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Year 3 Med 2 > Practice Q's med 2 > Flashcards

Practice Q's med 2 Flashcards

1
Q
  • 22 year old female
  • 2 day history vomiting and lethargy
  • disoriented and clinically dry
  • obs: BP 92/ 50,pulse 105, rr 20, sats 98%, temp 36.4, cap blood glucose 32mmol/L,urine dip: glucose++ ketones ++

what is the diagnosis?

A

DKA

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2
Q

Which of the following is not asymptom of cushings

  1. easy bruising
  2. acne
  3. weight gain
  4. striae (stretch marks)
  5. increased pigmentation of skin
A

increased pigmentation is not a symptom

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3
Q

Which of the following are symptoms of hyperthyroidism

  1. urinary frequency
  2. weight gain
  3. heat intolerance
  4. weight loss
  5. tremor
  6. diarrheoea
A

heat tolerance

weight loss

tremor

diarrheoea

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4
Q

Which of the following are symptoms of acromegaly

  1. increased finger ring size
  2. deepening voice
  3. visual changes (double vision, reduced vision, tunnel vision)
  4. diarrhoea
  5. widespread rash
  6. hyperhyidrosis (excessive sweating)
  7. abdominal distension
  8. paraesthesia and weakness in hands
  9. vomiting
  10. headache
A
  • increased finger ring size
  • deepening voice
  • visual changes (double vision, reduced vision, tunnel vision)
  • hyperhyidrosis
  • paraesthesia and weakness in hands
  • headache
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5
Q

65 yo man

vision loss, headache, cold intolerance, unintentional weight gain, bitemporal hemianopia, pulse of 50, high TSH and T

diagnosis?

A

pituitary adenoma

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6
Q

What is the most common cause of cushings syndrome

a ectopic ACTH secretion

b pituitary adenoma

c glucocorticoid treatment (iatrogenic)

d adrenal adenoma

A

iatrogenic glucocorticoid treatment

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7
Q

which of the following are common symptoms of hypothyroidism

  1. oily skin
  2. hyporeflexia
  3. dry skin
  4. weight gain
  5. hair loss
  6. weight loss
  7. excessive hair growth
A

hyporeflexia

dry skin

weight gain

hair loss

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8
Q

what is the average lifespan of a RBC?

A

120 days

4 months

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9
Q

which of the following measures the effectiveness of warfarin

A

international normalised ratio (INR)

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10
Q

which of the following are causes of macrocytic anaemia?

  1. sickle cell disease
  2. B12 deficiency
  3. G6PD deficiency
  4. hereditary spherocytosis
  5. iron deficiency
A

B12 deficiency

hereditary spherocytosis

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11
Q

what is the commonest cause of microcytic anaemia

A

iron deficiency

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12
Q

70 year old man, 3 month history of back pain and general malaise. blood tests reveal:

low Hb, high creatinine, high calcium, high total protein

A

myeloma (CRAB symptoms and signs)

  • Calcium ↑
  • Renal impairement (creatinine ↑)
  • Anaemia
  • Bone pain (back pain)
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13
Q
  • 70 year old woman
  • incresaed bowel frequency of bowel movements
  • physically active and healthy
  • “healthy diet”
  • low Hb, WBC -, platelets -, ferritin low, coeliac screen negative, peripheral smear hypochromatic

what is the most appropraite next step?

coagulation study, CT abdomen, faecal occult blood test, colonoscopy, upper gi endoscopy

A

colonoscopy (query faecal test as more readily available)

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14
Q
  • 21 year old male
  • chronic abdominal pain with consistent Bristol stool chart 7 stool (water) every day for the last 6 years
  • childhood asthma and epistaxis
  • pain that is sharp and pulsates within left iliac fossa and epigastric area
  • bowel sounds hyperactive but no other clinical signs
  • no histological changes on endoscopy
  • helicobacter negative

most likely diagnosis?

A

IBS (D)

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15
Q
  • 32 year old woman
  • fatigue weight loss
  • uncomfortable and bloated after food
  • frequent diarrhoea
  • rash on her elbow
  • pale and thin
  • papulovesicular rash

diagnosis?

A

coeliacs

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16
Q
  • 26 year old woman uintentionally loses weight
  • appetite hasnt changed
  • intermittent abdo pain in right lower side
  • exhausted
  • bowels open more frequently
  • stools are often loose
  • no organomegaly
  • angular stomatitis

diagnosis?

A

colonic carcinoma????

17
Q

2 main causes of uGI bleed?

A

peptic ulcer disease

oesopageal varices

18
Q

which of these is not a cause of pitting oedema?

  1. pregnancy
  2. low serum albumin
  3. congestive heart failure
  4. graves disease
  5. venous insufficiency
A

graves is not a cause of pitting oedema

19
Q

in a patient with proteinuria detected on a urine dipstick analysis, which of the following is true?

  • the patient has nephrotic syndrome
  • the glomerular basement must be abnormal
  • this is a common finding in pregnancy and can be ignored
  • renal function should always be checked
A

renal function should always be checked

Year 3 Med 2 (9 decks)

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