Random 3

Question 1

ECG features of tricyclic overdose

Answer 1

sinus tachycardia, increast QT interval, QRS widening

Question 2

what drugs are used to treat MS

Answer 2

high dose IV steroids for 3-5 days for acute admissision to induce remission
B interferon reduce relapse rate by 30%
other options inclue fingolimod whic prevents lymphocytes from leaving lymph nodes
glatiramer acetate-immunomodulating drug acts as immune decoy

Question 3

appearance of a CNIII palsy

Answer 3

eye down and out, pupil sixe increased (blown pupil)

Question 4

posterior circulation stroke feautes

Answer 4

cerebellar or brainstem syndromes
isolate homonomyous hemianopia
loss of consiousness

Question 5

features of a posterior cerebellar artery stroke

Answer 5

Contralateral homonymous hemianopia with macular sparing

Visual agnosia

Question 6

prophylaxis for cluster headaches

Answer 6

verapamil

Question 7

treatment for infantile spasms (West’s syndrome)

Answer 7

vigabatrin and steroids

Question 8

8 year old boy, fall onto outstretched hand with supracondylar fracture, weak radial pulse and loss of pronation of affected hand

Answer 8

MEDIAN NERVE

Question 9

smith’s fracture, on examination, opposition of the thumb is markedly weakened

Answer 9

median nerve

Question 10

damage to what nerve during axillary node clearance

Answer 10

intercostal brachial nerves

Question 11

lip-smaking and post-ictal dysphasia

Answer 11

temporal lobe

Question 12

frontal lobe focal epilepsy features

Answer 12

motor, post-ictal weakness

Question 13

parietal lobe epilepsy

Answer 13

sensory loss

Question 14

painful third nerve palsy

Answer 14

posterior communicating artery aneurysm

Question 15

when is an S3 gallop rhythm found

Answer 15

due to filling of a stiffened ventricle and features of a functional mitral regurgitation)

Question 16

what type of pulse is found in left heart failure

Answer 16

pulsus alternans (alternating strong and weak pulse)

Question 17

signs and sympotms of right heart failure

Answer 17

increased JVP, tender hepatomegaly, peripheral oedema, ascites, sacral oedema, may also have functional tricuspid regurg, transudative effusions and typically bilateral