One Week Out

Question 1

How to anti-coagulate in heparin induced thrombocytopaenia?

Answer 1

Swap to direct thrombin inhibitor e.g dabigatran

Question 2

Atopic eczema in infants affects where?

Answer 2

Atopic eczema, also known as atopic dermatitis, typically affects the face and trunk in infants.

Question 3

Results in Down’s in pregnancy

Answer 3

Low alpha fetoprotein (AFP)
Low oestriol
Low pregnancy-associated plasma protein A (PAPP-A)
High human chorionic gonadotrophin beta-subunit (-HCG)
Thickened nuchal translucency

Question 4

Ectopic pregnancy investigation:

Answer 4

TransVAGINAL ultrasound

Question 5

Infective endocarditis in intravenous drug users most commonly affects which valve?

Answer 5

Tricuspid in IVDU

Question 6

First line tx for achalasia

Answer 6

Pneumatic (balloon) dilationis increasingly the preferred first-line option

Question 7

What is the most common type of inherited colorectal cancer and what genes are involved?

Answer 7

HNPCC (lynch syndrome)
The most common genes involved are:
MSH2
MLH1

Question 8

What is the main treatment provided to people with FAP?

Answer 8

Total proctocolectomy with ileal pouch anal anastomosis (IPAA)formation.