Passmed 05/02/25

Question 1

Describe the differences in spontaneous bleeding patterns for VWB disease and Haemophilia.

Answer 1

Haemarthrosis = Haemophilia

Epistaxis, menorrhagia, easy bruising = VWB disease

Question 2

What TFTs would be seen in sick euthyroid syndrome and how is it treated?

Answer 2

No treatment, will self resolve

Low T3 and T4
Normal TSH

Question 3

Vitiligo is an autoimmune disorder characterised by destruction of melanocytes. Give 6 other commonly associated autoimmune conditions.

Answer 3

Thyroid e.g. Hashimoto’s

Alopecia areata

T1DM

Addison’s

Pernicious anaemia

Question 4

Pityriasis versicolour is a common fungal skin infection that becomes more noticeable after spending time in the sun. What is the treatment for it?

Answer 4

Ketoconazole 2% shampoo

Question 5

What organism causes scarlet fever, and what are the clinical features and first line treatment?

Answer 5

Group A Strep

Rough, pin point widespread rash / ‘sandpaper’
Viral illness history
Strawberry tongue

Phenoxymethylpenicillin

Question 6

What must be checked and corrected before giving bisphosphonates?

Answer 6

Calcium and Vitamin D

Question 7

What is the average onset of acute fatty liver of pregnancy?

Answer 7

36 weeks