Mock 2019-20

Question 1

Characteristic nephrotic syndrome

Answer 1

Hypoalbuminaemia, proteinuria, oedema and hypercholestersteraemia

Question 2

Hypoglycaemia if fully alert

Answer 2

Oral tablets not gel

Question 3

Common drugs to cause constipation in elderly

Answer 3

Anticholinergic - oxybutynin

Question 4

Symptoms of retinal detachment

Answer 4

Increasing number of floaters, then flashing lights

Question 5

DIC bloods and features

Answer 5

PT and APTT increased, fibrinogen decreased so D dimer increased
Platelets very decreased
Often secondary to sepsis - temp and increased WCC

Question 6

Breakthrough morphine does

Answer 6

1/6 24h amount

Question 7

When should not exercise

Answer 7

Exertional chest exercise - undiagnosed ACS

Question 8

Cause of mixed growth midstream urine analysis

Answer 8

Contaminated sample

Question 9

Acute polymyalgia rheumatica treatment

Answer 9

Prednisolone

Question 10

Treatment for painful red eye with loss of visual acuity

Answer 10

Same day opthalmology referal

Question 11

Features lithium toxicity

Answer 11

Coarse tremor in arms and jerking movements of leg
Drowsy
Confused

Question 12

Treatment primary biliary cirrhosis

Answer 12

Ursodeoxycholic acid

Question 13

Presenting signs of hyperaldosteronism

Answer 13

Hypertension and hypokalaemia

Question 14

Most common cause hyperaldosteronism

Answer 14

Primary, called Conns syndrome

Cushings disease and phaeochromocytoma less common

Question 15

Fall downstairs next steps after exam

Answer 15

Cervical spine immobilisation before CT of head

Question 16

Location of focal onset impaired awareness seizure

Answer 16

Temporal lobe - indicated by aura

Question 17

Cause of orange urine

Answer 17

Rifampicin

Question 18

CSF results in bacterial menigism

Answer 18

High pressure, raised protein, excess neutrophils