RANDOM

Question 1

ectopic pregnacy

Answer 1

<6 weeks pregnant if hemodynamic stable=expectant management
>6 weeks=admission
MTX only after serum bhcg and US done

Question 2

liquid paraqute to kill weeds causes n/v/d, ulcers in mouth and osophgus

atenolol poisoning

Answer 2

activated charcoal with laxatives(magnesiumsulphate)

initially atropine then GLUCAGON

Question 3

renal cancer

Answer 3

flank pain,mass,hematuria(classic but not always )can aslo present with LEFT VARICOCELE AND HYPERCALCEMIA due to bone mets
most common mets to lungs =cxr=cannon ball opacities in lungs

Question 4

hemorroids

Answer 4

NICE advice refer to surgery for admission if presents with acutely thrombosed painful heam.onset withon 72 hours for possible suegry

Question 5

amoebic dysentry

Answer 5

bloody diarrhea + fever(bacterial cause cant be viral) caused by entamoeba histolytica
serololgy testing
can progress to toxic megacolon and liver abscess

Question 6

angina preventive drugs

Answer 6

sublingual glyceryl TRInitrate(GTN)+ Bb or CCB (atenolol or amlodipines
isosorbide mononitrate would be option if bb or ccb CI.

Question 7

AAA

Answer 7

> 4.5cm diameter=3montly surveillance
5.5= urgent r/v in secondary care within 2 weeks for elective surgery

Question 8

murmurs

Answer 8

AS,PS,ASD,HOCM,TOF=ejection systolic
MR,TR,VSD=pansystolic
(MR=best apex,radiayes to axilla,loud in expiration)
(TR=left 4th interspace,lound in inspiration)
(vsd=left parasternal edge,accompanied by thrill)

AR,PR=early diastolic
MR=mid diastolic
TS=rumble (raised JVP with prominent a waves)

late systolic=MVP,COA
continuous machine like=PDA(ibuprofen,indomethacin)