session_4_flashcards
Which of these signs suggest an incompatible blood transfusion?
a. Bradycardia
b. Haematuria
c. Pulmonary oedema
d. Splenomegaly
e. Splinter haemorrhages
Haematuria
Anti-D immunoglobulin
a. Should be given to all A RhD positive mothers within 72 hours of delivery
b. Should be given to all O RhD positive mothers within 72 hours of delivery
c. Should only be given to RhD positive mothers after their second pregnancy
d. Prevents sensitisation of the mother following placental abruption
e. Prevents future transfusion reactions
Prevents sensitisation of the mother following placental abruption
What does this X-ray show?
a. Colonic cancer
b. Crohn’s disease
c. Diverticular disease
d. Sigmoid volvulus
e. Ulcerative colitis
Sigmoid volvulus
An elderly male presented to hospital with pneumonia 2 weeks ago. He had been admitted to hospital and spent 10 days on intensive care. He developed diarrhoea on day 8 and started to become hypotensive. He died on day 10 and a postmortem was carried out. Below is a gross specimen of his colon.
Which of these treatments could have saved his life?
a. Oral co-amoxiclav
b. Oral flucloxacillin
c. Oral vancomycin
d. IV flucloxacillin
e. IV vancomycin
Oral vancomycin
Which of the following features suggests ulcerative colitis?
a. Cobblestone mucosa
b. Inflammation confined to mucosa
c. Non-caseating granulomas
d. Skip lesions
e. Transmural inflammation
Inflammation confined to mucosa
Which of the following is the largest risk factor for colonic carcinoma?
a. Crohn’s disease
b. Diverticular disease
c. Irritable bowel syndrome
d. Peutz Jeghers Syndrome
e. Ulcerative colitis
Ulcerative colitis
A 60 year old male presents to ED with hypotension and a rash following a dose of propranolol. You suspect anaphylaxis. What test would you like to perform to confirm your diagnosis?
a. Blood histamine levels
b. Drug challenge
c. Serial mast cell tryptase
d. Skin prick
e. Urine prostaglandin DN
Serial mast cell tryptase
For which of the following conditions would you choose allogeneic transplantation over autologous transplantation?
a. Acute leukaemia
b. Bone marrow failure
c. Chronic leukaemia
d. Myeloma
e. Lymphoma
Bone marrow failure
Which of the following would cause a rise in ALP?
a. Alcoholic hepatitis
b. Myocardial infarction
c. Osteoporosis
d. Osteomalacia
e. Viral hepatitis
Osteomalacia
A 50 year old male presents with calcium of 3.0 mM (NR 2.2-2.6), PTH level is 3pM (NR 1.1-6.8). What is the likely diagnosis?
a. Cancer with bony mets
b. Multiple myeloma
c. Primary hyperPTH
d. Sarcoidosis
e. Vit D excess
Primary hyperPTH
