MedSoc Mock

Question 1

What is the difference between circumstantiality and tangentiality?

Answer 1

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

Question 2

Give examples of a thiazide-like diuretic

Answer 2

Indapamide

Metolazone

Question 3

How can lithium treatment affect the thyroid?

Answer 3

Hypothyroidism

Question 4

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

Answer 4

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

Question 5

How many days course do men require for a UTI?

Answer 5

7 days

Question 6

What is 1st line treatment in men with UTI?

Answer 6

Trimethoprim or nitrofurantoin 7 days

Question 7

What is the scoring system for upper GI bleed?

Answer 7

Glasgow-Blachford

Question 8

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

Answer 8

STOPP

Question 9

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

Answer 9

Waterlow

Question 10

What is the classic CT scan seen in subarachnoid haemorrhage?

Answer 10

Star shaped lesion

Question 11

What is 1st line in idiopathic intracranial hypertension?

Answer 11

Diuretic e.g. acetaxolamide

Question 12

What kind of prevention are all screening programmes?

Answer 12

Secondary prevention

Question 13

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

Answer 13

Alendronic acid (bisphosphonates) - even without a DEXA scan

Question 14

What does green nipple discharge suggest?

Answer 14

Duct ectasia

Question 15

What class of drug is escitalopram?

Answer 15

SSRI

Question 16

How does impetigo present?

Answer 16

Honey crusted lesions around the mouth

Question 17

What is 1st line in impetigo?

Answer 17

Systemically well - Hydrogen peroxide 1% cream

Systemically Unwell - PO Flucloxacillin

Question 18

What result implies impaired fasting glucose?

Answer 18

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

Question 19

What result shows impaired glucose tolerance?

Answer 19

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

Question 20

What signs suggest an inguinal hernia?

Answer 20

Cant get above the mass
No transillumination
Positive cough impulse

Question 21

What is the 1st line investigation in heart failure?

Answer 21

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

Question 22

What investigation is diagnostic in heart failure?

Answer 22

Echocardiogram

Question 23

What is the most common cause of hypothyroidism?

Answer 23

Hashimoto’s thyroiditis with anti TPO antibodies