passmed

Question 1

most common cause of a peptic ulcer

Answer 1

h.pylori

Question 2

drugs that can cause peptic ulcers

Answer 2

NSAIDS, steroids and selective serotonin reuptake inhibitors (SSRI) eg. sertaline

Question 3

what clinical sign indicates an exudate pleural effusion?

Answer 3

> 30g/L protein

Question 4

Changes in V1-V3
Horizontal st depression
Tall broad r waves
Upright t waves
Dominant r wave in V2

Answer 4

Posterior MI

Question 5

A new LBBB is always…

Answer 5

Pathological (always!)

Question 6

Progressive prolonged pr and regular dropped QRS

Answer 6

2nd degree heart block mobitz T1

If in seen in an athlete with no symptoms, its normal

Question 7

How to treat Acute MI

Answer 7

Morphine (IV) + anti emetic
Oxygen (if hypoxic)
Nitrates (if ongoing discomfort)
Aspirin
LMWH (dalteparin) (anticoag)
Clopidogrel/ ticagrelor (antiplatelet)
Bblocker

Question 8

R waves in v5, V6 and deep S waves in V1, V2

Answer 8

Left ventricular hypertrophy

Question 9

Atropine used for

Answer 9

Bradychardia

Question 10

Broad qrs

Question 11

Prolonged PR then dropped QRS wave,
What is it?
Pathological?

Answer 11

Mobitz type 1 2nd degree heart block

Not in athletes

Question 12

Pulmonary embolism investigation

Answer 12

Score >4
CTPA. If CTPA negative then consider a proximal leg vein ultrasound if DVT is suspected.
If CTPA cannot be used due to allergies/severe renal impairment used V/Q scan

Question 13

Anticoags tht work by activating antithrombin III

Answer 13

LMWH

Fondaparinux

Question 14

Early diastolic murmur, collapsing pulse, de mussets sign (head bobbing)

Answer 14

Aortic regurgitation

Question 15

Clinical signs differentiating iron deficiency anaemia and anaemia due to chronic disease

Answer 15

Total Iron Binding Capacity (TIBC) is high in IDA. Low/normal in chronic disease