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Questions Flashcards

1
Q

drugs of abuse- one was a kid with cracked nose and lips

A

Solvents

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2
Q

designing paeds health programme to reduce death due to accident in primary sch kids, which area focus on: choices were RTA, pedestrian accidents, home appliances etc.

A

Road traffic accidents

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3
Q 
bleeding/unwell post-partum most common cause
Atonic Uterus
Trauma
Infection
Endometritis
Coagulation Disorders
A

Uterine atony

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4
Q

80 year old with uterine prolapse. What pessary should she get? She still wants to have sex
Ring
Shelf
Gellhorn

A

Ring

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5
Q
  1. 14 year old primary amenorrhoea + ejection systolic murmur
A

Turners

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6
Q 
What gives you macrosomia during pregnacy
Pre-eclampsia
Infections
Gestational Diabetes
Alcohol
A

Gestational Diabetes

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7
Q
  1. Cyclical pain, no heavy menstrual bleed, never sexually active
A

Primary Dysmenorrhoea

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8
Q
  1. Ethics – 14 year old pregnant, comes with sister, wants a TOP. What should you do?
A

Persuade her to tell her parents if she refuses and gillick competent, you can give her TOP.

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9
Q
  1. What situation would you use donor eggs?
A

Premature Ovarian Failure

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10
Q
  1. What do you test for in Hep B infection antenatally?
    HbsAg
    HbeAg
    Anti-Hbc
A

HbsAg

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11
Q
  1. What is not a risk factor for primary PPH?
    a. B thalassaemia trait
    b. Retained products
    c. Sepsis
    d. Vaginal tear
    e. Multiparity
A

Thalssaemia

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12
Q
  1. At antenatal check, woman with BP 150/90, what would you do
    Admit and assess
    Discharge and follow up next week
    Discharge and follow up at the end of pregnancy
    Immediate delivery
A

Admit and assess

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13
Q 
Stress incontinence first line management?
Pessary
Pelvic Floor exercise
Oxybutinin
Bladder training
A

Pelvic floor exercises

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14
Q
  1. What is the treatment for a bartholian abscess
A

Marsupialisation

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15
Q
  1. Women with previous GDM what is the best way to investigation her blood glucose? OGTT
A

OGTT at 16-18 weeks

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16
Q
  1. Women with spotting otherwise well, what is the most important thing to rule out, 8 weeks pregnant?
A

Ectopic Pregnancy

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17
Q 
13.	What type of contraception can increase risk of osteoporosis? 
COCP
Progesterone Pill
Depot
Implant
Copper Coil
A

Depot

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18
Q
  1. Women with excessive vomiting, under what circumstance would you admit her?
    5% dehydration
    Ketonuria
    Requires antiemetic
A

Ketonuria

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19
Q
  1. What is likely to cause this man’s azoospermia with no significant recent history?
    Mumps
    Trauma
    Malignancy
A

Mumps

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20
Q
  1. Menopause treatment – what HRT would you give

a. Premature menopause and wants a bleed

A

Cyclical oral HRT

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21
Q
  1. Menopause treatment – what HRT would you give

b. Someone want something for their bones –

A

Bisphosphonate

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22
Q
  1. Menopause treatment – what HRT would you give

c. Women with menopausal symptoms, hysterectomised, does not want to take oral tablets

A

Transdermal Oestrogen HRT

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23
Q
  1. Menopause treatment – what HRT would you give

d. Perimenopausal women with menopausal symptoms, irregular menstruation, does swimming and does not patch

A

Cyclical oral HRT

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24
Q
  1. Menopause treatment – what HRT would you give

e. Women with menopausal symptoms and has eczema

A

Oral combined HRT

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25
Q

Clue Cells

A

BV

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26
Q

Strawberry cervix

A

Trichomonas Vaginalis

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27
Q

Panful multiple lesions on labia

A

Herpes

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28
Q

white patches on the genitals in woman over 50, no cure

A

Lichen sclerosus

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29
Q

Curdy white-yellow discharge

A

Candidiasis

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30
Q

Blue dots on cyst

A

Nathobian Cyst

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31
Q

Mother with stillborn baby, generalized oedematous when born, mother had fever at 18w with rash on trunk

A

Parvovirus B19

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32
Q

Smear shows moderate dyskariosis

A

CIN2

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33
Q 
76 year old woman had a brown dishcarge. What is most likely cuase
Endometrial Cancer
Cervical Cancer
Cervical Ectropion
Atrophic Vaginitis
Infection
A

Atrophic Vaginitis

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34
Q

47yo women with menorrhagia + dysmenorrhea, US showed multiple fibroids. Management

A

Myomectomy or Hysterectomy

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35
Q

32 yo has 2 children says shes done with family, had COCOP before

A

Mirena

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36
Q

c. Women going away for holiday and would like to delay her periods

A

COCP

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37
Q

a. Mother being prepared for CS, sudden tingling around her mouth?

A

Spinal block

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38
Q

b. Mother being prepared for CS and has a regional block, sudden tachycardia, SOB, difficulty in breathing and rash

A

Anaphylaxis

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39
Q

c. Mother had previous CS, sudden abdo pain and abnormal CTG

A

Uterine rupture

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40
Q

c. Intermittent pain + vomiting in young woman not pregnant

A

Ovarian torsion

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41
Q
  1. Kid with fever of >39 what to do next
A

Full septic screen

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42
Q

Mother with kid who still isn’t speaking, and should have been time ago

A

Hearing assessment

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43
Q
  1. Kid fitting for over 5mins, normal glucose, what do you give?
A

Buccal midazolam
Rectal diazepam
or if IV access, lorazepam

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44
Q
  1. Asthma management. Kid with acute exacerbation, been given salbutamol and steroids. On listening to the chest, you hear a quiet chest, respiratory rate 60. What to do?
A

Call PICU, consider intubation

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45
Q
  1. Dehydration + ill kid – weight 15kg what do you give initially?
A

300ml IV bolus

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46
Q
  1. Aspiration pneumonia what would you do?
A

ABCDE

Bronchoscopy removal, Abx etc….

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47
Q

Strawberry tongue

A

Kawasaki or Scarlet fever

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48
Q
  1. What is the purpose of debriefing after a child’s death in resuscitation?
A

To address emotional needs of everyone in the team

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49
Q
  1. Child who pass stool every few days, when he does go, stools are pellet like and smelly, what is the likely diagnosis
A

Constipation

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50
Q
  1. Child with pruritus ani worse at night, what would you give to treat?
A

Mebendazole

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51
Q

a. Impetigo management

A

Topical fusidic acid

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52
Q

Rash involving flexures with satellite pustules treatment

A

Clotrimazole

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53
Q

Rash not involving the flexures treatment

A

Zinc and caster oil

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54
Q

Scabies treatment

A

Entire family with permethrin cream

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55
Q

Chicken pox treatment

A

None needed, supportive

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56
Q

By WHAT AGE would you refer the following kids if they haven’t achieve the following milestones
Sit without support

A

8 months

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57
Q

By WHAT AGE would you refer the following kids if they haven’t achieve the following milestones
Walk

A

18 months

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58
Q

By WHAT AGE would you refer the following kids if they haven’t achieve the following milestones
Hop on one leg

A

5 years

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59
Q

By WHAT AGE would you refer the following kids if they haven’t achieve the following milestones
Pincer grip

A

12-18 months.

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60
Q

By WHAT AGE would you refer the following kids if they haven’t achieve the following milestones
Smiles

A

8 weeks

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61
Q

Intoxicated Kid Investigations

A

Urine drug screen

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62
Q

Dehydrated, seizures, mother been giving some herbal oral rehydration fluid or something Investigations

A

Sodium

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63
Q

Sick kid with fever, vomiting, photophobia Investigations

A

CT Head then LP if not contraindicated

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64
Q

Sick kid with fever, vomiting, photophobia Investigations

A

CT Head

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65
Q

Resp Problems

Neonate still needing oxygen

A

Bronchopulmonary Dysplasia

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66
Q

Resp Problems

Ground glass appearance

A

RDS

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67
Q

Resp Problems

Nitrogen washout test done

A

Congenital Heart Disease

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68
Q

Resp Problems

Meconium stained liquor

A

Meconium aspiration

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69
Q

Resp Problems

Meconium stained liquor

A

Meconium aspiration

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70
Q

large abdominal mass, often incidentally found in an otherwise well child

A

Wilms tumour

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71
Q

malignant tumour of retinal cells, all bilateral tumours are hereditary, white pupillary reflex noted to replace normal red one or otherwise present with a squint.

A

Retinoblastoma

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72
Q

in limbs with persistent localised bone pain

A

Osteoid Sarcoma. More common than Ewings

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73
Q

2-5 years age, insidious presentation over several weeks but may progress rapidly, see malaise, anorexia, pallor, lethargy, infection, bruising, petechiae,

A

ALL

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74
Q

Arises in midline of posterior fossa – may see through CNS via CSF and 20% have spinal metastases at diagnosis; signs and symptoms may be due to raised ICP and depends on site of tumor e.g. back pain, peripheral weakness.

A

Medulloblastoma

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75
Q

a. Kid with sore throat, cervical lymphademopathy, been given antibiotics, rash comes on.

A

EBV

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76
Q

b. Rash that started from behind the ears and spread to trunk, parents are vegetarians and kid goes to school in north London

A

Measles

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77
Q

a. Intermittent pain, dehydrated, vomited 3 times

A

Intussusception

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78
Q

Sudden abdo pain, well child, something indentable on the RLQ

A

Constipation

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79
Q

Scaphoid abdomen in neonate, heart sounds displaced

A

Diaphragmatic Hernia

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80
Q
  1. Recurrent abdominal pain, under what circumstances would you refer to CAMHS?
A

If it’s peak and even primary community services don’t work and neither does the health visitor

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81
Q
  1. Ethics – 78 year old fell and sustained a fractured NoF and refuse surgery, son is a lawyer and says his mother does not have capacity, what should you do?
A

Assess capacity

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82
Q
  1. Someone who just started on an antipsychotic and becomes tachycardia, hyperthermia, sweating, urine drug screen negative.
A

Neuroleptic Malignant Syndrome

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83
Q
  1. Diagnosed bipolar disorder – sudden renal failure, what do you check?
A

Lithium Levels

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84
Q
  1. Starting 21 year old with depression + suicidal idealization on antidepressants, what is your follow up plan?
A

Review in 1 week

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85
Q
  1. Someone with acute dystonia what would you give?
A

Procyclidine

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86
Q
  1. Someone with bulimia, BMI 22, well and keen to get treatment.
A

Fluoxetine and CBT

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87
Q
  1. Someone who lost her husband 7 months ago and started hearing voices of him saying to join him a month ago
A

Abnormal grief response

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88
Q
  1. Alcoholic and had previous delirious tremens and wants detox at home what would you do?
A

Reducing dose of chlordiazepoxide

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89
Q
  1. Someone with depression and has made plans to end his life comes to your GP surgery with his sister what would you do?
A

A&E Admission

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90
Q
  1. Out of the following people, who is likely to commit suicide?
    Women
    Managerial Workers
    People who are not married
    People aged 40-50
    Someone who likes to drink a glass of wine occassionally
A

Unmarried person

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91
Q
  1. If all these children have learning disability, who is most likely to have mental disorder later on?
    a. Child with epilepsy
    b. Child with long term illness
    c. Child with malignancy
A

Epilepsy

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92
Q
  1. Women with sudden confusion what would you do first?
A

Urine dip

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93
Q

Two antipsychotics have failed to work.

A

Clozapine

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94
Q

Acute dystonia following haloperidol

A

Procyclidine

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95
Q

Aggressive person needs tranquilisation

A

Haloperidol

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96
Q

Moderate depression in young adult

A

Citalopram

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97
Q

a. Who would you refer a schizophrenic patient to if they are being discharged and needs support in the community regarding treatment?

A

Community psychiatric nurse

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98
Q

b. Someone with schizo and need help organizing their activities after they are being discharged?

A

OT

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99
Q

c. Girl who overdose in front of her boyfriend after a row, no previous suicide/ self-harm attempts. Good health. Only did it because she wanted attention from her boyfriend.

A

GP

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100
Q

Lady with CIN II – Moderate dyskariosis. What does this mean?

A

Increased nuclear: cytoplasmic ratio; Abnormal mitosis

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101
Q

20 week antenatal scan. Which of the following is best description:

A

Structural Anomaly Scan

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102
Q

Lady has a diagnostic laparotomy. She has suprapubic pain that not even IV painkiller is helping.

A

Urinary retention

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103
Q

Somali lady comes in doesn’t speak much English says she’s 42 weeks. Examination of abdomen suggests a 32 week uterus. What is next in management?

A

Admit because she might have HIV which would explain SGA

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104
Q

Overweight lady you notice she’s hirsute

A

PCOS

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105
Q

Leading cause of maternal mortality in UK

A

Sepsis

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106
Q

Management of 4 year old with enuresis - dry by day

A

Reassure. Problematic at 5

107
Q

Child with Downs has an NJ tube at home. It comes out and needs re-inserting. Who should put it back in?

A

Should be done at hospital cos XR needs to be done to confirm its in

108
Q

You’re the duty GP. Mum calls about child with fever/non-blanching rash. What do you do/advise?

A

Go to A&E

109
Q

Child diagnosed with functional abdo pain. Associated with school. What’s the best management plan?

A

Advise them to go to school and come back home if they start to have pains

110
Q

Child is slow to get dressed. Likes to arrange his toys in a particular way. [

A

ASD

111
Q

Child is an arsonist. Gets in fights. Attacks teachers. What is he likely to have at age 20?

A

Conduct Disorder

112
Q

Talking about a ~8 month child with cerebral palsy. Which of their milestones is likely to suggest CP

A

Hand preference

113
Q

Ortolani test positive. What you do?

A

USS at 3m

114
Q

Child with downs in residence. Short term history of attacking people, anger outbursts etc. Best management? [Give antipsychotics; Move her to new home; Send her for neuropsychiatric assessment/therapy; Give antidepressant]

A

Review with neruopsychiatry

115
Q

Asthmatic child in A&E. Mother has been giving two puffs of salbutamol with spacer every 4 hours. Description given correlated to severe asthma. What your management? [Inhaled nebs; inhaled adrenaline, Discharge; 10 puffs of salbutamol through spacer]

A

10 puffs through spacer

116
Q

Child has inspiratory stridor (doesn’t explicitly state, but gives a description implying this) since birth. Likely cause?

A

Laryngomalacia

117
Q

Child takes 4 tablets of grandmothers benzodiazepines 4 hours ago. She’s currently asleep, but was fully awake with GCS 15. Your next step? [Activate charcoal; Gastric Lavage; IV flumenazil; admit for monitoring]

A

Admit to monitor

118
Q

Afebrile child with D+V. Description alludes to shock. She is 15kg. What do you give her initially? Fluids wise

A

300ml bolus of saline

119
Q

7 year old goes to a new school. School complains that he keeps soiling himself. What is most likely reason?

A

Stool holding

120
Q

A child who recently started solids has been suffering from constipation. On examination no fecal masses felt per abdomen. Management?

A

Lifestyle, fluids and all that

121
Q

What defines a mild learning disability?

A

IQ 70

122
Q

Which of the following is not an RF for suicide? [FHx of depression; FHx of suicide; Prev suicide attempt; Male; Heroin-use]

A

FHx of depression

123
Q

75 yr lady bought in with daughter. “She”says is anxious, being increasingly forgetful lately in past 3 motnhs, thinks she has dementia.

A

Depression

124
Q

You’re a GP. Elderly person presents with a history of the classical signs of Alzheimer’s. What do you do next? [Prescribe donazepil; refer to memory clinic; MRI head; reassure]

A

Memory clinic

125
Q

What bloods would you test for, to monitor Lithium toxicity? [U&E/Lithium levels/TFTs, Lithium levels, TFTs, Nothing unless symptomatic, U&E/Lithium, TFT/Lithium]

A

U+E
or
Lithium Levels

126
Q

A person with a diagnosis of Bulimia nervosa. BMI 22. Wants to get help after self help measures failed. Management? [CBT; CBT+ Fluoxetine; Fluoxetine; Psychoanalytic therapy]

A

CBT

127
Q

A teenage girl takes an OD of paracetamol after being “dumped” by boyfriend. Which feature is likely to suggest further suicide risk? [She got dumped for another girl; She took the OD in front of him saying she wanted to teach him a lesson; N-acetyl cysteine was required; she felt hopeless]

A

She felt hopeless

128
Q

oElderly lady consented for operation by GP. Day of op decides not to have it but son insists she should go ahead. What should the doctor do. Options: [act in best interests; take word of the son as consent;
assess the patient’s capacity;]

A

Assess Capacity

129
Q

Mum gave birth a few days ago. Says she is concerned that the baby is a “changeling”. Which of the following is most likely to suggest mother is having a psychotic episode

A

Neologism??

130
Q

Low FSH and Low LH

A

Hypothalamic Hypopituitarism. Also seen in exercise, stress and significant weight loss

131
Q

Raised LH and FSH and no periods

A

Premature Ovarian Failure

132
Q

Raised prolactin

A

Prolactinoma or non-functioning adenoma

133
Q

N FSH and Moderately raised LH and oligomenorrhoea

A

PCOS

134
Q

Nappy rash with satellite lesions Tx

A

Clotrimazole

135
Q

Nappy rash with flexural sparing Tx

A

Zinc and caster oil barrier cream

136
Q

Chicken Pox Tx

A

Supportive

137
Q

Scabies Tx

A

Permethrin

138
Q

Impetigo Tx

A

Fusidic Acid

139
Q

Two fetal poles, one gestational sac

A

MCDA

140
Q

Twin pregnancy; One fetus has polyhydriamnios; Other one has oligohydramnios

A

Twin-twin transfusion syndrome

141
Q

Snowstorm appearance in pregnancy

A

Molar Pregnancy

142
Q

Most likely effect from cheese reaction due to MAO-I.

A

Hypertension

143
Q

Common S/E of clozapine

A

Hypersalivation

144
Q

Severe S/E of clozapine

A

Agranulocytosis
Seizure
CVD Effects

145
Q

Child bought in by grandmother. Said to have knocked knee in cupboard which has become swollen. His brother had swelling having banged head when he was young.

A

Haemophilia

146
Q

Child with posterior rib fractures and some other patterns of injuries

A

NAI

147
Q

.Girl with painful hot swollen knee joints. PMH of hot/swollen/painful wrist

A

Septic Arthritis

148
Q

Girl not able to weight bear. Recently recovered from viral illness.

A

Transient Synovitis

149
Q

Girl not able to weight bear. Some joint(s) hurt. Mum has rheumatoid arthritis.

A

JIA

150
Q

Child has reheated rice (no bacillus cereus on option list!!)

A

Staph Toxin

151
Q

Kids in the creche all get diarrhoea at around the same time

A

Rotavirus

152
Q

Smiling

A

6 weeks

153
Q

Sitting Unsupported

A

8 months

154
Q

Walking

A

12 months

155
Q

2-3 words sentences

A

2 years

156
Q

Pincer grip

A

12 months

157
Q

28 day child with pale stools

A

Biliary Atresia

158
Q

Newbornis blood group AB. Mother is blood group O and jaundiced baby

A

ABO Incompatibility

159
Q

Mum had GBS. Baby has jaundice

A

Sepsis

160
Q

A child who had jaundice for a few days (day 2-7). He’s fine now.

A

Physiological

161
Q

.~8 month who keeps clenching fists and bringing arms out towards parents. (Salam attacks)

A

West Syndrome

162
Q

Child falls. Parents pick him but has a tonic-clonic seizure. Is complete well afterwards.

A

Reflex Anoxic seizure

163
Q

Child at school. Complains of unusual smell. Then seems to ‘space out’. Afterwards she’s very drowsy and sleeps for a few hours in the school nurses office. She has no recollection of what happened.

A

Absence Seizure

164
Q

Redcurrent jelly stools

A

Intussusception

165
Q

Diarrhoea after chronic constipation and incontinence

A

Overflow constipation

166
Q

Food bits in stool

A

Toddlers diarrhoea

167
Q

Student who recently finished exams found disorientated and slurring his words

A

Alcohol

168
Q

! 7 year old who refuses to do his homework and stays up late playing Minecraft on his iPad. Parents are worried about him

A

Normal

169
Q

Gardasil - what 4 does it protect against. Name the one from the list: HIV, HSV1, HSV2, HPV11 , HPV29?

A

It’s HPV Vaccine

So HPV11

170
Q

UTI in first trimester of pregnancy. What would be the safest and most effective treatment? Trimethoprim,
Ciprofloxacin , Doxycycline, Cefalexin, Meropenem

A

Cirpofloxacin

Nitrofurantoin is the one

171
Q

19 year old abdo swelling, weight gain, irregular periods usually, can’t remember when last period was, denies
being sexually active. What is the first test you would do?

A

USS

172
Q

Girl with cystic ovaries on US and something else. What other symptom would be the best indicator of her
having polycystic ovaries? Dysmenorrhoea, Hirsutism , Obesity, Acne.

A

Hirsutism

173
Q

Woman with PCOS. Best medication to increase fertility.

A

Clomiphene

174
Q

Woman with signs of premature ovarian failure. What test would be best to confirm this diagnosis: Oestradiol,
Testosterone, FSH , LH

A

FSH

175
Q

Man with azoospermia. What would be the most likely cause? Hx of mumps , hx of testicular torsion, Varicocele

A

Mumps Hx

176
Q

Post menopausal woman with a PV bleed. What ix should you do? Laparotomy and hysteroscopy, outpatient
US with endometrial biopsy , CT, MRI….

A

US with endometrial biopsy

177
Q

Asymptomatic woman, nulliparous, found to have a 5.4cm unilocular ovarian cyst on US, no fhx. Mgmt/Ix?
USS guided cyst aspiration, laparoscopic removal of cyst, discharge and safety-net, rearrange USS in 3
months and Ca12.5 follow-up

A

Rearrange USS in 3m with Ca125 follow up

178
Q

Lady with cyclic pain 1 week before her period starts, trying for a baby for one year Diagnosis? ovarian cyst,
endometriosis ,

A

Endometriosis

179
Q

Woman 8 weeks after normal vaginal delivery and second degree tear, still bleeding and mild lower pelvic pain.
Diagnosis? Normal menstruation, PID, endometritis , lochia ..

A

Lochia

180
Q

What is a 23 week USS useful for? Nuchal thickness for Down’s, congenital heart disease identification ,
predicting position of placenta at term..

A

CHD Identification

181
Q

What causes increased urinary volume and frequency in the first trimester? Increased GFR, pressure of uterus
on bladder , glycosuria

A

Pressure of uterus on bladder

182
Q

Effect of taking fluoxetine (paroxetine instead?) during pregnancy on baby?

A

Persistent pulmonary hypertension

of the newborn ,

183
Q

Woman with Nexplanon. Most likely reason for wanting to change contraceptive? Weight gain, acne, mood
swings, irregular bleeding

A

Irregular Bleeding

184
Q

14 year old girl wants TOP, can’t/will not inform parents. What do you do?

A

Check competence

185
Q

Pregnant lady being domestically abused by husband and scared to go home. What do you do in GP? Send
her home and ask her to come back with husband, give her a leaflet about domestic abuse, call and arrange
emergency accommodation

A

Emergency Accommodation

186
Q

Woman with tender lump inside her vagina.

A

Bartholin Cyst

187
Q

Young woman, pain during sex, ‘Strawberry cervix’ on examination

A

Trichomonas

188
Q

Woman with cheesy white discharge

A

Candida

189
Q

Old woman complaining of superficial dyspareunia

A

Atroiphic Vaginitis

190
Q

Woman with slow growing painless lesions on labia

A

Genital Warts

191
Q

Women who has gone through menopause, had a hysterectomy. Wants HRT mainly to prevent steoporosis and treat her hot flushes. Doesn’t want to take tablets.

A

Continuous HRT

192
Q

Swimmer wants to treat hot flushes, doesn’t want a patch

A

COCP

193
Q

Woman with premature ovarian failure, wants to have periods

A

COCP

194
Q

Woman who just wants to treat osteoporosis, 62.

A

Bisphosphonates

195
Q

Lady high White cell count, fever, lump in breast

A

Abscess

196
Q

General breast tenderness - left sided, breastfeeding

A

Mastitis

197
Q

Small slow growing lesion on labia, pregnant lady

A

Genital Warts

198
Q

Small painful lump inside vagina of sexually active woman

A

Bartholin Cyst

199
Q

Kid who has acne. Topical Antibiotics dont work. What do you give next? (Options: oral tetracycline, bezoyl,
retinoids, oral flucloxacillin etc.)

A

Retinoids/Oral Tetracycline

200
Q

Kid with history of anal fissure - what is your first cause of action? - inspect anal region, do DRE with little
finger Inspect anal region

A

Inspect

201
Q

A level student has recently come back from nigeria, with symptoms of jaundice, mild anaemia and fever with
malaise,arthralgia. (Options I can remember are Hep A, malaria and influenza)

A

Malaria

202
Q

Kid has pain in outer ear, ear was protruding outwards, and there was a lump behind his ear. - was it otitis
externa or mastoiditis? Mastoiditis

A

Mastoiditis

203
Q

Kid with temp of 39, cap refill 6s, generally unwell + bulging fontanelles, no description of rash. Options:
Meningococcal septicamia , uti, pnemonia

A

Sepsis

204
Q

4yo kid having acute asthma attack, given iv salbutamol and hydrocortisone. Sats still low, no chest sounds on
auscultation. What do you do/give next? IM adrenaline, call for senior help , start atrovent

A

Call for help

205
Q

Kid with cervical lymphadenopathy, fever, sore throat, red tongue with white spots. What does she have?
Scarlet Fever, measles , chicken pox.

A

Measles

206
Q

Chik who had bulimia. What gives it away? (Options were dental enamel caries , striae, lacerations on a
wrist…)

A

Dental Enamel Caries

207
Q

4 month old, about to have 3 batch of primary vaccinations. Which would be a complete contraindication to
having the vaccine? Confirmed history of pertussis as a baby, currently ill with a fever of 38.5 , got a rash at site
of last vaccination, severe cow’s milk allergy,

A

Current 38.5 fever

208
Q

Perianal itching especially at night. What’s the best treatment option? (Options: Mebendazole , Cotrimazole)

A

Mebendazole

209
Q

5 month old with cough, runny nose, fever. Examination of chest you hear wheeze. What’s the main pathogen
that causes this RTI? Options: Streptococcus Pneumoniae, Respiratory Syncytial Virus , Mycoplasma
pneumoniae

A

RSV

210
Q

Unwell kid with indentable mass in left iliac fossa? Constipation , Wilm’s tumour..

A

Constipation

211
Q

Kid with URTI and generalised abdo tenderness - appendicitis, mesenteric adenitis , HSP

A

Mesenteric Adenitis

212
Q

heart sound not heard, scaphoid chest.

A

Diaphragmatic hernia

213
Q

Baby was born at 41 weeks via emergency C section due to foetal distress. Needed ventilation straight away.
X ray showed hyper inflated lungs with areas of consolidation. What does he have?

A

Meconium aspiration

214
Q

Prem baby, resp distress, CXR looks like ground glass

A

Surfactant deficiency

215
Q

Nappy rash flexure sparing

A

Barrier cream Zinc and caster oil

216
Q

Nappy rash with satellite lesions

A

Clotrimazole

217
Q

Anal itch, worst at night

A

Mebendazole

218
Q

Scabies

A

Permethrin

219
Q

Chickenpox

A

Supportive

220
Q

Suicide risk. What is the highest predictor of doing it again? bad relationship with mum, feeling hopeless about
future, previous self harm

A

Previous Self Harm

221
Q

80 year old man with new onset dementia, needs MRI but refuses. You need someone to make decision for
him. - (options: talk to family with his permission, ask independent mental health advocate )

A

Independent Advocate

222
Q

Guy who has visual hallucination and likely to fall over. but he is not giving consent to help regarding his falls
and delirium. He wants to leave hosp. Difficult to understand what he is saying Q: what is a big reason that
makes you think he does not have consent? (Options: due to lack of understanding , due to lack of processing,
due to his visual hallucination, due to him not communicating properly)

A

Lack of understanding

223
Q

Woman on SSRI, wanted to get pregnant, was wondering what risk it may have on her baby: Stillbirth,
Pulmonary htn of the newborn , delayed labour, hypoglycemia at birth.

A

Persistent Pulmonary Hypertension of the Newborn

224
Q

Woman wants to know what risk her baby has of getting schizophrenia, since the baby’s father has it. 7-9%,
12-15%, 20-25%, …

A

12-15%

225
Q

Woman 5 weeks postpartum feels very sad, unable to cope, teary. Dx?

A

PND

226
Q

What blood test should be frequently done if someone is on Lithium? Thyroid function , liver function, adrenal
function, FBC, U+E

A

U+E

227
Q

Guy on medication for schizophrenia get muscle rigidity, altered consciousness, high blood pressure,
tachycardia. Mgmt?

A

ITU Admission

228
Q

60 year old woman, short term memory loss, struggling to complete her normal daily tasks, ataxia and
dysphagia. What would you see on MRI? Hippocampal atrophy , lacunar lesions, white matter lesions,
frontotemporal atrophy, general signs concordant with old age..

A

Hippocampal Atrophy

229
Q

40 year old man with moderate learning disability. He has a Hb of ~6 (below the normal range). Refuses blood
transfusion but happy to take oral iron therapy. What law do you use to assess his decision (or something
along those lines). [Options: Common Law; Mental Capacity Act ; Mental Health Act; Disability Discrimination
Act; ?European Convention on Human Rights]

A

Mental Capacity Act

230
Q

Man who had come into GP for peeling of skin on his hands. Excessive hand washing 6 times daily which has
got worse since his elderly father died 3 months ago following a wound infection(?) post operatively. (Options:
Adjustment Disorder, OCD )

A

OCD

231
Q

Man with treatment resistant schizophrenia on clozapine, recently stopped smoking. Most likely consequence?

A

Agrnulocytosis

232
Q

Alcoholic comes to GP requesting home detoxification. Previous history of delirium tremens. What would you
do? Prescribe reducing dose of chlordiazepoxide , refer to local specialist alcohol service

A

Prescribe reducing dose of chlordiazepoxide

233
Q

Person sees flower on wallpaper - sees them as moving snakes.

Illusion, formication, micropsia, pseudo hallucination, second person auditory hallucination, third
person auditory hallucination

A

Illusion

234
Q

Person sees things smaller

Illusion, formication, micropsia, pseudo hallucination, second person auditory hallucination, third
person auditory hallucination

A

Micropsia

235
Q

Definition of feel insects under skin.

Illusion, formication, micropsia, pseudo hallucination, second person auditory hallucination, third
person auditory hallucination

A

Formication

236
Q

50 y woman ,constant stomach pain, had many ix eg multiple laprascopies with nothing found. Comes to A&E
saying she needs another laproscopy.

A

Somatisation

237
Q

Young girl who has come into A&E multiple times with different presentations, nothing found for any of them.

A

Somatisation

238
Q

Woman with abdominal pain, weight loss, lethargy and feeling low.

A

Malignancy

239
Q

Man who drinks and takes some drugs. Split up with girlfriends, cutting himself.

A

Borderline Personality Disorder

240
Q

40 year old premature ovarian failure and wanted medication to deal with the symptoms of menopause. What would you prescribe her?

A

HRT

241
Q

Woman is pregnant and HIV negative at booking but her partner is HIV positive - what do you do?

A

Tell her to have safe sex

242
Q

Pregnant woman with itchy feet, what investigation?

A

LFT’s

243
Q

Results show azoospermia. How should they be managed? IVF, egg donation, ICSI, IUI

A

ICSI (Intracytoplasmic Sperm Injection)

IUI (Intrauterine Injection) is when sperm aren’t reaching.

244
Q

Ovarion Cyst contains hair and teeth.

A

Teratoma

245
Q

Ovarian Cyst with ground glass appearance

A

Endometrioma

246
Q

Post menopausal woman has bleeding

A

Atrophic vaginitis or endometrial cancer

247
Q

70 year old lady has some spotting and says she uses some steroid cream for a “rash down there”

A

Lichen Sclerosus

248
Q

Lady is on Tamoxifen, which cancer does this increase the risk of?

A

Endometrial

249
Q

STI Green Discharge

A

Trichomonas

250
Q

A newborn appears to be in severe respiratory distress and appears blue. Despite being given high flow O2, his saturations remain at 65%.
What is the next best step to take with regards to his management?
• Chest X-Ray
• Infusion of Prostaglandin
• Surgery
• Indomethacin

A

Infusion of prostaglandin

251
Q

3 months old baby with signs of HF, systolic murmur that radiates over the praecordium

A

VSD

252
Q

What is the most important thing to look at in follow up of HSP? ESR, FBC, urine protein and RBCs, platelets

A

Urine protein and RBC’s

253
Q

15 year old boy with short stature. Passing urine 10 times a day with no dysuria. Pale with heart rate at 78bpm, blood pressure at 158/88 and respiratory rate at 14. What is the likely diagnosis? Chronic renal failure, diabetes mellitus, nephroblastoma, acute pyelonephritis, urinary tract infection

A

Chronic Renal Failure

254
Q

6 year old child with 24 hour history of left peri-orbital swelling. Had an upper respiratory tract infection last week. Left proptosis, visual acuity was normal and had a fever of 38.9. What is the best diagnostic investigation? CT of nasal orbits, USS of nasal orbits, nasal endoscopy, intraocular pressure measurement, plain x-ray of nasal sinus

A

CT of Nasal Orbits

255
Q

Child with 6m of loose stools. Passed one hard blood streaked stool 10 days ago. What investigation? Colonoscopy, stool mc&s, anti TTG, None

A

None

256
Q

Infant with episodes of throwing arms forward with fists clenched. Febrile seizure, focal seizure, infantile spasms, partial seizure

A

Infantile Spasms

257
Q

Mother worried about 2.5 or 3? year old child’s bed wetting. Dry by day, wets bed at night. What do?

A

Reassure

258
Q

Baby with fever of 39, high resp rate, nurse says chest is clear, what investigation do you do? CXR, urinalysis

A

Urine Dip

259
Q

Child with fever, white exudate on one tonsil, diagnosis? Tonsillitis, Quinsy, diphtheria

A

Quinsy

260
Q

Child with episodes of smelling strange things, hard to communicate with during these episodes, falls asleep for an hour after and doesn’t remember anything. Diagnosis? Focal seizure, absence seizure, tonic clonic, narcolepsy

A

Focal Seizure

261
Q

Mother worried 5 year old? son has autism. Which would most support a diagnosis of autism? Child doesn’t make eye contact, child didn’t speak first words until 2 years old and goes to a speech and language therapist, brings a particular toy with him everywhere

A

Doesn’t speak first word until 2

262
Q

Mother complains her young child is a fussy eater. She eats soft foods and drinks a lot of milk. Also has been feeling tired recently. Diagnosis?

A

IDA

263
Q

Baby is almost a month old and jaundiced. Parents say has been jaundiced since day 2. Stools are grey or white. Diagnosis?

A

Biliary Atresia

264
Q

4 year old girl with a high fever that was followed by a rash which has small white dots on a red base. What is the most likely Dx?

A

Erythema Toxicum

Specialties Past (2 decks)

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