past questions 1

Question 1

What is anticoag prescription after dvt?

Answer 1

-3 month DOAC provoked
-6 month doac if unprovoked
-Cancer u give 6 months

Question 2

What to co-prescrige in non-hodgkins lymphoma for better outcomes?

Answer 2

Rituximab

Question 3

What type of cells are characteristic for hodgkins lymphoma?

Answer 3

Reed-sternberg cells

Question 4

Pain in lymph nodes after drinking alcohol? diagnosis

Answer 4

Hodgkin’s lymphoma

Question 5

Risk factor for MALT lymphoma

Answer 5

H pylori

Question 6

What to give if vacomycin didn’t work first time in C.diff?

Answer 6

ORAL vancomycin and IV metronidazole

Question 7

outbreak of vommiting what organism is this caused by?

Answer 7

Nora virus

Question 8

main bug that causes vommiting outbreaks

Answer 8

norovirus and rotavirus in under 5’s

Question 9

what malignancy is linked to mysthethenia gravis linked to?

Answer 9

Thymoma

Question 10

When should a lumbar puncture be performed in a suspected SAH?

Answer 10

12 hours

Question 11

Treatment of dystonia in antipsychotic drugs?

Answer 11

Stop drug immediately and give procyclidine

Question 12

How can you prevent contrast induced nephropathy in patients requiring diagnostic imagining with CKD to prevent AKI?

Answer 12

1L of sodium chloride before and after the scan

Question 13

Isolated elevated ALP?

Answer 13

Bone disease

Question 14

Diahorrea, fatigue, low vitamin D, low calcium, low phosphate?

Answer 14

Coeliac disease

Question 15

Labyrinthitis vs vestibular neuronitis

Answer 15

Lab- hearing loss

Question 16

Treatment of Bells Palsy?

Answer 16

Predisolone if presenting within 72 hours of symptoms developing.

Lubricating eye drops to prevent eye from drying out and being damaged

Question 17

Prevention of motion sickness

Answer 17

Hycosine>cyclizine

Question 18

Test for autoimmune haemolytic anemia

Answer 18

Coombs test

Question 19

What to do in expected dvt but proximal leg vein ultrasound comes back negative but d dimer is positive.

Answer 19

Stop anticoagulation and repeat scan in 1 week

Question 20

Which valve is most commonly affected in infective endocarditis?

Answer 20

Tricuspid valve

Question 21

What is the most common cause of pool related diahorrhea and how is it treated?

Answer 21

Crypto and self limiting

Question 22

Treatment for urticaria?

Answer 22

1st - a non-sedating antihistamine
2nd line - oral corticosteroids

Question 23

What muscle groups does trandelenburgs test check the stability of?

Answer 23

Abductors/ gluteal muscles?

Question 24

Mania vs hypomania

Answer 24

Delusions or hallucinations in mania

Question 25

Management of neonatal hypoglycaemia:

Answer 25

Asymptomatic:
* encourage normal feeding (breast or bottle)
* monitor blood glucose

symptomatic or very low blood glucose:
* admit to the neonatal unit
* intravenous infusion of 10% dextrose

Question 26

When to refer for colposcopy?

Answer 26

3x hpv positive only
2x inconclusive
Abnormal cytology

Question 27

Treatment for urge and stress incontinence

Answer 27

Urge- Oxybutynin
Stress- Duloxetine

Question 28

Which is the bad cholesterol?

Answer 28

LDL

Question 29

What is the inheritance pattern and signs of familial hypercolestrolaemia?

Answer 29

Autosomal dominant
Heterozygous version much more common.

-V high cholesterol (over 7.5 in adults)
-FHx of premature CVD (mi under 60 in 1st degree relative
-Tendon xanthomata (hard nodules in the tendons contain cholesterol, often on the back of the hand and Achilies

Question 30

Apart from lifestyle advice what should be offered to all patients with peripheral vascular disease. And then if this fails?

Answer 30

1.A supervised exercise programme.

Revascularisation procedures may be offered if all measures fail (bypass/ angioplasty surgery).

If they dont want this offer vasodilator medication e.g. naftidrofuryl oxalate

Question 31

Prostaglandins (which type?) vs indomethacin

Answer 31

Indomethacin is indicated from patent ductus arterious closure (onset of action)

Prostaglandins especially E tyoe maintain the patency of the ducts