Questions Flashcards
Over which time period is someone with chicken pox infective?
4 days before rash, until 5 days after the rash first appeared - all lesions are dry and crusted over
A patient presents with bleeding gums and easy bruising, which vitamin is she likely deficient in?
Vitamin C
What is the management for a patient with hypercalcaemia?
Aggressive IV fluids
Bisphosphonates eg zolendronate
Prevent recurrance by treating underlying cause
A child presents with stridor and a barking seal like cough, what is the most likely causative pathogen and how is it treated?
Croup - parainfluenza virus
Give single dose dexomethasosne (0.15mg/kg) to all children
An un-immunised child has recently travelled abroad, and returns home with a cough. What is the most likely causative agent?
Bordella pertussis
A patient has a hot swollen knee but is normothermic, what is the most likely diagnosis?
Patellar bursitis
What is the most likely cause of septic arthritis in a sexually active female?
Niscerria Gonnorhea
A male had surgery then a PE a few days later, how should this patient be medically managed?
DOAC for 3mths
A man presents with increasing forgetfulness had a CT brain which found frontal lobe atrophy. What is the diagnosis and pathophysiology?
Frontotemporal dementia
Tau protein accumilation
A man presents with ataxia, incontinance and dementia, with enlarged lateral and third ventricles.
What is the most likely diagnosis?
Normal pressure hydrocephalus
What is the management for a child with chicken pox?
Supportive management, unless immunocompromised or pregnant, then give aciclovir
A female patient has a catheter inserted and subsequently contracts a UTI. What is the most likely causative organism?
E. coli or p.mirabilis
A patient presents with acute testicular pain and no cremasteric reflex.
What is the most appropriate management?
Urgent surgical exploration (testicular torsion)
What is the most likely cause of a transilluminable lump in the scrotum?
Hydrocele
Which artery in the arm is most likely to be damaged in a supracondylar fracture?
Brachial
How is an essential tremor managed?
beta blocker
What is the most appropriate contraception for a woman not wanting children with a BG of PCOS?
COCP
Child with knee pain over tibial tuberosity, which becomes worse when he is riding his bike.
What is the underlying diagnosis?
Osgood schlatter
A patient with a recent UTI presents with reduced urine output. His prostate exam is unremarkable. What is the most likely cause of reduced urine output?
Urinary stricture
What is the most likely cause of bright red bleeding after opening bowels, with a BG of patient taking cocodamol?
Anal fissure
What is the condition related with the birth of a baby that is large for it’s gestational age?
Gestational diabetes
Which medications are associated with tinnitis?
Abx: clarithromycin, ciprafloxicin, tetracycline
Analgesics: Aspirin, ibuprofen
Cardiac: furosemide, ramapril, enalapril, diltiazem
Anticonvulsant: carbemazepine, amitriptyline
A patient with hypertensions is already on the max dose of ramapril, what medication do you add next?
CCB eg amlodipine/ nifedipine
Rugby player has a FOOSH and dislocates his shoulder. What is the direction of shoulder dislocation?
Posterior
