PassMed wrong Qs

Question 1

What paraneoplastic syndromes are associated with SMALL CELL lung cancer?

Answer 1

-Cushing’s
-SIADH
-Lambert-Eaton syndrome
-Limbic encephalitis

Question 2

What paraneoplastic syndromes are associated with SQUAMOUS CELL CARCINOMA?

Answer 2

-Hypertrophic pulmonary osteoarthropathy
-PTH-related protein secretion
-Hypercalcaemia

Question 3

What paraneoplastic syndromes are associated with ADENOCARCINOMA?

Answer 3

-Gynaecomastia

Question 4

What imaging should be done to diagnose acute vs chronic mesenteric ischaemia?

Answer 4

ACUTE = contrast CT
CHRONIC = CT angio

Question 5

What imaging should be done to diagnose ?pancreatic carcinoma?

Answer 5

High resolution CT

Question 6

What diagnosis should you suspect when new B symptoms develop in a patient with CLL?

Answer 6

Richter’s transformation (diagnosed on lymph node biopsy)
-Where CLL transforms into high-grade B-cell lymphoma

Question 7

Which gastric cancer is associated with Barrett’s oesophagus and displays signet ring cells on biopsy?

Answer 7

Adenocarcinoma

Question 8

Which malignancy is schistosomiasis a risk factor for?

Answer 8

Squamous cell carcinoma of the bladder

Question 9

Which anti-emetics cannot be used in Parkinson’s?

Answer 9

Metoclopramide
Levomepromazine
Haloperidol

Question 10

How should opiate-naive patients be started on pain relief?

Answer 10

30mg morphine daily

Question 11

What anti-emetic is preferred in patients with bowel obstruction?

Answer 11

Cyclizine

Question 12

Examples of softener, stimulant and osmotic laxatives?

Answer 12

Softener = DOCUSATE SODIUM
Stimulant = SENNA
Osmotic = LACTULOSE, MACROGOL

Question 13

What laxative must not be used in bowel obstruction?

Answer 13

Stimulants eg Senna, Biascodyl