October

Question 1

what do H2 antagonist do?

Answer 1

inhibit H/K/ATPase pump

Question 2

example of a H2 antagonist?

Answer 2

lansoprazole

Question 3

dose of adrenaline for anaphylaxis?

Answer 3

0.5mg 1:1000

Question 4

dose of adrenaline for arrest?

Answer 4

1mg IV of 1:10,000

Question 5

how long do pts need to be off PPI prior to h pylori testing?

Answer 5

2 weeks

Question 6

how long should a PPI be trialled for?

Answer 6

4 weeks

Question 7

what chromosomes are PKD on?

Answer 7

1 = 16 (worse)
2 = 14

Question 8

treatment for tonsilits?

Answer 8

10 days PO phenoxymethylpenicillin

Question 9

centor criteria? score needed to treat?

Answer 9

3/4

no cough
exudate
swollen LNs
fever

Question 10

investigation for acromegaly?

Answer 10

IGF1 levels initially

Question 11

what is oliguria?

Answer 11

less than 400mls in 24hrs

Question 12

cervical screening in england?

Answer 12

25-29 3yrly
50-64 5 yrly

Question 13

cervical screening in scotland?

Answer 13

5 years 24-64yrs

Question 14

what is auspits sign? condition seen in?

Answer 14

bleeding on skin when layers removed
psoriasis

Question 15

what is koebner phenomenon? condition seen in?

Answer 15

new skin lesions in areas of trauma
lichen planus

Question 16

what is nikolskys sign? condition seen in?

Answer 16

lateral pressure on egde of blister dislodges upper layers
pemphigus

Question 17

what is a positive pathergy test? condition seen in?

Answer 17

needle inserted auses a papule to form
behcet’s

Question 18

what Abx are given to meningitis contacts?

Answer 18

co-trimoxazole
cipro

Question 19

what side are symptoms of a cerebellar stroke seen on?

Answer 19

ipsilateral

Question 20

describe a holmes aidie pupil?

Answer 20

fixed dilated
absent knee and ankle jerks

Question 21

treatment for chlamydia?

Answer 21

azithromycin or doxy (avoid in pregnancy)

Question 22

treatment for BV?

Answer 22

metronidazole

Question 23

what condition are clue cells seen in?

Answer 23

BV

Question 24

treatment for gonorrhoea?

Answer 24

ceftriaxone

Question 25

mechanism of warfarin?

Answer 25

reduces protein C level

Question 26

examples of vasodilating CCBs?

Answer 26

nifedipine
amlodipine

Question 27

treatment for angina?

Answer 27

BB, GTN, CCB

Question 28

what type of CCB should NOT be used alongside BB? WHY?

Answer 28

rate limiting - verapamil/diltiazem
can cause bradycardia

Question 29

what drug reduces the efficacy of clopidogrel?

Answer 29

omprazole

Question 30

what increases the absorption of levothyroxine?

Answer 30

iron

Question 31

treatment ladder for asthma in kids?

Answer 31

ICS or LTRA <5
+ LABA or LTRA

increase ICS dose

Stop LABA if not responding

Question 32

treatment for cluster headaches?

Answer 32

nasal sumatriptan

Question 33

what reduction of renal function is acceptable after starting an ACE?

Answer 33

<25% (repeat U+Es)

Question 34

how often is monitoring for MTX? what blood tests?

Answer 34

1-2 weeks when initiating
2-3 months once started

FBC, U+Es, LFTs

Question 35

what gives a string sign?

Answer 35

carotid artery dissection on CT angio

Question 36

medical treatment for prolactinoma?

Answer 36

dopamine agonist
bromocriptine

Question 37

when are scans done for babies at risk of DDH? who gets them?

Answer 37

US scan <6 weeks
breech babies
FHx of hip problems in 1st degree relative

Question 38

what gives a machine like murmur?

Answer 38

PDA

Question 40

blood changes in EBV?

Answer 40

raised LFTs
thrombocytopenia (low platelets)

Question 41

murmur associated with HCM?

Answer 41

mid systolic murmur
jerky pulse