Past paper qs

Question 1

Inheritance of Haemophilia?

Answer 1

X-linked recessive

Question 2

Gram+ve in cluster / groups

Answer 2

Staph aureus

Question 3

E) Zolpidem tartrate side effect?

Answer 3

Can increase the risk of dizziness and drowsiness

Question 4

PAINFUL penile ulcers + Multiple = what dx?

Answer 4

HSV

Question 5

CN III, IV, VI and V1 + V2 affected, what anatomical location is affected?

Answer 5

Cavernous sinus

Question 6

Which assessment tool is the best option to assess nutrition taking into account a pts clinical exam and medical hx?

Answer 6

SGA (subjective global assessment)

Question 7

1-4y old elbow pain +His left elbow is in the flexed position and pronated. He permits all passive movements except supination. Which is the most likely diagnosis?

Answer 7

D) Subluxation of the radial head - Nursemaids elbow typically affects children aged 1-4y old

Question 8

Where does blood supply to the leg arise from?
Buttock specifically?
upper thigh?
lower thigh?
calf?

Answer 8

Leg - external iliac
Buttock - internal iliac
upper thigh - External iliac
lower thigh - Common femoral
calf - Superficial femoral

Question 9

Mx of claudication?

Answer 9

Supervised exercise and supportive unless sx is severe and deabilitating

Question 10

CSF in GB?

Answer 10

Low cell count + raised protein

Mx = IVIg

Question 11

Humeral shaft fractures are often associated with injuries of the ……. nerve

Answer 11

radial nerve

Question 12

USS for pt w/ RUQ pain shows dilated common bile duct - next steps?

Answer 12

MRCP - to see if theres gallstones are present in CBD

ERCP - if there are gallstones in CBD

Laparoscopic cholecystectomy if there are other gallstones that need removing

Question 12

USS for pt w/ RUQ pain shows dilated common bile duct - next steps?

Answer 12

MRCP - to see if theres gallstones are present in CBD

ERCP - if there are gallstones in CBD

Laparoscopic cholecystectomy if there are other gallstones that need removing

Question 13

Most appropriate ix to check for C-spine fractures?

Answer 13

CT neck

Question 14

How to correct resp acidosis in alert pt?

Answer 14

NIV

Question 15

Tx of choice for pts w/ TCA overdose + QRS prolongation?

Answer 15

IV sodium bicarb

Question 16

Ix of unprovoked DVT should also involve what?

Answer 16

CT abdo + pelvis to ix for possible malignancy

Question 17

1st line mx of hypoglycaemia in unconcious pt?

Answer 17

75ml 20% glucose (50% is too hyperosmolar and could cause local tissue necrosis)

IM glucagon is useful if IV access isnt possible

Question 18

1st step in mx of potential neutropenic sepsis?

Answer 18

Broad spectrum ABX before any other steps

Question 19

What is the gold standard DMARD for RA?

Answer 19

Methotrexate