QUEZ

Question 1

Signet ring sign

Answer 1

Bronchiectasis

Question 2

Osteogenesis imperfecta - most common type + inheritance pattern + extra-orthopaedic symptoms ?

Answer 2

Type I
Autosomal dominant

Blue sclera + hearing loss

Question 3

Steroids in order of potency

Answer 3

HELP EVERY BUDDING DERMATOLOGIST

1. Hydrocortisone (hydro=water=weak)
2. Eumovate (Clobetasone) (E for eyes and ears, safe to use on face)
3. Betnovate (Betamethasone) (B for body, suitable for body eruptions)
4. Dermovate (Clobetasol) (D for dermatology referral - very strong)

Question 4

Management of anti-GBM

Answer 4

High dose corticosteroids
Cyclophosphamide
Plasmaphoresis

Question 5

2 day old with sepsis.
What is the likely causative organism ?

Answer 5

Group B strep

(colonises the mother’s genital tract)

Question 6

What score is used to grade tumours ?

Answer 6

Gleason score

Question 7

Alcoholic being weaned off alcohol - what medication should be prescribed ?

Answer 7

Chlordiazepoxide

Question 8

Gingival hypertrophy, hypertrichosis and nephrotoxicity.
Caused by what medication ?

Answer 8

Ciclosporin

Question 9

Old man, less than 30 minutes of morning stiffness

Answer 9

Osteoarthritis

Morning stiffness <30 mins = Osteoarthritis

Question 10

30 year old patient has gradual onset bilateral sensorineural hearing loss and tinnitus + absent corneal reflexes bilaterally. Diagnosis ?

Answer 10

Bilateral vestibular schwannomas due to Neurofibromatosis type 2 (NF2)

Question 11

Young male, plays football, knee joint locks and is stiff.
Tenderness and slight swelling over his medial femoral condyle when the knee is flexed

Answer 11

Osteochondritis dissecans

(necrosis and displacement of a fragment of bone and cartilage in the joint due to overuse and repetitive microtrauma of the joint)

Question 12

Atrophic vaginitis treatment ?

Answer 12

Topical oestrogen cream

(causes thinning of the vulval and vaginal epithelium due to a lack of oestrogen)

Question 13

Gave birth minutes ago.

Hypoxic, hypotensive and tachycardic.

Sense of impending doom.

Answer 13

Amniotic fluid embolism

• DIC then cardiac arrest

Question 14

Concealed bleeding + woody uterus + possible shock =

Answer 14

Placental abruption