PPQs

Question 1

3x causes of unilateral facial droop

Answer 1

UMN: stroke, subdural haemorrhage, brain tumour
LMN: infective - ramsay-hunt, acute otitis media, cholesteatoma, viral HSV-1, CMV, EBV; Bell’s palsy (dx of exclusion)

Question 2

what are the principles of gillick competence/fraser guidelines? / what are the ways to demonstrate it?

Answer 2

can understand professional's advice
can't be persuaded to tell parents
would engage in sexual intercourse w or w/o contraception 
would harm MH/physical health otherwise 
it is in their best interest

Question 3

first line meds for stable angina?

Answer 3

BB, CCB

Question 4

31 y/o painless scrotal lump: well defined, non tender 1cm mass on R side scroptum, superior to testis, transilluminates = ?

Answer 4

epididymal cyst (spermatocele)

Question 5

what is the most common causative agent for leg cellulitis? (incl for DM pts)

Answer 5

streptococcus (pyogenes)

staph aureus

Question 6

how to treat superficial thrombophlebitis?

Answer 6

oral NSAID
compression stocking
LMWH or fondraparinux

Question 7

1st line tx for symptomatic gallstone disease?

Answer 7

lap cholecystectomy

2nd: percutaneous cholecystostomy

Question 8

emergency tx to reverse warfarin? bleeding, INR>5

Answer 8

IV vit K

prothrombin complex concentrate

Question 9

HTN + hypoklaemia = ?

Answer 9

hyperaldosteronism (Conn’s)

Cushing’s

Question 10

what does gastruoduodenal artery supply?

Answer 10

pylorus, 1st part duodenum, head of pancreas

1st part duodenum prone to ulcers

Question 11

what is the best imaging for osteomyelitis?

Answer 11

MR bone

Question 12

findings for tertiary hyperarathyroidism

Answer 12

increased phos, ca, PTH, alk phos

Question 13

radiological changes initially found in which lobe in Alzheimer’s?

Answer 13

temporal