Past Papers

Question 1

Give 4 short term effects of chemotherapy?

Answer 1

Hair loss, nausea, vomitting, diarrhoea, mouth ulcers, fatigue and anaemia

Question 2

Give 4 long term effects of chemotherapy?

Answer 2

Infertility, hypertension, congestive heart failure, kidney failure

Question 3

What are 3 biological features of mental health?

Answer 3

Loss of appetite, erectile dysfunction

Question 4

What are 3 cognitive features of mental health?

Answer 4

Loss of concentration, difficulty sleeping, lacking motivation

Question 5

Give 2 biochemical factors of depression?

Answer 5

Low serotonin and low dopamine

Question 6

Give 3 pyschosocial impacts of depression?

Answer 6

Unemployment, social isolation, low socioeconomic status

Question 7

2 signs of acute pancreatitis?

Answer 7

1. Cullens sign

2. Grey Turners sign

Question 8

Give 4 causes of AF?

Answer 8

MI, Thyrotoxicosis, alcohol, valve failure, hypertension

Question 9

4 signs of auscultation during pneumonia?

Answer 9

Inspiratory crackles, reduced expansion, dull percussion, bronchial breathing, pleural rub

Question 10

Give 4 signs of pleural effusion?

Answer 10

Decreased chest expansion, stony percussion, trace deviation, decreased air entry

Question 11

Give 4 signs of pleural effusion?

Answer 11

Decreased chest expansion, stony percussion, trace deviation, decreased air entry

Question 12

What biochemical test do you use to monitor primary hypothyroid?

Answer 12

TSH

Question 13

Give 2 consequences of bacterial endocarditis?

Answer 13

Embolism, sepsis and congestive heart failure

Question 14

Name 4 cells found in an atheroma?

Answer 14

Smooth muscle cells, lymphocytes, foam cells, macrophages, endothelial cell

Question 15

If there is there is bilateral hilar

lymphadenopathy and nodules in the lung, what would you suspect?

Answer 15

Sarcoidosis

Question 16

What drug is given to treat anaphylactic shock?

Answer 16

Adrenaline

Question 17

Give 4 features of plaque psoriasis?

Answer 17

Pin point bleeding on scale removal, plaque lines follow trauma, oncholysis, extensor surfaces, disc shaped, silvery scales

Question 18

What is rheumatoid factor?

Answer 18

An autoantibody against the Fc portion of IgG

Question 19

Why would a patient with malignancy become confused, bone pain and constipated?

Answer 19

Hypercalcaemia

Question 20

What type of cell malignancy is myeloma?

Answer 20

Clonal plasma cells

Question 21

What type of cell malignancy is lymphoma?

Answer 21

Mature lymphocytes

Question 22

What type of cell malignancy is ALL?

Answer 22

Lymphoblasts (produce B mlymphocytes)

Question 23

What type of cell malignancy is AML?

Answer 23

Myeloblasts (produce basophil, eosinophil)

Question 24

What type of cell malignancy is CLL?

Answer 24

B-lymphocytes

Question 25

What type of cell malignancy is CML?

Answer 25

Mature granulocytes (eosinophil, basophil and neutrophils)

Question 26

What are the signs in SLE?

Answer 26

Photosensitivity, dsDNA, proteinuria, malar rash, discord rash, anaemia, thrombocytopenia, ANA. pericarditis, mouth ulcers

Question 27

What are the extra-articular involvements in Small vessel vasculitis ?

Answer 27

Saddle nose deformity, glomeurlonephritis, ulcers, periorybital oedema, nasal bleeds, pulomonary haemorrhage

Question 28

What are the extra-articular involvements in UC?

Answer 28

Erythema nodusum, pyoderma gangrenous, uveitis, primary sclerosing cholangitis, clubbing

Question 29

What are the extra-articular involvements in Chrons?

Answer 29

Mouth ulcers, anaemia, perinala abscess, episcleritits, ankylosing spondylitis, clubbing

Question 30

What are the extra-articular involvements in coeliac?

Answer 30

Angular stoats, dermatitis hepatiformis, osteomalacia

Question 31

What are the extra-articular involvements in Rheumatoid arthritis ?

Answer 31

Fibrosing alveoli’s, amyloidosis, bursitis, scleritis, Persioheral sensory neuropathy, anaemia, raynauds