Passmedicine/Pastest

Question 1

Hills sachs lesion

Answer 1

A Hill-Sachs lesion is when the cartilage surface of the humerus is in contact with the rim of the glenoid. About 50% of anterior glenohumeral dislocations are associated with this lesion.

Question 2

syringomyelia

Answer 2

This patient has syringomyelia which selectively affects the spinotholamic tracts. Syringomyelia is a disorder in which a cystic cavity forms within the spinal cord

Question 3

triad of fat embolism

Answer 3

resp
neuro symptoms
petechial rash

Question 4

medication associated with achilles tendon rupture

Answer 4

quinolone antibiotics e.g. ciprofloxacin

Question 5

leriche syndrome

Answer 5

1. Claudication of the buttocks and thighs
2. Atrophy of the musculature of the legs
3. Impotence (due to paralysis of the L1 nerve

atherosclerotic occlusive disease involving the abdominal aorta and/or both of the iliac arteries.

Question 6

onion skin

Answer 6

ewings sarcoma

Question 7

soap bubble appearance on xray

Answer 7

giant cell tumour

Question 8

most common causative agent of ascending colangitis

Answer 8

e.coli

Question 9

dieulafoy lesion

Answer 9

AVM in the stomach
characterised by a single large tortuous arteriole in the sub mucosa. Extra gastric lesions may occur.
rare

Question 10

biologic liscenced for treatment of gastrointestinal stromal cancer

Answer 10

imatinib

Question 11

treatment of malt lymphoma

Answer 11

h pylori eradication

Question 12

A 32-year-old man is admitted with a distended tense abdomen. He previously underwent a difficult appendicectomy 1 year previously and was discharged. At laparotomy the abdomen is filled with a gelatinous substance.

Answer 12

Pseudomyxoma peritonei

Question 13

how can TPN cause abnormal blood tests resutls

Answer 13

can cause deranged LFTS - often an obstructive picture

Question 14

what is the commonest cardia condition in pregnancy

Answer 14

mitral stenosis

more common in countries where rheumatic fever still present

Question 15

why should hydatid cysts not be drained

Answer 15

can cause analpylaxis

Question 16

what features may be seen on blood film post splenectomy

Answer 16

Howell- Jolly bodies
Pappenheimer bodies
Target cells
Irregular contracted erythrocytes

Question 17

what should you look for on a xray if suspecting chronic pancreatitis

Answer 17

calcification

Question 18

treatment of amoebic abcess

Answer 18

metronidazole

Question 19

A large hyperechoic lesion in the presence of normal AFP

Answer 19

haemangioma

Question 20

tumour marker for hepatocellular carcinoma

Answer 20

AFP

Question 21

name medications which can cause pancreatitis

Answer 21

steroids
azathioprine
diuretics
sodium valproate
mesalazine

Question 22

good pain relief in hip fracture

Answer 22

iliotibial nerve block

Question 23

first line pain med for back pain

Answer 23

NSAID

weak opiod if NSAID contraindicated

Question 24

soap bubble

Answer 24

giant cell

Question 25

onion skinning appearance

soft tissue mass

Answer 25

ewings sarcoma

Question 26

how do statins work

Answer 26

hmg- coA reductase inhibitors