Queddy Qued

Question 1

Initial management of DKA when patient is vomiting/significantly dehydrated

Answer 1

10ml/kg IV 0.9% saline

Question 2

Important side effect of pioglitazone ?

Answer 2

Fluid retention

Question 3

For which patients might SGLT-2 inhibitors be of particular help ?

Answer 3

Obese

• can help with weight loss

Question 4

Rinne’s positive in both ears. Weber’s lateralises to left - what type of hearing loss ?

Answer 4

Right sensorineural hearing loss

Rinne’s = no conductive hearing loss
Weber’s = sound better in the intact ear

Question 5

Rinne’s BC>AC in right hear. To which side does Weber’s lateralise ?

Answer 5

Right.

Because, in conductive hearing loss, there is a relative improvement in bone conduction

Question 6

Sudden onset sensorineural hearing loss - immediate management ?

Answer 6

High dose prednisolone
(in case the cause is inflammatory)

Question 7

Neck lump - what investigation ?

Answer 7

Ultrasound

Question 8

Bilateral conductive deafness in pregnant woman

Answer 8

Otosclerosis

(onset in early adulthood - exacerbated by pregnancy)

Question 9

Cortisol is a glucocorticoid !!

Name an example of a mineralocorticoid

Answer 9

Aldosterone

Question 10

Chronic destruction and deformities of the foot and ankle joints, mainly affecting the tarsometatarsal joints
Dense bones
Limited sensation in a glove and stocking distribution

Answer 10

Charcot’s arthropathy

• caused by diabetes and syphilis

Question 11

Gliclazide side effect !!!

Answer 11

Hypoglycaemia