randppo

Question 1

brownish yellow rign

Answer 1

keyserflesher

Question 2

blue/ grey/ opaque ring

Answer 2

corneal arcus

Question 3

stormy sunset appearance

Answer 3

central retinal vein occlusion

Question 4

when to repeat thyroid tests in subclincial

Answer 4

2-4 months

Question 5

ulcer above medial malleoulus

Answer 5

venous

Question 6

cold ulcer and surroundign skin cold

Answer 6

arterial

Question 7

ulcer worse at night

Answer 7

arterial

Question 8

ulcer with punched out appearance

Answer 8

arterial

Question 9

shallow ulcer

Answer 9

venous

Question 10

optic disc cupping

Answer 10

chornic openangle

Question 11

flashes and floaters v dark spots

Answer 11

dark spots = vitreous haemorrhage

Question 12

pmh of vitreous hamorrhage

Answer 12

diabetes and anti coags

Question 13

moa of latanoporost

Answer 13

increases uveosacral outflow by increasing scleras permeability to aqeous humour

Question 14

leukocaria

Answer 14

white pupillary defect

Question 15

what is leukocaria seen in

Answer 15

retinoblastoma

Question 16

high insulin, low c peptide

Answer 16

insulin overdose- exogenous

Question 17

raised c peptide, raised insulin

Answer 17

insulinoma
or sulfonylureas-endogenous

Question 18

adrenal adenoma characterisitcs

Answer 18

low acth
high cortisol
cortisol not suppressed on dexa
acth supppressed on dexa

ct of adrenals , surgical adrenalectomy

Question 19

pituitary adenoma characteristics

Answer 19

high acth, high cortisol
both would be suppressed on dexa

perform transphenoidal surgery

Question 20

what is impaired in adhesive capsulitis

Answer 20

active and passive external rotation

Question 21

indicators of compartment syndrome

Answer 21

increasing pain and pain on passive stretching

Question 22

amber material under retinal pigment epithelium in both eyes

Answer 22

drusen

Question 23

commonest cause of men 1

Answer 23

prolactinomas

Question 24

3ps for men 1

Answer 24

parathyroid adenomas
pituiTARY ADENOMA
pancreatic neuroendocrine adenoma

Question 25

chromosome in men 1

Answer 25

men 1 gene on chromosome 11

Question 26

triad in men 2a

Answer 26

medullary thyroid cancer phaeochromocytoma parathyroid hyperplasia

Question 27

gene in men 2a

Answer 27

bet gene

Question 28

management of men 2

Answer 28

total thyroifectomy

Question 29

bacteria contributing to acne

Answer 29

Propionibacterium acnes

Question 30

failure to correct squint in child

Answer 30

amblyopia- lazy eye

Question 31

osteomalacia treatment

Answer 31

vit d supplements and calcium if inadequate

Question 32

commonest melanoma in those with darker skin

Answer 32

Acral lentiginous melanoma

Question 33

examples of synovial joints

Answer 33

atlantoaxial joint, knee, hip, shoulder, elbow, some carpals and the first metacarpal

Question 34

most common causes of cushings syndrome

Answer 34

iatrogenic

Question 35

what should not be given in burns

Answer 35

potassium due to risk of hyperkalaemia

Question 36

what should be given in hyperkalaemia instate of burns

Answer 36

Bolus of IV calcium gluconate followed by an IV infusion of insulin and glucose

Question 37

nystatin

Answer 37

used for secondary oral candidiasis , ulcers that can be scraped away

Question 38

is cushings hyper or hypotension

Answer 38

hypertension

Question 39

lunate dislocation

Answer 39

foosh, anterior volar bruising, concave surface

Question 40

subtype of psoriatic arthropathy

Answer 40

rheumatoid like

Question 41

hypothermia on ecg

Answer 41

osborne waves

Question 42

management of fibromyalgia

Answer 42

aerobic exercise: has the strongest evidence base cognitive behavioural therapy medication: pregabalin, duloxetine, amitriptyline

Question 43

hyphema

Answer 43

bleed inside eye

Question 44

hearing in ostosclerosis

Answer 44

conductive

Question 45

what is inflammaotry back pain improved with

Answer 45

activity

Question 46

what type of hearing loss does a head injury cause

Answer 46

mixed

Question 47

what causes epiglotitis

Answer 47

haemophilus influenzae type b

Question 48

when does a fat embolism occur

Answer 48

24-72 hours post surgery

Question 49

can you use steroids for gout

Answer 49

yes

Question 50

what causes intrinsic hand muscle wasting

Answer 50

T1

Question 51

scabs where cuts are exerting koebners phenom

Answer 51

psoriasis

Question 52

what does a child with uti require

Answer 52

us

Question 53

most common organism in cellulitis

Answer 53

staph aur

Question 54

prolactinoma drug

Answer 54

cabergaline- dopamine agonist

Question 55

what to test for in recurrent candidiasis

Answer 55

diabetes via glycated haemoglobin

Question 56

what type of hearing loss does gentamicin cause

Answer 56

sensorineural

Question 57

what is contraindicated in a conscious baby thats chocking

Answer 57

abdominal thrusts

Question 58

polarised light miroscopy

Answer 58

for gout and pseudogout

Question 59

what isnt accompanied with closed reuction

Answer 59

internal fixation

Question 60

gold standard for spinal cord compression

Answer 60

mri

Question 61

symptoms of spinal cord compression

Answer 61

severe, progressive, worse when lying down