Medicine

Question 1

Primary hyperaldosteronism can present with what triad?

Answer 1

Primary Hyperaldosteronism: 3 Hs

Hypertension
Hypernatraemia
Hypokalemia

Question 2

First line management of torsades de pointes

Answer 2

Magnesium sulphate IV

Question 3

What is the most appropriate management for severe Campylobacter jejuni infection

Answer 3

Often self-limiting
If severe then treatment with clarithromycin

“there are always mice (ClarithroMYCin) at the camp (CAMPylobacter)”

Question 4

What is the first line treatment for heart failure with reduced ejection fraction?

Answer 4

The primary aim is to protect the heart and first line treatment is to use an ACE inhibitor (e.g. ramipril) and a beta blocker (e.g. bisoprolol).

Question 5

What is the best description of this stroke?

Left sided hemiparesis and/or hemisensory loss of the face, arm & leg
Left homonymous hemianopia
Higher cognitive dysfunction e.g. dysphasia

Answer 5

Right sided total anterior circulation syndrome
Total = all 3 of the above criteria are present i.e. hemiparesis and/or hemisensory; homonymous hemianopia; higher cognitive dysfunction

Question 6

What is the best description of this stroke?

Left sided hemiparesis and/or hemisensory loss of the face, arm & leg
Left homonymous hemianopia

No higher cognitive dysfunction e.g. dysphasia

Answer 6

Right sided partial anterior circulation syndrome
Total = 2 of the criteria are present i.e. hemiparesis and/or hemisensory; homonymous hemianopia; higher cognitive dysfunction