Misc

Question 1

High-risk DVT (Wells >= 2, D-dimer raised) but US no DVT - action?

Answer 1

Stop anticoagulation
Repeat US after 1 week

Question 2

Criteria to be registered severely sight impaired (ie blind)

Answer 2

3/60
Or better visual acuity but contracted visual fields

Question 3

Fit to fly immediately following full cast application?

Answer 3

No, delay:
24hrs if flight <2 hours
48hrs if flight >2 hours

Question 4

Gradual-onset dementia in a younger person with behaviour change, preserved memory and visuospatial skills

Answer 4

Fronto-temporal dementia

Question 5

How long to keep a headache diary

Answer 5

8 weeks

Question 6

Driving license after 70?

Answer 6

3 year license issued after medical questionnaire

Question 7

Dose of dexamethasone for suspected metastatic cord compression?

Answer 7

16mg

Unless contraindicated (lymphoma suspicion)

Question 8

IVDU vaccinations

Answer 8

Hep A
Hep B
Tetanus
Flu

Question 9

Sedating aggressive older person

Answer 9

Oral haloperidol
IM lorazepam

Question 10

Travel vaccines free on NHS

Answer 10

Dip/Polio/Tet
Hep A
Cholera
Typhoid

Question 11

Malaria treatment available otc

Answer 11

Chloroquine/proguanil

Question 12

Parkinson’s disease dementia Rx

Answer 12

Rivastigmine

Question 13

Memantine MOA

Answer 13

glutamate antagonist

Question 14

Driving advice for OSA and excessive sleepiness

Answer 14

Stop driving
Tell DVLA if symptoms not controlled at 3 months

Question 15

Testicular cancer causing raised markers

Answer 15

Non-seminomatous germ cell
Raised AFP and hCG

Question 16

ABPI interpretation

Answer 16

<0.5 critical ischaemia
<0.9 PAD
0.9-1 possible PAD
1-1.4 normal
>1.4 calcification