demonstrates production of excess aldosterone bilaterally. Most appropriate treatment?
A) chemotherapy B) IV hydrocortisone C) radiotherapy D) spironolactone E) surgery
D) spironolactone
