quiz 1

Question 1

What are the features of Paranoid schizophrenia?

Answer 1

• hallucinations
• delusions (paranoid or persecutory)

quiz 1 Q1

Question 2

What are the features of a Panic disorder episode?

Answer 2

• reccurent panic attacks
• peak <10mins
• recover w/in 20-30mins
• typical symtoms: palps, sweating, trembling, chest pain, SOB, numbness, fear of losing control, fear of dying.

Question 3

Panic disorder: what medical/ other causes must be ruled out?

Answer 3

• Cushing syndrome
• hypogylcaemia
• phaeochromocytoma
• anemia
• cardiac arrhythmias
  other
• substance misuse disorder

quiz 1 Q3

Question 4

What are the features of dysthymia?

Answer 4

• chronic low mood
• at least 2 years
• not severe enough for MDD dx
• may be periods of ‘normal mood’ lasting less than a few weeks

quiz 1 Q7

Question 5

What is the pathogenesis/ etymology of cervical ectropion?

Answer 5

Benign condition:
Glandular cells (red appearnce) from inside of cervix grow past transitional zone into vagina replacing squamous cells.

• change in eosterogen levels (COCP)
• sympotoms: post-cortial bleeding,
  +/-dysparenunia
• dx: speculum + STI screen

quiz 1 Q9-15

Question 6

Laryngotracheobronchitis affects children of what age?

Answer 6

Croup
<6mth - 5yrs

quiz 1 Q17

Question 7

What are the key findings in Laryngotracheobronchitis + common causative pathogen?

Answer 7

1. stridor
2. barking cough
3. hoarse voice
4. low grade fever

Parainfluenza virus

quiz 1 Q17

Question 8

What is the management of Laryngotracheobronchitis?

Answer 8

Inital ABC
1. O2 <95% - high flow 100% O2
2. Oral dexamethasone
(or nebulised budesonide- less frequent)
3. deteorating- nebulised adrenaline
4. further deterioration- intubation + ventilation

quiz 1 Q19

Question 9

What are the features of pulmonary stenosis?

Answer 9

• ‘open’ click at beging of systole
• diminished 2nd heart sound (pul component)
• Right ventricular hypertrophy
• Lower left sternal heave

7-10% of all congenital defects, asymptomatic

quiz 1 Q21

Question 10

What are the features of acromegaly?

Answer 10

• prominent jaw, large lips, large tongue
• excessive daytime drowsiness (large tongue > sleep apneoa)
• DM, OA, carpal tunnel syndrome, HTN, cardiomyopathy, skin tags

Biochemical
- ^ Growth hormone
- ^serum phosphate
- hyperglycemia
- ^ triglycerides
- ^ prolactin?

quiz 1, Q27

Question 11

What feature differentates dementia vs depression?

Answer 11

faecal incontinence

quiz 1, Q31

Question 12

Melanoma criteria

Answer 12

ABCDE criteria
Asymmetrical outline
Border irregular
Colour variegation
Diameter >6mm
Elevation

Quiz1, Q39