Mock Test B

Question 1

Wax blocking ear canal = what type of hearing loss is it?

Answer 1

Conductive hearing loss

Question 2

Normal type of hearing for Rinne and Weber’s test

Answer 2

Normal hearing is AC > BC for Rinne and midline for Weber’s

Question 3

Conductive hearing loss for RInne’s test and Weber’s test

Answer 3

Rinne’s: BC > AC in the affected ear
Weber’s: Lateralises to affected ear

Question 4

Sensorineural hearing loss for Rinne’s and Weber’s

Answer 4

Rinne’s: AC > BC bilaterally (normal result)
Weber’s: Lateralises to unaffected ear

Question 5

First line treatment for mild to moderate acne rosacea with papules or pustules

Answer 5

Topical ivermectin

Question 6

Predominant flushing in acne rosacea we treat with

Answer 6

Topical brimonidine gel
(Alpha adrenergic agonist)

Question 7

What migraine medication should be avoided in patients taking SSRI

Answer 7

Triptans
Due to increase risk of serotonin syndrome

Question 8

What side effects are seen in SSRI discontinuation syndrome?

Answer 8

GI side effects eg diarrhoea, vomiting, abdominal pain

Question 9

How much stenosis in carotid USS would be needed for carotid endarterectomy?

Answer 9

> 70% or crescendo stenosis /symptomatic

Otherwise give clopidogrel

Question 10

Acute otitis media (AOM) symptoms:

Answer 10

Acute onset of symptoms - otalgia or ear tugging

Question 11

Mastoiditis is complication of

Answer 11

Acute otitis media (AOM)

Question 12

Othello syndrome/delusion is

Answer 12

Delusional belief that their partner is cheating on them when there is no evidence of this

Question 13

Capgras delusion is

Answer 13

Belief that their family members or friend has been replaced by identical looking imposter

Question 14

Erotomania or De Clerambault syndrome

Answer 14

Believing that someone of higher status or someone from TV or celebrities is in love with them

Question 15

Pityriasis rosea is

Answer 15

Acute, self-limiting rash with some recent viral infection as prodrome
Starts on **herald* patch (usually on the trunk)
Followed by erythematous, oval, scaly patches
Small patches red and dry
Disappears after 6-12 weeks

Question 16

Tender goitre nodule with thyrotoxicosis suspect

Answer 16

De Quervain’s (subacute) thyroiditis

Question 17

Goitre in Hashimotos’ is tender or non tender

Answer 17

Non-tender
Typically hypothyroidism

Question 18

Causative organism for whooping cough

Answer 18

Pertussis
Bordetella pertussis (gram negative)
Lots of coughing and coughing and coughing, severe coughing
Give oral azithromycin or clarithromycin if cough started 21 days ago

Question 19

COPD still breathless despite using SABA/SAMA with asthma/steroid responsive features - add??

Answer 19

Add LABA + ICS

Question 20

Light’s criteria for exudates vs transudates in pleural effusion

Answer 20

Pleural fluid protein / serum protein > 0.5
Pleural fluid LDH / serum LDH > 0.6
Pleural fluid LDH greater than 2/3rds of upper limit of serum LDH

Question 21

What antibiotics lowers seizure threshold

Answer 21

Ciprofloxacin

Question 22

Positive Thessaly’s test confirms the diagnosis of

Answer 22

Meniscal tear
knee locking and giving way are symptoms
Resulting from twisting injuries

Question 23

Rhabdomyolysis make sure to check which electrolytes

Answer 23

Calcium and phosphates

Myoglobin binds calcium (so calcium may be low inn rhabdo) and myocytes release phosphates so phosphate may be high

Question 24

Washerwoman’s sprain / De Quervain syndrome is?

Answer 24

Typically affects woman of 30-50 years old
Positive Finkelstein’s test - pain elicited in dorsal thumb and wrist on applying longitudinal traction and ulnar deviation to the thumb
Tender in region of radial styloid

Question 25

What anti-rheumatic drug should be avoided in sensitivity to aspirins?

Answer 25

Sulfasalazine