quesmed

Question 1

side effects of radiation

Answer 1

Tiredness
Fatigue
Skin erythema
Alopecia
Mucositis (diarrhoea, dysuria)

radiation proctitis

Question 2

A 35 year old female presents to her GP with a new neck swelling that she noticed 1 week ago. She denies weight changes, heat intolerance, skin changes, palpitations or tiredness. On examination, there is a thyroid nodule which is firm and hard in consistency. Blood tests show:

TSH: 1.1 uIU/mL (0.2-4.2)

Given the likely diagnosis, what is the next step in the management?

Answer 2

Ultrasound and fine needle aspiration

Any patient with an unexplained new thyroid nodule should be referred via the urgent cancer referral pathway for an ultrasound and fine needle aspiration.

Question 3

head and neck cancer symptoms

Answer 3

Dysphagia
Odynophagia - painful swallow
Dysphonia
ALARM symptoms (tiredness, unexplained weight loss, loss of appetite)
Lymphadenopathy
Airway compromise (stridor)
Bad breath (halitosis)
Focal neurology (VII cranial nerve palsy)

Question 4

status elipticus over how many minutes

Answer 4

5mins

Question 5

colon cancer most commonly spread where

Answer 5

to liver via portal system

Question 6

What is the treatment of choice for prevention of haemorrhagic cystitis for patients taking cyclophosphamide?

Answer 6

Mesna
prevention of haemorrhagic cystitis for patients taking cyclophosphamide