Random

Question 1

Tremor relieved by alcohol, no history of excessive drinking, father same condition at old age

Answer 1

essential tremor

Question 2

Resting tremors that stop when stretching out hand

Answer 2

parkinsons

Question 3

Tremors, unstable gait and past pointing

Answer 3

cerebellar dysfunction

Question 4

Lesion at right optic nerve

Answer 4

right monocular visual loss

Question 5

Lesion at optic chiasm

Answer 5

bitemporal hemianopia

Question 6

Lesion at right optic tract

Answer 6

left homonymous hemianopia

Question 7

Lesion at right parietal upper optic radiation

Answer 7

left homonymous inferior quadrantonopia

Question 8

Lesion at right temporal lower optic radiation

Answer 8

left homonymous superior quadrantonopia

Question 9

Lesion at right occipital visual cortex

Answer 9

left homonymous hemianopia with central sparing

Question 10

Lesion tip of right occipital lobe

Answer 10

left homonymous scotomas

Question 11

Sameters triad

Answer 11

asthma, nasal polyps and aspirin/NSAID sensitivity

Question 12

Churg Strauss Vasculitits

Answer 12

asthma, eosinophilia, mononeuritis multiplex

Question 13

Management of asthma attack?

Answer 13

High flow oxygen (15l non re-breather)
Nebulised salbutamol 5mg and ipratropium bromide 500mcg (6l/min flow rate)
Steroids (hydrocortisone IV or prednisoline PO)
If severe or life-threatening (PEF <50%) magnesium sulphate 2g IV

Question 14

When should an anaesthetist be contacted in an asthma attack?

Answer 14

failing to respond to emergency treatment
worsening hypoxia or hypercapnia
ABG show low pH or high H+

Question 15

What is the official definition of chronic bronchitis?

Answer 15

cough and sputum production most days for at least 3 months in 2 consecutive years

Question 16

What are the ecg changes seen in cor pulmonale?

Answer 16

Peak p waves

right ventricular hypertrophy (right axis deviation)

Question 17

Management of COPD?

Answer 17

1- SABA (salbutamol) or SAMA (ipratropium)
2- FEV1 >50% LABA (salmerterol) or LAMA (tiotropium)
FEV1 <50% LABA + ICS combo inhaler (folmeterol, beclamethasone)
3- LABA + ICS + LAMA

Question 18

Management of acute COPD exacerbation?

Answer 18

nebulised salbutamol and ipratropium
steroids: prednisolon or IV hydrocortisone
Abx (amoxicillin or doxycycline)
If no response oral aminophylline

Question 19

what should be done if respiratory acidosis with type 2 failure in acute exacerbation of COPD?

Answer 19

non invasive ventilation

Question 20

What should be done if pH <7.26 in acute exacerbation of COPD?

Answer 20

intubation

Question 21

Management of thrush?

Answer 21

clotrimazole topical

fluconazole

Question 22

Thrush organism?

Answer 22

candida albicans

Question 23

BV organism?

Answer 23

gardnerella vaginitis

Question 24

BV management?

Answer 24

metronidizole

Question 25

Prostatitis management?

Answer 25

ciproflaxin (trimethoprim if c.diff risk)

Question 26

Chlamydia treatment?

Answer 26

azithromycin one dose

or doxycycline 7days

Question 27

Non specific prostatitis management?

Answer 27

azithromycin

Question 28

Gonorrhoea management?

Answer 28

IM ceftriaxone

oral azithromycin

Question 29

Gonorrhoea organism?

Answer 29

Neissiera gonorrohea

Question 30

Syphillis organism?

Answer 30

treponema pallidum

Question 31

Syphillis management?

Answer 31

penicillin

Question 32

Genital warts organism?

Answer 32

HPV (6&11)

Question 33

Genital warts treatment?

Answer 33

cryrotherapy

podophyllin

Question 34

Genital herpes organism?

Answer 34

HSV (1 commonly cold sores, 2 commonly genital but can cause both)

Question 35

Genital herpes treatment?

Answer 35

acyclovir

Question 36

Trachomonas vaginalis organism?

Answer 36

protozoa

Question 37

Trachomonas vaginalis treatment?

Answer 37

metronidizole

Question 38

Crabs/lice treatment?

Answer 38

malathion