mocks

Question 1

3rd line Tx for gout (Pt has CKD stage 4, colchicine not available)

Answer 1

prednisolone

Question 2

1st line Mx of Supraspinatus tendinopathy

Answer 2

physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), ice treatments and resting

Question 3

Mx of post-operative ileus with vomiting and distension

Answer 3

1. IV hydration
2. NG tubing for feeding - helps to drain air and fluid
3. bowel rest and watchful waiting
4. then use prokinetics

Question 4

alzheimer’s disease affects which part of the brain

Answer 4

cortical atrophy + hippocampus atrophy (temporal)

Question 5

which parts of the brain does Huntington’s affect

Answer 5

Huntington disease is caused by gradual degeneration of parts of the basal ganglia called the caudate nucleus and putamen

Question 6

cord compression vs disc prolapse

Answer 6

compression: disturbance of sensation/proprioception below the level, presence of UMN signs (hyperreflexia, plantar responses)

Question 7

the most common cause of destructive/lytic bony lesions? Tx?

Answer 7

Mets
Tx with radiotherapy
Can cause spinal cord compression

Question 8

hyperchromatic, pleumorphic nuclei on biopsy - lung mass

Answer 8

small cell carcinoma

Question 9

hyponatremia because of CCB - what mechanism

Answer 9

decreased secretion in distal tubule

Question 10

What coronary complication can cocaine cause?

Answer 10

Coronary artery spasm

Question 11

What is the management of SVC obstruction?

Answer 11

Steroids

Question 12

Breast lump which can be aspirated and lump disappears

Answer 12

Breast cyst

Question 13

Haemochromatosis management

Answer 13

1. Ferritin
2. Transferrin
3. Biopsy - gold standard

Question 14

Is mild cognition a C/I to using haloperidol for acute delirum?

Answer 14

No

Question 15

Treatment of thrombophlebitis

Answer 15

NSAIDs e.g Naproxen

Question 16

How to monitor resp function in myasthenia gravis?

Answer 16

FVC

Question 17

What age does De Quervain’s tenosynovitis commonly present it?

Answer 17

30-50

Question 18

What condition can affect the carpometacarpal of the thumb?

Answer 18

Osteoarthritis

Question 19

Which lymph nodes does ovarian cancer spread to?

Answer 19

Para aortic lymph nodes

Question 20

Which airway device is used to protect lungs from aspiration?

Answer 20

Tracheal tube

Question 21

PE investigations

Answer 21

1. History/Exam
2. CXR
3. Wells -> D-dimer/CTPA

Question 22

Treatment for prolactinoma

Answer 22

Majority of patients can be treated medically with cabergoline/bromocriptine
Surgery would be a final resort - trans sphenoidal