pass med mocks

Question 1

how to differentiate causes of whiteout on CXR

Answer 1

look at trachea

if pulled towards white out= lung collapse

if pushed away from white out= pleural effusion

Question 2

moa donepezil

Answer 2

acetylcholinesterase inhibitor

Question 3

moa memantine

Answer 3

NMDA antagonist

Question 4

moa rivastigmine

Answer 4

acetylcholinesterase inhibitor

Question 5

anterior uveitis sx

Answer 5

acute painful red eye
miosis
irregular pupil
photophobia

Question 6

anterior uveitis mx

Answer 6

steroids
cytoplegic eye drops

Question 7

what do cytoplegic eye drops do

Answer 7

dilate the pupil

Question 8

what is an example of cytoplegic eye drop

Answer 8

atropine
cyclopentolate

Question 9

pleural fluid protein in exudate vs transudate

Answer 9

exudate >30
transudate <30

Question 10

how to differentiate haemorrhoids from anal fissure

Answer 10

haemorrhoids are painless

Question 11

anal fissure mx

Answer 11

laxatives, lubricants, topical GTN

if this doesn’t work then sphincterectomy

Question 12

glandular fever sx

Answer 12

sore throat
fever
malaise
cervical lymphadenopathy

then when amoxicillin is given, a macropapular rash appears

Question 13

glandular fever test

Answer 13

monospot

Question 14

what does a monospot look for

Answer 14

heterophil antibodies produced by EBV

Question 15

what medication is used to prevent vasospasm in SAH

Answer 15

nimodipine

Question 16

if IV lorazepam if given once in status in hospital what is the second step

Answer 16

one more dose of IV lorazepam

Question 17

how to remember where wernickes and brocas areas are

Answer 17

sound is heard

travels to wernickes area in temporal lobe (near ear) where speech is comprehended

signal travels via arcuate fasisculus to the frontal lobe where brocas area is

this signal travels to the mouth (near frontal lobe) where a response is executed

Question 18

acute angle closure glaucoma management

Answer 18

parasympathetic eye drops (pilocarpine) to constrict the pupil and allow better drainage

beta blocker eye drops reduce aqueous humour production

Question 19

in what are crypt abscesses seen

Answer 19

ulcerative colitis

Question 20

in what are increased goblet cells seen from biopsy

Answer 20

crohns

Question 21

what is seen on biopsy in coeliacs disease

Answer 21

villous atrophy
crypt hyperplasia

Question 22

what happens to chloride levels after fluid resus

Answer 22

they increase

Question 23

SIADH mx

Answer 23

slow correction of sodium to avoid central pontine myelinolysis

fluid restriction

domeocycline

Question 24

how to decide when to use cpap vs bipap and how to remember

Answer 24

cpap= type 1 resp failure
bipap= type 2 resp failure

bi= 2 things (low o2 and high co2)

Question 25

urge incontinence mx

Answer 25

bladder retraining 6 weeks

oxybutynin

miragbegron

Question 26

when is mirabegron used over oxybutynin

Answer 26

in older women who are frail and to reduce risk of anticholinergic side effects

Question 27

how is adrenaline delivered in ALS

Answer 27

intravenously

Question 28

how is hydronephrosis identified on CT

Answer 28

dilation of the renal pelvis

Question 29

how long does it take for finasteride to take effect

Answer 29

6 months