Quesmed

Question 1

Overflow diarrhoea management?

Answer 1

phosphate enema

Question 2

AD - medication review

Answer 2

stop anticholinergic drugs like oxybutynin

Question 3

what can Ivermectin be replaced by in roscea mx?

Answer 3

metronidazole
azelic acid

Question 4

phymatous disease mx?

Answer 4

secondary care - referral to dermatology

oral isotretinoin

Question 5

Rheumatic fever
diagnosing

Answer 5

anti-streptolysin o titre

Question 6

NICE guidelines
for FIT

Answer 6

> 50 unexplained rectal bleed

if +
> colonoscopy within 2 weeks

Question 7

salbutamol s/e

Answer 7

tachycardia
hypokalaemia
hyperglycaemia
lactic acidosis

Question 8

classic sign of vitreous haemorrhage

Answer 8

absent red reflex

DM
painless visual loss

Question 9

posterior vitreous detachment?

Answer 9

flashers and floaters

Question 10

anterior uveitis

Answer 10

irregular pupil

topical steroid + atropine / cyclopentalone

Question 11

diagnosis of infective endocarditis

Answer 11

transesophageal echocardiogram

Question 12

Digoxin toxicity

Answer 12

confusion
yellow-green vision
arrhythmia
generally unwell

nausea and vomiting

Question 13

findings of HOCM on ECG?

Answer 13

findings of left ventricular hypertrophy

increased amplitude of QRS : left ventricular hypertrophy

non specific T wave inversion

Question 14

Heart failure and wide QRS complex mx?

Answer 14

implanting a xardiac resynchronisation therapy pacemaker device

Question 15

which drug can affect the eGFR and give a false low eGFR?

Answer 15

trimethoprim

inhibits tubular creatinine secretion
= increase in serum creatitine

Question 16

Bullous pemphigoid detection of IgG and C3 is where?

Answer 16

epidermal basement membrane

hemidesmosome proteins

‘blistering skin’

Question 17

Epithelial cell surface IgG and C3

Answer 17

pemphigus vulgaris

Question 18

beta blocker overdose management?

Answer 18

Glucagon

Question 19

diabetic glomerulosclerosis is associated with what?

Answer 19

kimmelstiel wilson nodules

Question 20

spontaneous bacterial peritonitis?

Answer 20

neutrophil count >250/mm3

cloudy ascitic fluid
pH <7.0 suggest but not confirm

Question 21

modified KCC for liver transplant

Answer 21

<7.3 pH
hepatic encephalopathy garde 3/4

serum creatinine

Question 22

donepazil monitoring

Answer 22

acetylcholinesterase inhibitor

measure ECG before as can prolong the QT-interval

Question 23

dapsone and g6pd

Answer 23

severe haemolytic anaemia
assess before starting

Question 24

Infective endocarditis Ix?

Answer 24

echocardiogram
PET CT

Question 25

Membranous glomerulonephritis

Answer 25

spike and dome thickened glomerular basement Hepatitis B/C

Question 26

treatment of intracranial HTN?

Answer 26

carbonic anhydrase inhibitor

Question 27

acute angle closure glaucoma Mx?

Answer 27

pilocarpine IV acetazolamide

Question 28

Adenocarcinoma Lung Cancer

Answer 28

females/ non smokers osteoarthropathy clubbing painful arthropathy > inflammatory arthritis

Question 29

Squamous cell carcinoma lung cancer

Answer 29

hypercalcemia due to pPTH centrally located and originates in the bronchi

Question 30

When is CABG preferred over PCI?

Answer 30

significant arterial disease

Question 31

mx of infective endo MRSA

Answer 31

IV vancomycin IV rifampicin 4 weeks

Question 32

drug induced diabetes management/

Answer 32

start treatment if more than 12> on 2 occasions in 24 hours 240mg 320mg

Question 33

thyroglossal cyst?

Answer 33

move upwards with protrusion of tongue