Mixed/Formatives etc

Question 1

Odontoid process is a feature of which bone

Answer 1

Axis C2

Question 2

Left shift of Hb dissociation curve is assoc with

Answer 2

Reduced DPG
HYpothermia
Alkalosis
CO
Poisoning

Question 3

What is ALP useful for?

Answer 3

Liver damage but not good indicator for liver function

Question 4

Adenoma of lower 1/3 of oesophagus

Answer 4

Uncontrolled proliferation of mucous gland cells
Secondary to Barrett’s

Question 5

First line inv for ?pancreatitis

Answer 5

Serum amylase

Question 6

How does aspirin cause haematemesis?

Answer 6

Peptic ulcer disease -> ruptured ulcer

Question 7

Pt presents on 2 occasions with BP above 140 systolic

Answer 7

Ambulatory monitoring
If above 180 systolic
- immediate antihypertensives

Question 8

Artery supplying lesser curvature of stomach

Answer 8

Left gastric artery

Question 9

PEF findings in COPD

Answer 9

Reduced PEF
Reduced FVC, normal FEV1, reduced ratio

Question 10

Most common cause of GI malabsorption

Answer 10

Coeliac
- TTG is diagnostic

Question 11

Anaemia, WL and early satiety in an old man

Answer 11

Upper GI malignancy
- urgen 2ww gastroscopy

Question 12

How does Km relate to affinity?

Answer 12

Lower Km = higher affinity for substrate

Question 13

Parietal vs visceral pleura

Answer 13

Parietal = external and attached to chest wall
Visceral = internal and sticks to pulmonary fissures

Question 14

Regular rhythm and narrow QRS complexes due to atrial problem

Answer 14

SVT

Question 15

Poor sanitation, yellow eyes, 28 day incubation period

Answer 15

Hepatitis A

Question 16

What is gastrulation?

Answer 16

Formation of the germ layers via migration through primituve streak

Question 17

What is morphogenesis?

Answer 17

Formation o the body plan

Question 18

Condition causing build up of iron causing cirrhosis

Answer 18

Haemochromatosis

Question 19

Artery inferior to retroinguinal space, passes under inguinal ligament

Answer 19

Femoral artery

Question 20

Hernia superior and medial to pubic tubercle

Answer 20

Direct inguinal hernia

Question 21

How is energy expenditure soruced for different types of exercise?

Answer 21

<4 secs ATP
4-77 mins glycogen stores

Question 22

What enzyme transcribes genetic material?

Answer 22

RNA polymerase

Question 23

Where do you auscultate for lung apices?

Answer 23

Superior to sternal end of clavicle

Question 24

Cytotoxin assoc with virulent staph aureus that causes nec fac

Answer 24

Leukcidin

Question 25

What type of bacteri release exotoxins?

Answer 25

Gm pos

Question 26

How is sickle cell inherited?

Answer 26

Co dominant inheritance

Question 27

Klinefelter’s karyotype

Answer 27

XXY

Question 28

PEFR indicating severe asthma

Answer 28

<50

Question 29

Central cavitating lung cancer

Answer 29

Squamous cell carcinoma

Question 30

Most CO2 dissolved in blood is in the form of

Answer 30

HCO3

Question 31

Shape of Hb and Mb dissociation curves

Answer 31

Hb is sigmoidal
Mb is hyperbolic

Question 32

AIDS defining illness of lungs

Answer 32

Pneumocystis jirovecci

Question 33

Cold peripheries is common side effect of

Answer 33

Beta blocker

Question 34

Radio femoral delay

Answer 34

Coarctation of aorta

Question 35

2 most common causes of pancreatitis

Answer 35

Alcohol
Gallstones

Question 36

Adverse effects of TB treatment causing abdo pain and jaundice

Answer 36

Hepatitis

Question 37

T-Cells mediating UC

Answer 37

Th1 and Th2

Question 38

Which hepatitis is a DNA virus?

Answer 38

Hepatitis B
- the rest are RNA viruses