Other

Question 1

Artery in erectile dysfunction

Answer 1

Internal pudendal artery

Question 2

Intermittent claudication

Answer 2

Muscle pain that happens when you’re active and stops when you rest

Question 3

Primary amenorrhoea and short stature

Answer 3

Turners syndrome

Question 4

Abnormal blood test

Cause: Lithium

Answer 4

Elevated TSH

Question 5

Germinoma

Answer 5

Germ cell tumour commonly found in the brain

Question 6

Cryoprecipitate

Answer 6

Treatment for low fibrinogen

Question 7

Immune thrombocytopenic purpura (ITP)

Answer 7

Autoimmunity against platelets = purpura rash

Question 8

Major risk factor for NON-eosinophilic asthma

Answer 8

History of smoking

Question 9

Asthma: peak flow of 65%

Answer 9

Moderate severity

Question 10

Ipatropium bromide

Answer 10

Muscarinic AChR antagonist = bronchodilator

Question 11

Non-smoker, productive cough for last 6 months with large amounts of yellow sputum

Answer 11

Bronchiectasis

Question 12

Toll-like receptor responsible for sensing lipopolysaccharide on the outer membrane of G -ve bacteria

Answer 12

TLR4

Question 13

Inflammatory rather than mechanical pain

Answer 13

Joint stiffness in the MORNING lasting a long time

Question 14

Most specific diagnostic test for RA

Answer 14

anti-cyclic citrullinated peptide antibody

Question 15

A common extra-articular feature of spondyloarthropathy

Answer 15

Uveitis

Question 16

Positive cANCA, non-blanching rash, swollen wrists, haemoptysis

Answer 16

Granulomatosis with polyangiitis

Question 17

Low serum complement 3 and 4

Answer 17

Active SLE

Question 18

SLE elevated risk of which cancer

Answer 18

Lymphoma

Question 19

Feltys syndrome Ix

Answer 19

Serology

Abdominal ultrasound scan

Question 20

Air conditioned hotel, contracted pneumonia
GRAM NEGATIVE ROD
Alveolar macrophages containing vacuoles

Answer 20

Legionella pneumophila

Question 21

1,3 beta-D-glucan assay

Answer 21

Aspergillus fumigatus
Candida albicans
Pneumocystis jirovecii

Question 22

Vibrio cholerae

Answer 22

Gram negative bacteria

Deregulates ion transport in epithelial cells

Question 23

Mycobacterium leprae cell wall feature that resists phagocytic killing

Answer 23

Mycolic acid

Question 24

Most likely bacteria for osteomyelitis

Answer 24

Staph aureus

Question 25

Autoimmune diseases

Answer 25

``` Hashimoto’s thyroiditis SLE RA MS Asthma Coeliac Diabetes Type 1 ```

Question 26

TNM cancer staging

Answer 26

Question 27

Anti-muscarinic indications and side effects

Answer 27

Question 28

Most important treatment for septic shock

Answer 28

Fluid resuscitation to prevent organ hypoperfusion

Question 29

Sensitivity vs specificity

Answer 29

True positives vs true negatives

Question 30

Prevalence vs incidence

Answer 30

Overall cases today vs new cases today

Question 31

Units of alcohol equation

Answer 31

% of alcohol x amount in ml / 1000

Question 32

Primary, secondary, tertiary care

Answer 32

1. Prevention (including vaccines) 2. Screening + stop progression (Tx) 3. Treatment of COMPLICATIONS

Question 33

Allowing only patients with capacity to have an input in their care

Answer 33

Autonomy

Question 34

MHRA yellow card scheme ABCDE

Answer 34

``` Augmented reaction Bizarre reaction Chronic drug reaction Delayed drug reaction End use drug reaction ```

Question 35

Elevated alpha-fetoprotein (AFP) can screen for which cancer

Answer 35

Hepatocellular carcinoma

Question 36

Testicular cancer marker

Answer 36

Lactate dehydrogenase

Question 37

Giant cell arteritis with blurring vision immediate Tx

Answer 37

IV METHYLPREDNISOLONE to prevent permanent vision loss

Question 38

Alport syndrome

Answer 38

End stage kidney disease + hearing loss X-linked dominant

Question 39

Score used for risk of having a CVD event within the next 10 years

Answer 39

QRISK2

Question 40

CHA2DS2VASc score

Answer 40

Risk of thromboembolic events in AF patients

Question 41

HASBLED score🩸

Answer 41

One year risk of major bleeding for patients on blood thinning medications for AF