phase 2 sba 8

Question 1

typical presentation of pancreatic head tumour

Answer 1

painless cholestatic jaundice with weight loss in an elderly.

Question 2

what are Rectal bleeding and tenesmus in the elderly alarm symptoms for

Answer 2

rectal cancer - Refer for flexible sigmoidoscopy

Question 3

what med can u give to pregnant woman for uti

Answer 3

Cefalexin

Question 4

management of suspected viral haemorrhagic fever (VHF)

Answer 4

viral haemorrhagic fever screen and thick & thin blood film

Question 5

what happens during vasovasagal syncope episode

Answer 5

often triggered by micturition

nausea and sweating before-hand and skin pallor - features of autonomic disturbance

causes convulsions and incontinence

fast recovery

Question 6

treatment for severe CAP

Answer 6

Co-Amoxiclav 1.2g TDS IV plus Clarithromycin BD PO

Question 7

treatment for mild CAP

Answer 7

Amoxicillin 500mg TDS

Question 8

treatment for moderate CAP

Answer 8

Co-Amoxiclav 625mg TDS PO

Question 9

what test can be used to get the cause of enlarged lymph nodes

Answer 9

Ultrasound guided biopsy

Question 10

which cancer is

sheets of medium-sized rapidly proliferaing B cells

Answer 10

Burkitt’s lymphoma

Question 11

which law is for when considering a patient’s right to choose whether they want treatment or not.

Answer 11

The Mental Capacity Act 2005

Question 12

what drug causes dry mouth and constipation

Answer 12

Oxybutinin - muscarinic acetylcholine receptor antagonist

Question 13

how does adrenaline cause vasoconsitrction

Answer 13

binding to α1-adrenoceptor

Question 14

what does α2-adrenoceptor do

Answer 14

inhibits insulin release in the pancreas,

Question 15

wha does β1-adrenoceptor do

Answer 15

increases the heart rate and increases renin secretion from the kidney

Question 16

what does β2 –adrenoceptor do

Answer 16

nvolved in bronchodilatation, vasodilatation and reduced GI motility.

Question 17

what does B3 adrenoreceptor do

Answer 17

relaxation of the detrusor muscle and increased lipolysis in adipose tissue.

Question 18

which med require monitoring due to its narrow therapeutic index?

Answer 18

Ciclosporin

Question 19

what tells u that aortic stenosis is svere

Answer 19

A small volume and slow rising pulse

Question 20

Which blood test is most indicated in to help discriminate between cardiac and respiratory causes for the increasing breathlessness?

Answer 20

Brain natriuretic peptide