past paper questions 4 Flashcards
this is a smooth muscle tumour of the myometrium that is a common cause of menorrhagia:
leiomyoma (fibroid)
this is a tumour of the ovary that contains hair, teeth and thyroid tissue:
benign mature teratoma (dermoid cyst)
this is a tumour that makes up 90-95% or all cases of cervical cancer?
squamous cell carcinoma
this is a oestrogen dependent tumour that commonly presents as post menopausal bleeding in overweight, nulliparous diabeter women?
endometrial adenocarcinoma
this is a common manlignant ovarian tumour that typically presents late with stage 3 disease.
patients often complain of vague symptoms.
a) basal cell carcinoma
b) benign Mature teratoma (dermoid cyst)
c) endometrial adenocarcinoma
d) leiomyoma (fibroid)
e) leiomyosarcoma
f) seminoma
g) serous epithelial adenocarcinoma
h) serous epithelial adenoma
i) squamous cell carcinoma
serous epithelial adenocarcinoma
a 58 year old woman with type 2 diabetes. She has had no periods for 9 years, but presents with a sudden heavy painless bleed.
most likely diagnosis:
a) appendicitis
b) constipation
c) dysmenorrhoea
d) ectopic pregnancy
e) endometrial carcinoma
f) endometriosis
g) incomplete miscarriage
h) Meckel’s diverticulum
i) silent miscarriage (missed abortion)
j) uterine fibroids
k) follicular cyst
endometrial carcinoma
An injected drug that produces a sustained uterine contraction, is used in the treatment of post-partum haemorrhage and commonly causes nausea and hypertension.
a) Atosiban
b) Ergometrine
c) Indomethacin
d) Misoprostol
e) Oxytocin
f) Prostaglandin F2a (Hemabate)
g) Recombitant factor VII
h) Syntometrine
ergometrine
A non-steroidal anti-inflammatory drug that can be used in the treatment of pre-term labour
indomethacin
is produced by the posterior lobe of the pituitary gland. A synthetic form of it may be given to women to treat slow progress in labour.
oxytocin
what blood test would reveal acute renal failure?
- serum urea
what blood test would reveal hepatitis?
serum alanin transferase
what blood tests would reveal nephrotic syndrome?
serum albumin
remember: nephrotic syndrome is the kidneys leaking protein into urine
A 4 year old boy is seen in A&E with a high fever (39.50C). He has a cough and examination reveals a stony dull percussion note over the whole of the right lung. CXR demonstrates a collection of fluid outside the right lung.
pleural empyema
- infected pleural effusion
- treated with chest drain and antibiotics
A ten year old boy presents with shortness of breath and fever. Examination reveals tachypnoea, dullness to percussion over the left base and bronchial breathing on auscultation.
streptococcal pneumonia
A 59 year old lady with poorly controlled diabetes presents with a 1 week history of altered sensation and weakness of her right hand and a 2 day history of worsening left foot drop.
indicative of:
motor neuritis mulitplex
- painful, asymmetrical, sensory and motor peripheral neuropathy
from what age does the human papilloma virus (HPV) vaccination programme start in the UK?
aged 12
how many doses comprises the HPV vaccination schedule?
2 doses
should be completed within 12 months
A 32 year old lady referred to the medical outpatient clinic with weight loss. Clinical examination reveals lid lag, fine tremor, tachycardia and a goitre.
what might you give?
indicative of hyperthyroidism
give carbimazole
An 18 year old girl whose sister has been admitted to hospital for meningococcal meningitis. She is asymptomatic.
likely antibiotic;
a) Ceftriaxone
b) Flucloxacillin
c) Gentamicin
d) Metronidazole
e) Clarithromycin
f) Rifampicin
g) Isoniazid
rifampicin
Penicillin is the drug of choice for the treatment of meningococcal meningitis and septicemia. Chemoprophylactic antimicrobials most commonly used to eradicate meningococci include rifampin, quinolones (eg, ciprofloxacin), ceftriaxone.
A 72 year old lady with a hot, swollen and red left leg following an insect bite 4 days ago. She is apyrexial and has no known drug allergies
a) Ceftriaxone
b) Flucloxacillin
c) Gentamicin
d) Metronidazole
e) Clarithromycin
f) Rifampicin
g) Isoniazid
likely to be cellulitis:
Usually, cellulitis is presumed to be due to staphylococci or streptococci infection and may be treated with cefazolin, cefuroxime, ceftriaxone, nafcillin, or oxacillin. Antimicrobial options in patients who are allergic to penicillin include clindamycin or vancomycin.
–> flucloxacillin
A 40 year old man with sweats and a high temperature. Clinical examination reveals a pansystolic murmur and echocardiogram shows amitral valve vegetation. He is already on intravenous benzylpenicillin and the microbiologists request the addition of an antibiotic that exhibits synergy with the benzylpenicillin.
a) Ceftriaxone
b) Flucloxacillin
c) Gentamicin
d) Metronidazole
e) Clarithromycin
f) Rifampicin
g) Isoniazid
gentamicin
An 80 year old woman with profuse diarrhea following a course of ciprofloxacin. Clostridium Difficile Toxin (CDT) is positive in the faeces.
which antibiotic would you give?
metronidazole
most appropriate antibiotic for a patient with :
community acquired pneumonia CURB65 = 1
patient is allergic to penicillin
clarithromycin
CURB 65 = low severity
1st line: amoxicillin
alternative treatment: doxycycline or clarithromycin
A 20 year old student who has been admitted with a severe headache. The cerebrospinal fluid contains 100 white cells/ mm3, which are 98% neutrophils
what antibiotic would you give?
a) clarithromycin
b) doxycycline
c) flucloxacillin
d) ceftriaxone
e) flucloxacillin
ceftriaxone
third generation cephalosporin
