Paper 1

Question 1

High Sodium containing & Sodium Retaining drugs?

Answer 1

High Na হলো P-ANCa
-paracetamol, phenytoin
-aspirin,alginate,antacids,antibiotica
-Na valporate
-Ca

Na রিটেইনিং গুলা আলাদা মনে রাখব

NSAID
OCP
STEROID
METOCLOPRAMIDE
CARBENOXOLONE

Question 2

Drug causing hepatic fibrosis?

Answer 2

MTX

Question 3

Drug causing NASH

Answer 3

Amiodarone
Tamoxifen
Steroid

Question 4

Drug causing Autoimmune hepatitis?

Answer 4

Nitrofurantoin
Nivolumab/pembrolizumab

Question 5

Drug causing cholestatic hepatitis

Answer 5

Co amoxiclav(commonest ab to cause abnormal LFT)
Flucloxacillin
Statin
Nsaid

Question 6

Drug causing cholestasis

Answer 6

Cholestasis=Chol+Estasis

Chlorpromazine
Estrogen (High dose)

Question 7

Drug causing hepatic venous outflow obstruction

Answer 7

AB
Azathioprine
Busulfan

Question 8

Drug causing Acute hepatitis

Answer 8

Isoniazid
Rifampicin

Question 9

Drugs should be avoided in Cirrhosis

Answer 9

1.Anxiolytics
2.Narcotics
3.Nsaids
4.ARB
5.Codeine

Question 10

Drugs causing Macrovasicular steatosis?
Drugs causing Microvasicular steatosis?

Answer 10

Macro:Amiodarone
Tamoxifen
Micro:Tetracycline & Na valporate

Question 11

Drugs causing Microvasicular steatosis?

Answer 11

Tetracycline
Sodium valporate

Question 12

Commonest trigger for medication overuse headache?

Answer 12

Codeine & other opiate containing..& Triptans

যদি মাসে ১০-১৫ দিনের বেশী নেয়

Question 13

prophylaxis for migraine?

Answer 13

যেগুলা জানি সাথে CLD
Candesartan
Lisinopril
Doaulepin

Question 14

Cluster Headache

Answer 14

আরেক নাম Migranous Neuralgia..
Most common of the trigeminal Autonomic cephalgia

মেইলদের হয় মেইনলি ,স্মোকার,এলকোহোল।

স্ট্রাইকিংলি পিরিওডিক(ক্লাস্টার)
সপ্তাহের একই সময়ে টানা। ২৪ ঘন্টায় এক বা একাধিক এটাক..৩০-৯০ মিনিট,এলার্ম ক্লক হেডাক

Treatment: subcutaneous sumatriptan & 100% oxygen

Prevention: verapamil, Na valporate,glucocorticoid..

Severe debilitating cluster???- Lithium

Question 15

Disease associated with Trigeminal Neuralgia? Treatment of choice?

Answer 15

1.Multiple sclerosis
2.Carbamazepine

Question 16

Cluster Headache is common in Men! এইটাইপ একটা হেডাক ফিমেইলে কমন,what is that? Rx?

Answer 16

Chronic paroxysmal hemicrania
Rx:Indomethacin

Question 17

DOC for:

1.Acute Migraine:
2.Trigeminal Neuralgia:
3.cluster Headache:
4.chronic paroxysmal hemicrania:

Answer 17

DOC for:

1.Acute Migraine: sumatryptan
2.Trigeminal Neuralgia:Carbamazepine
3.cluster Headache: Subcutaneous sumatriptan & 100% oxygen
4.chronic paroxysmal hemicrania: Indomethacin

Question 18

Drugs and toxin causing GTCS?

Answer 18

1.penisillin
2.iSONIAzid
3.Metronidazole
4.AntiMalarial
5.anti arrythmic:Lidocaine,disopyramide
6.TCA,Antidepressant,lithium
7.Amphetamine withdrawal,Alcohol withdrawal.
8.Ciclosporin
9.OPC(sarin)

Question 19

Stimulatns for
1.Narcolepsy
2.Cataplexy

Answer 19

Stimulatns for
1.Narcolepsy:
-modafinil
-Sodium oxybate,dexamfetamine,methyphenidate

2.Cataplexy:
-Sodium oxybate
-Clorpheniramine/venlafexine

Question 20

Paraneoplastic optic neuritis is caused by?

Answer 20

SCLC

Question 21

Paraneoplastic Encephalo myelitis is caused by?

Answer 21

SCLC,THYMOMA

Question 22

Paraneoplastic lambert eaton is caused by?

Answer 22

SCLC

Question 23

Paraneoplastic Limbic encephalitis is caused by?

Answer 23

SCLC
Thymoma
Breast
Testicular
Teratoma

Question 24

Neurology

Anterior spinal cord syndrome..
1.Which tract involved? Which tract spare?
2.which features?

Answer 24

1.Lateral spinothalamic tract
2.Lateral corticospinal tract
Spares Dorsal column (vibration,proprioception)

C/f : Bilateral spastic paraparesis & Bil pain temp loss

Question 25

Neurology

Spinal cord conditions sparing Dorsal column?

Answer 25

1.Ant spinal artery syn.(spastic usually)
2.syringomyelia (flaccid)-intrinsic hand muscle usually