quesmed mocks

Question 1

how is herpes keratitis of the eye managed

Answer 1

topical aciclovir drops

Question 2

what lung complication commonly occurs after abdominal surgery

Answer 2

atelectasis

Question 3

how does post surgery atelectasis present

Answer 3

reduced air entry
elevated resp rate
normal oxygen sats

Question 4

what part of the bowel does post operative ileus affect

Answer 4

the large bowel

Question 5

how do small bowel obstruction and large bowel obstruction differ in terms of presentation

Answer 5

SBO= tinkling bowel sounds
LBO= absent bowel sounds

Question 6

in what cause of AF should you use warfarin instead of DOAC

Answer 6

mitral stenosis

Question 7

what type of pleural effusion do you get with metasteses

Answer 7

unilateral

Question 8

what should you look for in obs in AF

Answer 8

the temp- if they are septic this is most likely causing their AF and treating the infection will treat the AF (therefore dont rate or rhythmn control)

Question 9

if a DVT causes a stroke, what does this suggest and what ix is needed

Answer 9

bubble echcardiogram
the clot has travelled from the venous to arterial system- this could be due to a patent foramen ovale

Question 10

how is carcinoid syndrome treated

Answer 10

ocreotide

Question 11

how does carcinoid syndrome affect the heart

Answer 11

right sided heart murmurs

Question 12

what is the link between IgA deficiency and coeliacs

Answer 12

an IgA deficiency will cause a false negative anti ttg

it MASKS a diagnosis of coeliacs

Question 13

first ix in someone with ascites

Answer 13

paracentesis

need to check for SBP

Question 14

what is seen on an ascitic tap in SBP

Answer 14

neutrophils >250

Question 15

what abx is given in SBP

Answer 15

IV cefotaxime

Question 16

when are prophylactic abx given for SBP

Answer 16

after a previous episode
when protein is <15
until ascites resolves

Question 17

what surgery is done for BCC on face

Answer 17

mohs micrographic surgery

Question 18

if someone is hypoglycaemic and has IV access what do you give

Answer 18

IV glucose

Question 19

what is the most common type of renal stone

Answer 19

calcium oxalate

Question 20

in infective endocarditis if TOE and TTE are available, which should you do

Answer 20

TOE

Question 21

what electrolyte imbalance precipitates digoxin toxicity

Answer 21

hypokalemia

Question 22

first ix for pleural effusion

Answer 22

pleural aspiration

Question 23

if what chest x ray finding is furosemide given

Answer 23

pulmonary oedema

NOT pleural effusion

Question 24

what does b mean in lymphoma staging

Answer 24

presence of B sx

Question 25

what type of drug is hycoscine

Answer 25

antispasmodic and antimuscarinic

Question 26

who must sign an advanced directive

Answer 26

patient and witness