Small extra specialities

Question 1

Pall care hiccups rx

Answer 1

Chlorpromazine or haloperidol

Question 2

Treatment for nausea due to raised ICP (in addition to dex)

Answer 2

cyclizine

Question 3

antiemetic for reduced gastric mobility (eg due to opioids)

Answer 3

metoclopramide and domperidone

Question 4

Visceral/serosal cause antiemetic (eg constipation or oral thush)

Answer 4

Cyclizine and levomepromazine

Question 5

antiemetic for vestibular cause

Answer 5

cyclizine
metoclopramide or prochlorperazine second line or antipsychotic

Question 6

rx for nausea due to anticipating chemo

Answer 6

lorazepam

Question 7

Opioids of choice in kidney impairment?

Answer 7

Alfentanil, buprenorphine and fentanyl

Question 8

PO codeine/tramadol to PO morphine conversion

Answer 8

divide by 10

Question 9

palliative rx of confusion (with no reversible cause found)

Answer 9

haloperidol

Question 10

Alpha-feto protein tumour marker

Answer 10

hepatocellular carcinoma
teratoma

Question 11

bHCG tumour marker

Answer 11

testicular - if AFP also raised this excludes seminoma

Question 12

Ca15-3

Answer 12

breast

Question 13

CEA tumour marker

Answer 13

colorectal

Question 14

S-100 tumour marker

Answer 14

Melanoma, schwannomas

Question 15

Bombesin tumour marker

Answer 15

Small cell lung carcinoma, gastric cancer, neuroblastoma

Question 16

Chemo associated with hypomagnesaemia

Answer 16

cisplatin (kidneys are responsible for Mg excretion)

Question 17

When is skin prick vs skin patch test used

Answer 17

patch test is for contact dermatitis

Question 18

When is RAST test used

Answer 18

Allergy testing RAST is an alternative for skin prick if there is an extensive erythema or taking antihistamines actively, or anaphylaxis.

Specific level of IgE reaction

Question 19

Should you treat for gout prophylaxis if asymptomatic high urea in bloods?

Answer 19

No

Question 20

SIADH is associated with what type of cancer

Answer 20

Small cell lung

Question 21

What is Chvostek’s sign in hypocalcaemia?

Answer 21

percussion over the facial nerve triggers facial muscle spasm

Question 22

What is Trousseau’s sign in hypocalcaemia?

Answer 22

carpopedal spasm on inflation of a blood pressure cuff

Question 23

Does hypocalcaemia cause hyper or hyporeflexia?

Answer 23

Hyper

Question 24

which AED can cause hypocalcaemia

Answer 24

phenytoin

Question 25

tendon xanthomas suggest what

Answer 25

familial hypercholesterolaemia

Question 26

In familial hypercholesterolaemia what is the characteristically raised part of the lipid profile

Answer 26

LDL raised (trigs probably normal)

Question 27

When to suspect a familial hypercholesterolaemia

Answer 27

a total cholesterol level greater than 7.5 mmol/l

and/or

a personal or family history of premature coronary heart disease (an event before 60 years in an index individual or first-degree relative)

Question 28

oral ulcers, genital ulcers and uveitis

Answer 28

Behcets