Pick'N'Mix (4) Phase 3A

Question 1

List the ICD 10 criteria for bulimia

Answer 1

1. Recurrent episodes of binge eating characterised by uncontrolled overeating
2. Preoccupation with control of body weight
3. Regular use of mechanism to overcome fattening effect of binge eating
4. BMI > 17.5

Question 2

What part of the brain is involved in schizophrenia

Answer 2

Temporal lobe

Question 3

Define a capgras delusion

Answer 3

People close to them have been replaced by an exact double

Question 4

Define de clérmamboults syndrome

Answer 4

Belief that a high profile celebrity is in love with them and is secretly sending them messages or signs

Question 5

What is the inheritance pattern of glaactosaemia?

Name one investigation you would do to confirm the diagnosis

Answer 5

Autosommal recessvie

Reducing substances in the urine

Question 6

List the genotype and the clinical features of Turners

Answer 6

45 X,O
Short stature 
Webbed neck 
Widely spaced nipples 
Wide carrying angle 
Infertility 
Coarctation of the aorta

Question 7

List the pathophysiology associated with cystic fibrosis

Answer 7

Autosommal recessive condition
Chromosome 7
Mutations in the cystic fibrosis transmembrane conductance regulator gene which encodes for the cyclic AMP-regulated sodium chloride channel

Question 8

List signs of dehydration in kids

Answer 8

Reduced consciousness 
Sunken fontenell 
Sunken eyes 
Dry mucos membranes 
Reduced urine output 
Reduced skin tugor

Question 9

Treatment of pyloric stenosis

Answer 9

Pylorotomy

Question 10

Risk factors for ovarian carcinoma

Answer 10

Nulliparity 
Early menarche and late menopause 
Race 
Infertility 
Ovulation inducing drugs
Delayed menopause

Question 11

Hormonal findings in PCOS

Answer 11

High serum LH
Low FSH levels
High androgens
High estradiol

Question 12

Define a 3rd degree tear

Answer 12

External anal sphincter and internal anal sphincter

Question 13

Define postural hypotensions

Answer 13

Drop in systolic BP > 20mmHG or a drop in diastolic BP >10mmHG in the 10 mins of standing

Question 14

Causes of postural hypotension

Answer 14

Medications 
- Nitrates
- Diuretics 
- Antihypertensives 
Excessive alcohol consumption 
Hypovolaemia 
Autonomic failure

Question 15

What is the mode of action of wafarin

Answer 15

Inhibits reductase enzymes responsible for regeneration of Vitamin K which inhibits the production of vitamin K dependent clotting factors
10, 9 ,7 and 2

Question 16

List the drugs that cause urinary retention

Answer 16

Oxybutin

NSAIDS

Question 17

What is anaphylaxis and how do you treat it

Answer 17

Type I hypersensitivity reaction

Adrenaline (IM)

Question 18

Clinical features of frontotemporal dementia

Answer 18

Earlier onset 
Insidious slow progression 
Early phase memory is preserved 
Loss of excessive functioning 
No delusions or hallucination or paranoia

Question 19

Mechanism of action of memantine

Answer 19

Reduces the level of glutamate
NMDA receptor antagonist
Reduces neuronal degeneration

Question 20

What is involved in a falls screen

Answer 20

Routine bloods 
Inflammatory markers 
Blood glucose 
ECG 
Urine analysis 
Lying and standing BP

Question 21

Outline the indications for ECT

Answer 21

Life threatening depression
Depression with psychotic features
Catatonic stupor
Previous good response to ECT

Question 22

What are schneider 1st rank symptoms of schizophrenia

Answer 22

Thought disorder 
Abnormal or inappropriate mood 
Delusional perceptions 
Thought insertion 
Passivity 
Auditory and visual hallucinations