MedSoc Mock Flashcards

1
Q

What is the difference between circumstantiality and tangentiality?

A

In circumstantiality they get back to the answer to the question - in tangentiality they do not.

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2
Q

Give examples of a thiazide-like diuretic

A

Indapamide

Metolazone

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3
Q

How can lithium treatment affect the thyroid?

A

Hypothyroidism

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4
Q

What are the concerning features of a febrile seizure? (in that It has become a complex febrile seizure?)

A

Focal Seizure
It lasts longer than 15 minutes
Recurrence within 24hrs
Incomplete recovery within 1 hour

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5
Q

How many days course do men require for a UTI?

A

7 days

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6
Q

What is 1st line treatment in men with UTI?

A

Trimethoprim or nitrofurantoin 7 days

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7
Q

What is the scoring system for upper GI bleed?

A

Glasgow-Blachford

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8
Q

What is the scoring system for COTE when stopping certain medications?

A

STOPP

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9
Q

What is the scoring system used to screen for patients at risk of developing pressure ulcers?

A

Waterlow

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10
Q

What is the classic CT scan seen in subarachnoid haemorrhage?

A

Star shaped lesion

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11
Q

What is 1st line in idiopathic intracranial hypertension?

A

Diuretic e.g. acetaxolamide

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12
Q

What kind of prevention are all screening programmes?

A

Secondary prevention

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13
Q

What should all over 65s on long term steroids be given?

A

Alendronic acid (bisphosphonates) - even without a DEXA scan

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14
Q

What does green nipple discharge suggest?

A

Duct ectasia

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15
Q

What class of drug is escitalopram?

A

SSRI

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16
Q

How does impetigo present?

A

Honey crusted lesions around the mouth

17
Q

What is 1st line in impetigo?

A

Systemically well - Hydrogen peroxide 1% cream

Systemically Unwell - PO Flucloxacillin

18
Q

What result implies impaired fasting glucose?

A

A fasting glucose greater than or equal to 6.1 but less than 7.0 mmol/l

19
Q

What result shows impaired glucose tolerance?

A

fasting plasma glucose less than 7.0 mmol/l and OGTT 2-hour value greater than or equal to 7.8 mmol/l but less than 11.1 mmol/l

20
Q

What signs suggest an inguinal hernia?

A

Cant get above the mass
No transillumination
Positive cough impulse

21
Q

What is the 1st line investigation in heart failure?

A

N-terminal pro-B-type natiuretic peptide (NT-ProBNP)

22
Q

What investigation is diagnostic in heart failure?

A

Echocardiogram

23
Q

What is the most common cause of hypothyroidism?

A

Hashimoto’s thyroiditis with anti TPO antibodies