Part 2

Question 1

mid dilated pupil

Answer 1

acute closed angle glaucoma

Question 2

later gaze due to what palsy

Answer 2

CN 6 (lateral rectus)

Question 3

1st > 2nd line treatment of nasal polyps

Answer 3

intranasal corticosteroid > try surgery

Question 4

T/F - posterior hemi-section of spinal cord will leave some motor function

Answer 4

True - since anterior corticospinal tract still intact

Question 5

Invx for orbital cellulitis

Answer 5

CT (could be abscess)

Question 6

Tx for sinusitis with prurulent discharge

Answer 6

Amoxicillin

Question 7

Dx + Tx for green frothy vaginal discharge

Answer 7

Trichomonas Vaginalis (metronidazole)

Question 8

Pregnant woman with diabetes collapses and is unconscious – what is most appropriate bedside Invx =

Answer 8

Take blood glucose

Question 9

Dizziness when turning head in bed

Answer 9

BPPV

Question 10

abdo pain at back with Hx of gallstones

Answer 10

Pancreatitis

Question 11

RUQ pain radiating to shoulder

Answer 11

gall bladder

Question 12

RUQ pain + elevated LFT + fever

Answer 12

hepatitis

Question 13

Frontotemporal dementia has what changes

Answer 13

behaviour and language change

Question 14

Lewy body dementia has what changes

Answer 14

hallucinations, dementia, + parkinsonism

Question 15

Widepsread chorea, behavioural disturbance + obssessive compulsive symptoms + rheumatic fever

Answer 15

Sydenham’s Chorea

Question 16

Parkinsonism (poor levodopa response) + autonomic dysfunction (postural hypotension, ED, urinary urgency) and/ or cerebellar dysfunction

Answer 16

Multiple System Atrophy

Question 17

Incontinence + Confusion + Ataxia

Answer 17

Normal Pressure Hydrocephalus

Question 18

Impairment of ocular motor nerves, Horner’s syndrome, and sensory loss of the first or second divisions of the trigeminal nerve in various combinations

Answer 18

Cavernous SInus Syndrome

Question 19

Stages of syphillis

Answer 19

primary (chancre), secondary (rash, ‘snail trail’), Latent (no symptoms for years), Tertiary (cardiac, neuro stuff)

Question 20

Lhermittes Sign

Answer 20

MS - A sudden sensation often due to neck flexion, like an electric impulse running down back

Question 21

Uhtoffs sign

Answer 21

MS or demyelinating disorders - Worsening of neurologic symptoms e.g. overheated from hot weather, sauna, exercise, fever

Question 22

SCLC and proximal muscle weakness and

Answer 22

Lambert Eaton Syndrome

Question 23

What interacts with Warfarin and can cause bleed by means of antiplatelet +/or GI injury

Answer 23

NSAIDs

Question 24

Purposeless movement that fit and flow, appearing restless

Answer 24

Chorea