Other

Question 1

Genetic causes of sudden death in the young?

Answer 1

HCOM
Brugada syndrome
Dilated cardiomyopathy
Long QT
Marfan's syndrome

Question 2

Which conditions are screened for on the Guthrie card

Answer 2

Hypothyroidism
CF (IRT)
PKU
Homocysteinuria
Maple Syrup Urine Disease
Sickle-cell

Question 3

What are the requirements for consent?

Answer 3

Specific to the situation
Individual with capacity
Fully informed
No coersion

Question 4

How to identify a competent individual?

Answer 4

They are able to understand and retain information, identifying the foreseeable consequences of all choices and come to a reasonable decision which they can then communicate back to the physician.

Question 5

Definition of malignant hypertension?

Answer 5

Generally >/180/120 PLUS papilloedema, retinal haemorrhage, cerebral oedema

Question 6

Common drugs causing hypertension?

Answer 6

Steroids, OCP

Question 7

First and second line investigation for SAH?

Answer 7

CT head identifies 95%, LP shows Xanthochromia in another 3%

Question 8

Complications of SAH?

Answer 8

Rebleed
Seizures
Communicating hydrocephalus
Cerebral Oedema
Vasospasm (delayed, peaks at 7-14 days, give Nimodipine to prevent)

Question 9

How to determine death

Answer 9

Irreversible cessation of all brain function; lost brainstem reflexes, consciousness and respiratory function
OR
Irreversible cessation of intracerebral blood flow

Question 10

Anterior to Posterior arrangement of renal hilum contents

Answer 10

VAP - vein, artery, pelvis

Question 11

Sinister cause for varicocele in an adult?

Answer 11

Left RCC

Question 12

SIde effects of EPO?

Answer 12

Hypertension
Seizures
Pure red cell aplasia (anti-EPO antibodies)
Urticaria
Bone aches