New Mocks Flashcards
Investigation for statins
LFT
Headache+injected sclera+dilated pupil
Acute Closed angle glaucoma
Contact lens use + eye pain + normal cornes on examination
Anterior uveitis
Rash on face + joints pain
SLE
Antibody Investigation for SLE
Anti ds-DNA
Mgt. For sudden idiopathic hearing loss
Immediate referral
Investigation for hirschsprung
Rectal biopsy
Investigation for ‘ball under foot’
USS
Monitoring in Amiodarone
TFT, LFT, UandE, ECG
Monitoring in Lithium
TFT, UandE, Lithium, BMI
Monitoring in Digoxin
UandE
Monitoring in ACEI
UandE
Monitoring in Methotrexate
FBC, LFT, UandE
When to refer CKD to secondary care
eGFR<30ml/min
Male frontal baldness+cataract+diabetes+weakness+young age
Myotonic dystrophy
Post partum+ facial weakness
Bells palsy
2nd line to CBZ in trigeminal neuralgia
Gabapentin
Rate >150bpm
Atrial flutter
Ventricular tachycardia
Pain on resisted flexion of arm (Positive speed test) + anterior shoulder pain
Biceps tendonitis
Obese lady with generalized itching for 5 years
PBC
ALT:SGOT >40
Alcoholic liver disease
Nose bleeds/bruising one week after URTI
ITP
Joint pain+ abdominal pain+ rash (rectal bleeding)
HSP
Bloody diarrhea+ renal failure
HUS
Mgt for TIA
Aspirin
Urgent assessment within 24hrs by stroke specialist
What HbA1c to make changes?
58mmol/mol
Did btw Crohn and UC
Crohn: Mouth ulcers, non bloody diarrhea, transmural, fistula, granuloma
UC: Bloody diarrhea, extra intestinal, lead pipe
Order for acute exacerbation of asthma
OSPM
Mgt of Phimosis
<2yrs: Expectant mgt
>2yrs: Urgent referral
Fever + jaundice+ RUQ pain (dark stools, vomiting)
Asc. Cholangitis
RUQ pain + Jaundice+ vomiting
Acute cholecystitis
Investigation for breathlessness on exertion in SLE
CXR (Fibrosing alveolitis)
Grey offensive vaginal discharge
Bacterial vaginosis
Nodule in thumb
Rheumatoid Arthritis
HRT for post-menopausal with uterus but still bleeding
Cyclical HRT
Bronchiolitis symptoms + negative for RSV
Viral wheeze
Initial investigation in endometriosis
Transvaginal USS
Recurrent dizziness/falls in the elderly
Stoke-Adams (complete heart block)
What type of bleeding in Hemophilia
Intra-articular (joint bleeding)
Mgt for Palpitations due to valvular heart disease
Routine referral
Next step for stable Atrial fibrillation
Arrange blood tests
Abdominal pain after recent viral illness
Constipation
Most appropriate initial investigation in ectopic pregnancy
Pregnancy test/beta HCG
First line contraceptive for menorrhagia (>16yrs women)
Mirena
First line contraceptive for menorrhagia (<16yrs women)
COCP
Contraceptive in smoker that’s completed her family
IUCD
Diet type for Irritable bowel syndrome
Low FODMAP
Investigation of choice for Plantar fascitis
MRI
Next step after positive brca test
Refer to breast surgery
Mgt for Presence of white cells in urine without symptoms
No treatment
Prolonged cough with clear sputum
GERD
Mgt of Lichen planus (raised shiny scaly lesion)
Topical steroid
Monitoring for SSRIs
None
2 risk factors of Ventricular fibrillation
Long QT syndrome
Hypokalemia
Dx for fine bilateral crackles
Pulmonary fibrosis
Investigation for stress fracture (marathon)
Xray
Investigation for plantar fascitis (heel pain)
USS
Most appropriate management for bone metastasis
Radiotherapy
Sudden intense headaches in pregnant women
Intracranial venous thrombosis
Next investigation after X-ray in small bowel obstruction
USS
Which antidiabetic increases the risk of DKA
SGLT2 inhibitors e.g. Dapagliflozin
Mgt for BCC
2 week referral pathway
First line investigation for asymptomatic UTI in men
First catch urine
First line investigation for asymptomatic UTI in women
Endocervical/vulvovaginal swab
Mgt for Chronic non specific back pain
Routine referral to physiotherapy
Flu + no Parainfluenza vaccination
Parainfluenza (Ganciclovir)
Blood in stool + abdominal pain+ bloating for 12 hours
Intussusception
Drug for CKD with hypocalcemia
Ergocalciferol
Abnormal eGFR+ proteinuria, what next test?
Albumin Creatinine ratio