misc

Question 1

Cushings + Addisons Diagnosis:o

Answer 1

overnight dexamethasone OR 24hr urinary free cortisol. Addisons
→ short synacthen.

Question 2

Acromegaly – Diagnosis

Answer 2

OGTT followed by GH conc.

Question 3

Rash on buttocks

Answer 3

Dermatitis herpetiformis (coeliac dx).

Question 4

AF with TIA →

Answer 4

Warfarin

Question 5

Just TIA’s with no AF

Answer 5

aspirin

Question 6

Herpes encephalitis → temporal lobe calicification

Answer 6

subacute onset i.e. Several days.

Question 7

Obese woman, papilledema/headach

Answer 7

Benign Intercanial Hypertention.

Question 8

. Drug induced pneumonitis

Answer 8

methotrexate or amiodarone.

Question 9

Chest discomfort and dysphagia

Answer 9

achalasia.

Question 10

foreign travel, macpap rash/flu like illnes →

Answer 10

HIV acute.

Question 11

Bullae on hands and fragule SKIN torn by minor trauma

Answer 11

porphyria cutanea tarda.

Question 12

Splenectomy →

Answer 12

need pneumococcal vaccine AT LEAST 2 weeks pre-op and for life.

Question 13

.Primary hrperparathyroidism →

Answer 13

high Ca, normal/low PO4, normal/high PTH (in
elderly).