MSCAA Practice Paper 3

Question 1

What are the CF of Myeloma? (4 things)

Answer 1

CRAB
* C - High calcium
* R - Renal dysf: Monoclonal ig kappa peak
* A - Anaemia
* B - Bone pain

(monoclonal ig thing seen in Serum electrophoresis)

Question 2

What is a red flag CF of back pain?

Answer 2

Waking you up from sleep

Question 3

What is the investigation when you have a red flag for back pain (aka waking u up from sleep)?

Answer 3

XR lumbar spine

Question 4

If a hypoglycaemic pt is alert and can swallow, what do you give them?

Answer 4

Oral glucose tablets

(instead of gel)

Question 5

What is a side fx of Oxybutynin?

Answer 5

Constipation

obv bc isa anticholinergic

Question 6

What is a side fx of Oxybutynin?

Answer 6

Constipation

obv bc isa anticholinergic

Question 7

What are the CF of Atelectasis? (4 things)

Answer 7

1. Fever
2. Early post op period, abd procedure
3. Reduced sats
4. Reduced breath sounds at bases

Question 8

How do you differentiate between Lumbar disc PROLAPSE vs Lumbar spinal stenosis?

Answer 8

Disc prolapse: worse @ leaning foward
Stenosis: worse @ Standing + Walking, releived by leaning forward

when you lean forward in disc, you clart it more

Question 9

What is the most important prognostic factor in Melanoma (skin cancer)?

Answer 9

Depth

(breslow depth)

Question 10

What can the bowel sounds in bowel obst be?

Answer 10

Loud
(all these years i thought tinkling meant quiet)

Question 11

What is the purpose of cricoid pressure in anaesthetics?

Answer 11

Prevents passage of gastric contents into airway

Question 12

What are the investigation results in Polymyalgia rheumatica? (aka strength no weaknes)

Answer 12

1. Raised ESR
2. Normal CK

jamaican kno £R but dont wear CK cah dey real

Question 13

What is the tx for Polymyalgia rheumatica? (aka strength no weaknes)

Answer 13

Prednisolone

Question 14

What are the hallmark signs of Primary aldosteronism (aka Conns)? (2 things)

Answer 14

1. HTN
2. Hypokalaemia