Medicine

Question 1

What med masks hypoglycaemia symptoms

Answer 1

b blocker

Question 2

Mx antifreeze poisoning

Answer 2

fomepizole

Question 3

Features rheumatic fever

Answer 3

2-4 weeks post strep pyogenes
needs group A strep ag test
polyarthritis
mid diastolic murmur
needs nsaids and penicillin 5

Question 4

Carcinoid tumours features

Answer 4

usually mets which release serotonin
flushing
diarrhoea
hypotension
cushings syndrome
Needs octreotide

Question 5

Features of Gilberts syndrome

Answer 5

defect in bilirubin conjugation so rise when starvation periods or stress

Question 6

Equation for serum osmolality

Answer 6

2Na + urea + glucose

Question 7

Ix if highly expecting endocarditis but echo negative

Answer 7

PET CT

Question 8

features leprosy

Answer 8

hypopigmented skin patches
nerve involvement
needs rifampicin + dapsone + clofazimine

Question 9

Features of CO poisoning

Answer 9

headaches
confusion
n+v
pink mucosa
needs vbg/abg to check then 100% high flow oxygen

Question 10

Complications of burns

Answer 10

Eschar
dehydration
infection
curlings ulcer

Question 11

Initial mx burns

Answer 11

remove source
irrigate 30 mins
dress + no cream
leave blisters in tact
fluids
intubate

Question 12

Classes of burns according to depth

Answer 12

superficial epidermis: red/painful
partial (superficial dermal): pale/pink/blister
partial (deep dermal): white, non blanching erythema, reduced sensation
full thickness: waxy brown, no pain

Question 13

benzos overdose mx

Answer 13

flumazenil

Question 14

salicyclate overdose vs tca overdose symptoms

Answer 14

salicyclate: hyperventilation, tinnitus, fatigue, seizures, uncontrolled glucose
tca: antimusc (dilated pupils, blurry v, tachyc), arrythmias, meta acidosis, wide qrs

Question 15

Acute intermittent porphyria features

Answer 15

auto dom resulting in abnormal haem synthesis
abdo pain
motor neuropathy
depression
urine turns red when standing
needs iv haem arginate