Moodle quizes

Question 1

Just given birth 2 months back and is breast feeding and plans to continue breast feeding for the next 6 months. What contraception would you advise

Answer 1

Minipill

Question 2

Lisa recently started a relationship and does not know details of partners past. What contracpetion would you advise

Answer 2

Barrier methods

Question 3

What investigation for a patient presenting with 2 week history of lateral elbow pain

Answer 3

Tennis elbow, clinical diagnosis.

Question 4

40yo, 6 month menorrhagia with intermenstrual bleedig. Pap smear normal for the past 3 years and hysteroscopy done was normal

Answer 4

Mirena (hormonal IUD)

> 35 relative contraindication for OCP

Question 5

28 yo with ID, memory problems, forgetful. Mother wants to know what option is best

Answer 5

Depo injections

consent problems for invasive procedures and IUD not advised for nuliparous

Question 6

Sara 48, ex IVDU, presents with history of jaundice, abdo pain, N/V.

Answer 6

Hep C (more common for IVDU)

Question 7

Jane 16 yo flu like symptoms, then rash presenting in crops, first in the upper limbs, body and then lower limbs

Answer 7

Varicella zoster

vaccine not 100% effective

Question 8

Ali, 38 yo, 38 degrees fever, headache, retro-orbital pain. Hx of myalgia and severe bodyache. once the fever sibsided he started developing a rash all over the body.

Answer 8

Dengue

Question 9

8yo bitten by dog, dog is vaccined and stays at home. Superficial laceration with no active bleed.

Answer 9

Augmentin 5-7 days - prophylaxis

Rabies is not common in Australia. Rabies vaccine only for bat bites

Question 10

Dysuria and urethral discharge after having casual unprotected intercourse 13 days ago

Answer 10

Azithroymicin + IM ceftriaxone

Question 11

Itchy, erythematous margin

Answer 11

Ringworm

Question 12

Nina, 1/52 pain over the left lower 1st molar, now neck swelling, trismus, odynophagia and rooling. On exam, dental hygiene is poor and floor of mouth si raised, first lower leftmolar surrounded with gingival infection. No stridoer.

Answer 12

IV penicillin

? Lutwig’s angina

Question 13

Discharging right ear after swimming in 3yo boy. Painful when touching his right ear

Answer 13

Sofradex - antibacterial and steroid topical ear drops

fungal should not be part of first line treatment

Question 14

30yo return from trip to SEA, weak, shivery and cold, sore throat, dry cough, 39.8, normal ear canals, mild lympahdenopathy, mildly red throat, clear lung fields. Took his prophylactic antimalarial therapy religiously through the trip

Answer 14

Influenza (most common traveller’s infection)

Symptomatic tx

Question 15

55yo M, 6 month progressive dyspnea on exertion, dry cough, clubing tachycardia and bilatearl basal inspiratory crepitations

Answer 15

Idiopathic pulmonary fibrosis

Question 16

85yo had a fall 2 days after increasing her thiazide diuretic to improve long-standing hypertension,
also on perindopril, amlodipine, paracetamol, risedronate

Answer 16

Postural hypotension

Question 17

Metallic taste in patient with CKD. What electrolyte?

Answer 17

urea build up

Question 18

83yo 5 days post surg when he was started on venlafaxine.

Answer 18

Hyponatremia

Question 19

45 yo on tamoxifen, heavy bleeding

Answer 19

Endometrial hyperplasia

Question 20

13 yo with irregular periods

Answer 20

Anovulatory dysfunctional uterine bleeding

Question 21

Stung by a bee, eye movements and visual acuity are normal, swollen lid

Answer 21

Preseptal cellulitis

Question 22

33yo non-smoker, unwell for a day, sorethroat, painful muscle

Answer 22

URTI- symptomatic treatment

Question 23

4yo boy, sudden fever, pale, drooling and soft stridor

Answer 23

epiglotitis –> hospital

Question 24

4 month old infant, 3 days of nasal congestion two days cough which sounded slightly hoarse. Fully immunized. Alert, audible expriatory wheeze. afebrile, HR 120/min, RR 60/min, hyperexpanded chest, diffuse crackles, prolonged expiratory phase

Answer 24

Symptomatic tx OR refer to A and E

Question 25

55yo complains of dizziness over months, lasts for 2 hours, hearing loss, tinnitus

Answer 25

Meniere’s disease - sensorineural hearing loss, tinnitus, vertigo. +/-N/V

Question 26

50yo, topshelf, few seconds vertigo

Answer 26

BPPV

Question 27

75yo diabetic, gradually noticed increased blurring of vision, dazzling at nights when oncoming headlights.

Answer 27

Cataracts

Question 28

20yo F, convergent squint of left eye, corrected 10 years ago, best visual acuity achieved is 6/18

Answer 28

Amblyopia

Question 29

24yo swimmer return from bali, mild discharge, feels blocked, hasnt improved with two different abx

Answer 29

Ketacon (fungal drops)

KOH prep to confirm