Passmed

Question 1

What is the most common presentation of multiple endocrine neoplasia?

Answer 1

Hypercalcaemia

Also affects - parathyroid, pituitary and pancreas

Question 2

What kind of ABG does conns disease show?

Answer 2

A metabolc alkalosis and hyperkalaemia

This is because increased hydrogen ions are lost in the urine

Question 3

Which oral hypoglycaemic agent is contraindicated in heart failure?

Answer 3

Pioglitazone as it causes fluid retention

Question 4

What is second line in diabetes after metformin?

Answer 4

Either DPP4 analogues if obese (sitagliptin)
Pioglitazone
or an SU (glicalzide)

Question 5

How is myxoedemic coma treated?

Answer 5

With hydrocortisone and levothyroxine

Question 6

When an addisons patient is unwell how should medication be changed?

Answer 6

Double glucocorticoids but keep fludrocortisone the same (mineralacorticoid)

Question 7

What are the side effects of metaclopramide?

Answer 7

pregnancy
prolactinoma
physiological
polycystic ovarian syndrome
primary hypothyroidism
phenothiazines, metoclopramide, domperidone

Question 8

What are the side effects of tricyclic antidepressants?

Answer 8

Amitriptyline has anticholinergic effects being associated with tachycardia, dry mouth, mydriasis and urinary retention

Question 9

How long should symptoms be present for PTSD to be diagnosed?

Answer 9

1 month