Mock 2020-21

Question 1

PE treatment if stable

Answer 1

IV heparin, thrombolysis if unstable

Question 2

Life expectancy

Answer 2

82 (so lifetime risk is yearly risk x years expected to live)

Question 3

Learn CHA2-DS2-Vasc score

Answer 3

Learn it

Question 4

What do you do if cannot consent patient for treatment

Answer 4

Do not refuse, ask consultant or another trained person to do so

Question 5

Investigation for renal stones

Answer 5

Non-contrast CTKUB

Question 6

Change in creatintine after ACEI initiation

Answer 6

Up to 30% is tolerable, repeat U and Es in 2 weeks

Question 7

Treatment of hypoglycaemia

Answer 7

Conscious - glucose gel 25g, unconscious and no IV access - IM glucagon, unconscious and IV access - 20% glucose

Question 8

T2 diabetes medication to add in renal failure

Answer 8

Sitagliptin (DPP4 inhibitor)

Question 9

T2 diabetic medication contraindicated in heart failure and bladder cancer

Answer 9

Pioglitazone (thiazolidinedione)

Question 10

Management for pre-diabetes

Answer 10

Refer to diabetic prevention programme for education on diet and lifestyle

Question 11

Suspected diagnosis of IBD, what investigation if GP

Answer 11

Stool cultures before referal

Question 12

Loss of muscle tone with strong emotions

Answer 12

Cataplexy

Question 13

Osteoarthritis second line if CKD

Answer 13

Switch paracetomol to co-codamol, NSAID contraindicated

Question 14

Overdose of TCA and aspirin presenting <1h

Answer 14

Oral activated charcoal for any poisoning if within 1 hour of ingestion

Question 15

Acute abdomen investigation following surgery - reduced bowel sounds, widespread pain

Answer 15

CT abdomen with contrast

Question 16

Drug to treat peripheral oedema in CKD and hypertension

Answer 16

Furosemide

Question 17

First step in likely major bleeding

Answer 17

Full primary survery, then consider surgery

Question 18

Adrenal crises presentation

Answer 18

Lethargy and weight loss
Low Na and high K
Low plasma glucose

Question 19

Diagnose COPD if xray normal

Answer 19

Spirometry

Question 20

CT does not show SAH

Answer 20

LP - xanthochromia