random 2

Question 1

what compartment is most commonly affected in the lower leg

Answer 1

anterior compartment in lower leg

Question 2

what is the chronic disabling condition seen after untreated forearm compartment syndrome

Answer 2

Volkmann ischaemic contracture

Question 3

auer rods are seen in

Answer 3

AML

Question 4

which scoring system is used to predict risk of adverse outcome in an upper GI bleed

Answer 4

Rockhall score

Question 5

when can coffee ground vomit be seen

Answer 5

in gastric stasis

Question 6

what is the gold standard management and investigation of torsion

Answer 6

surgery

Question 7

if one testical is torted you fix both

Answer 7

correct

Question 8

what does the Blatchford score do

Answer 8

score how likely you are to need intervention eg upper OGD, blood transfusion

Question 9

what is a positive Simmonds test for

Answer 9

rupture of achilles

Question 10

how would pseugout present

Answer 10

positive birefrignetn rhomboid shaped crystals

linear calcification of eniscus and articular cartilage on X ray

Question 11

how would an L5 radiculopathy present

Answer 11

weakness of hip ABduction, weakness in big toe dorsiflexion presents with +ve SLR and reflexes in tact

Question 12

how would a L4 radiculopathy present

Answer 12

decreased knee jerk, sensory loss anterior aspect of knee, weak quads and +ve fem stretch test

Question 13

rash that sometimes is present in reactive arthritis

Answer 13

keratoderma blenorrhagic

Question 14

haemorrhage 5-10 days post tonsillectomy should be treated how

Answer 14

ABCDE and antibiotics

Question 15

symptoms of meniers

Answer 15

tinnitits, vertigo and sensorineural hearing loss

Question 16

treatment for menieres

Answer 16

cant drive during acute attacks, prochoperazine and prevention with betahistine/vestibular rehab

Question 17

what is sringomyelia

Answer 17

fluid filled cavities develop within the spinal cord

Question 18

what sympotms does a syngomyelia cause

Answer 18

pain and temperature loss due to spinothalamic tract damage, shawl like distribution over arms, shoulders and upper body, patients tend to burn themselves without noticing

Question 19

what are the sympotms of cerebellar syndrome

Answer 19

DANISH, dysdiadokinesis, dymetria, ataxia, nystagmus, intention tremor, slurred speech/staccato speech, hypotonia

Question 20

would a common peroneal nerve lesion present

Answer 20

injury to neck of fibula, weakness of foot eversion, weakness of EHL, sensory loss over dorsum of foot and lower lateral part of leg

Question 21

what are the peritoneal sacs divided into

Answer 21

greater and lesser peritoneal sacs

Question 22

how big is the greater peritoneal sac

Answer 22

it occupies most of the peritoneal cavity

Question 23

where is the lesser peritoneal sac

Answer 23

small and lies posterior to the stomach and lesser omentum

Question 24

how are the lesser and greater sac connected

Answer 24

via the epiploic foramen

Question 25

how do you treat variceal bleeding

Answer 25

terlipressin 2g QDS for 72 hours cuases splanchnic vasoconstriction of blood vessels and give antibiotic cover due to risk of bacterial translocation

Question 26

describe histrionic personality trait

Answer 26

inappropriate sexual seductiveness, need to be centre of attention, rapidly shifting and shallow expression of emotions, appearance used for attention seeking, impressionistic speech lacking detail

Question 27

what are the fist rank symptoms of schizophrenia

Answer 27

auditory hallucinations, passivity phenomenoa, delusional perceptions, thought disorders

Question 28

describe schizoid personality disorder

Answer 28

indifference to praise and criticism, preference for solitary activities, lack of interest in sexual interactions, emotional coldness, few interests, prefer to be alone, don’t like relationships, low libido

Question 29

describe a narcissitic personality disordrer

Answer 29

grandiose sense of self importance

Question 30

what is the triad of symptoms for cardiac tamponade

Answer 30

hypotension, raised JVP, muffled heart sounds + pulsus paradoxus=abnormally large drop in BP during inspiration

Question 31

what is plummer-winson web

Answer 31

thin eccentric extension of normal oesophageal tissue, upper oesophageal web in association with iron deficiency anaemia and syphagia

Question 32

what is riglers sign

Answer 32

when both sides of the bowel wall are visualised show intra luminal and extra luminal gas

Question 33

what is cupola sign

Answer 33

free air under the central portion of the diaphragm

Question 34

what is thumbprinting

Answer 34

thickened haustra due to oedema seen in IBD also seen in advanced mesenteric ischaemia

Question 35

features of eosinophilic granulomatosis with polyangiits

Answer 35

pANCA, asthma, blood eosinophila, sinusitits, mononeuritis multiplex

Question 36

granulomatosis with polyangiitis

Answer 36

renal failure, epistaxis, haemoptysis, cANCA

Question 37

what does section 2 of the mental health act allow

Answer 37

admission for assessment, 2 doctors must make the recommendation and application is then made by an AMHP, it lasts for a max of 28 days

Question 38

where is the triangle of safety for inserting a chest drain

Answer 38

5th intercostal space or inferior nipple line
mid axillary line (or lateral edge of latissimus dorsi
anterior axillary line or lateral edge of pectoris major

Question 39

what is the parotid gland supplied by

Answer 39

CN IX

Question 40

how is legionella diagnosed

Answer 40

urinary antigen

Question 41

features of legionella

Answer 41

dry cough, relative bradycardia, deranged LFTS, hyponatraemia

Question 42

features of mycoplasma

Answer 42

haemolytic anaemia/ITP
erythmema multiforme, encephalitis/GBD
peri/myocarditis

Question 43

what is freidrich-waterhouse syndrome

Answer 43

a rare complication of menicococcal sepsis involving bilateral adrenal haemorrhage