session_6_flashcards

1
Q

Which of the following conditions cause hypercalcaemia?

a. Osteomalacia
b. Paget’s disease
c. Sarcoidosis
d. Secondary hyperparathyroidism
e. Osteoporosis

A

Sarcoidosis

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2
Q

By what mechanism does the disease in the last question cause hypercalcaemia?

a. Ectopic expression of 1 alpha hydroxylase
b. Ectopic expression of 25 hydroxylase
c. Very high levels of PTH in circulation
d. Very high levels of PTH related peptide in circulation
e. Osteoblast activation

A

Ectopic expression of 1 alpha hydroxylase

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3
Q

Which of the following is useful in patients with pseudomonas aeruginosa lung infection?

a. Ceftriaxone
b. Clarithromycin
c. Gentamicin
d. Metronidazole
e. Flucloxacillin

A

Gentamicin

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4
Q

A chronic inflammatory bowel disease affecting the large bowel and duodenum is most likely to be:

a. Adenocarcinoma
b. Crohns disease
c. Diverticular disease
d. Ulcerative colitis
e. Familial polyposis coli

A

Crohns disease

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5
Q

The severity of which of these conditions is measured by the Breslow score?

a. Melanoma
b. Multiple myeloma
c. Peptic ulceration
d. Sarcoidosis
e. Risk of stroke in patients in atrial fibrillation

A

Melanoma

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6
Q

Which of the following is a complication of a berry aneurysm?

a. Haemorrhagic stroke
b. Ischaemic stroke
c. Subarachnoid haemorrhage
d. Subdural haemorrhage
e. Extradural haemorrhage

A

Subarachnoid haemorrhage

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7
Q

In a gastric biopsy from a patient with helicobacter pylori the biopsy is most likely to show:

a. Adenocarcinoma
b. Chronic gastritis
c. Gastric ulcer
d. Lymphoma
e. Squamous cell carcinoma

A

Gastric ulcer

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8
Q

Where is the enzyme 25 hydroxylase found?

a. Kidney
b. Bone
c. Lung
d. Liver
e. Parathyroid gland

A

Liver

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9
Q

A patient with diabetes is developing cellulitis. What is the most appropriate antibiotic?

a. Amoxicillin
b. Flucloxacillin
c. Gentamicin
d. Trimethoprim
e. Clarithromycin

A

Flucloxacillin

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10
Q

Which of the following suggest a microangiopathic haemolytic anaemia?

a. A raised bilirubin
b. A raised platelet count
c. A raised TIBC
d. Positive Coombes test
e. A raised INR

A

A raised bilirubin

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