Pass Med Qs (All Topics)

Question 1

A 59-year-old man is prescribed the most highly negatively inotropic drug for hypertension. His GP advises to not take beta-blockers with it as it may cause heart block. He does not have a history of diabetes.

What drug was most likely prescribed?

Alteplase

Furosemide

Nifedipine

Ramipril

Verapamil

Answer 1

Verapamil

Question 2

Which one of the following options correctly apply to digoxin?

Digoxin causes a decrease in intracellular calcium by inhibiting Na+/K+ ATPase
Digoxin is a positive chronotropic agent
Digoxin is a negative inotropic agent
Digoxin overdose can cause hyperkalaemia
Digoxin has a half-life of 20 hours

Answer 2

Digoxin overdose can cause hyperkalaemia

Question 3

A 24-year-old female is rushed to the emergency department after sustaining an injury during training. She is a competitive powerlifter and her training involves rapid, explosive movements with heavy weights.

On examination, weakness of knee flexion, and some localised knee swelling is noted. The emergency doctor is concerned about the detachment of the biceps femoris from the site of insertion and requests an orthopaedic review.

Which of the following is the site of insertion of the long and short head of biceps femoris?

Medial surface of proximal tibia
Tibial tuberosity
Head of the fibula
Medial tibial condyle
Lesser trochanter

Answer 3

Head of the fibula

Question 4

A patient with a history of peripheral vascular disease presents to his GP with essential hypertension. Which of the following drugs may exacerbate his peripheral vascular symptoms?

Ramipril
Atenolol
Spironolactone
Hydrochlorothiazide
Furosemide

Answer 4

Atenolol

Beta-blockers may worsen symptoms of patients suffering from peripheral vascular disease.

Question 5

An orthopaedic surgeon discusses the risk of a total hip replacement to Antonia, a 78-year-old female with hip osteoarthritis, in order to gain consent. He mentions the risk of sciatic nerve damage.

What landmark can be used to identify the sciatic nerve to reduce the risk of sciatic nerve damage?

Superior to the gluteus maximus muscle
Inferior to the gluteus maximus muscle
Medial to the piriformis muscle
Superior to the piriformis muscle
Inferior to the piriformis muscle

Answer 5

Inferior to the piriformis muscle

Question 6

A 50-year-old man has a routine health check where he has his observations, ECG (electrocardiogram) and routine blood tests done. The ECG shows a prolonged corrected QT interval.

What abnormality found on his blood test may account for the ECG findings?

Hypokalaemia
Hyperkalaemia
Hypercalcaemia
Hypermagnesaemia
Hypochloraemia

Answer 6

Hypokalaemia

Question 7

A 67-year-old man is referred to haematology clinic by his GP as he has been experiencing fatigue, night sweats and fevers. After undergoing all the necessary tests, he returns to clinic for his results and is informed that he has the most common form of adult leukaemia.

Which of the following diagnoses is most likely?

Acute lymphoblastic leukaemia
Acute myelogenous leukaemia
Chronic lymphocytic leukaemia
Chronic myelogenous leukaemia
Hairy cell leukaemia

Answer 7

Chronic lymphocytic leukaemia