Miscellaneous

Question 1

PCOS

Answer 1

MCC oligomenorrhoea + hirsutism

Obesity, hirsutism, acne, oligo/amenorrhoea, HTN, T2DM

Question 2

Endometriosis

Answer 2

Severe dysmenorrhoea/dyspareunia

30-40yo, fixed retroverted uterus

Infertility

Question 3

Turner’s syndrome

Answer 3

Streak overies

Primary amenorrhoea (also secondary)

Low oestradiol + high gonadotrophins

Question 4

Ca19.9

Answer 4

Pancreatic cancer

Question 5

CEA

Answer 5

Colorectal cancer

Question 6

Alpha-fetoprotein

Answer 6

Hepatocellular carcinoma

Testicular teratoma

Question 7

Beta-hCG

Answer 7

Seminoma

Choriocarcinoma

Teratoma

Question 8

Ca27.29 > Ca15.3

Answer 8

Breast cancer

Question 9

Tyrosinase

Answer 9

Metastatic malignant disease

Question 10

Erythromycin

Answer 10

First-line antibiotic for CAP if patient allergic to penicillins

Question 11

Flucloxacillin

Answer 11

Given with benzylpenicillin to cover strep and staph infections

e.g. CELLULITIS

Question 12

Co-trimoxazole

Answer 12

PNEUMOCYSTIC JIROVECII

Question 13

Chloramphenical

Answer 13

Uncomplicated bacterial conjuctivitis

Question 14

Cefoxtaxime

Answer 14

Bacterial meningitis

Question 15

Management of hypercalcaemia

Answer 15

Saline hydration (dilute)

Loop diuretics (excretion)

Bisphosphonates (inhibit osteoclasts)

Calcitonin