Paper C Final

Question 1

What is the clinical significance of a rash non-dissapearing when you press a glass onto the skin in a suspected meningitis case? [2]

Answer 1

Presence of a non-blanching purpuric rash indicates - meningococcal septicaemia
- means you DON’T give dexamethasone

Question 2

The [] nerve may be damaged during a carotid endarterectomy

Answer 2

The hypoglossal nerve may be damaged during a carotid endarterectomy

Question 3

Patient has confirmed P. vivax.

How do you treat? [2]
What do you give post treatment? [1]

Answer 3

based combination therapy (ACT) or chloroquine
* in areas which are known to be chloroquine-resistant an ACT should be used
* ACTs should be avoided in pregnant women
*
patients with ovale or vivax malaria should be given primaquine following acute treatment with chloroquine to destroy liver hypnozoites and prevent relapse

Question 4

What are the most common causes of bronchiolitis, croup and common cold? [3]

Answer 4

Respiratory syncytial virus - Bronchiolitis
Parainfluenza virus - Croup
Rhinovirus - Common cold

Question 5

What situation would indicate co-trimoxazole treatment in a patient with HIV? [1]

Answer 5

All patients with a CD4 count lower than 200/mm3 should receive prophylaxis against Pneumocystis jiroveci pneumonia

Question 6

Tx for tinea corporis?

Answer 6

Topical antifungal

Question 7

Which type of study is used when looking at multiple variables? [1]

Answer 7

Cross sectional