Week 2

Question 1

Mx of Genital Wart

Answer 1

Topical podophyllum

Question 1

Outline CHA2DS2-VASc score

Answer 1

C Congestive heart failure
H Hypertension (or treated hypertension)
A2 Age >= 75 years 2
Age 65-74 years 1
D Diabetes
S2 Prior Stroke, TIA or thromboembolism 2
V Vascular disease (including ischaemic heart disease and peripheral arterial disease)
S Sex (female)

Question 1

First line Mx of Stroke
(depending on time of presentation)

Answer 1

Within 4.5 hours: Thrombolysis with Alteplase, followed 24 hours later by aspirin 300mg

After 4.5 hours: No thrombolysis; just give Aspirin 300mg

Question 1

Mx of female UTI symptoms with blood on urine dip

Answer 1

3 days trimethoprim
Send MSU

7 days if pregnant (even if asymptomatic)

Question 1

PLA2R antibodies?

Answer 1

Membranous glomerulonephritis

Question 2

Mx of Myasthenia gravis

Answer 2

Pyridostigmine (acetylcholinesterase inhibitor)

Question 3

Mx of actinic keratoses

Answer 3

Fluorouracil cream

Question 3

Mx of Pyoderma Gangrenosum

Answer 3

Oral steroids

Question 4

First line Ix in suspected prostate cancer

Answer 4

Multiparametric MRI

Multiparametric MRI has replaced TRUS biopsy as 1st line

Question 5

What is the Parkland formula for fluid resuscitation in burns

Answer 5

Volume = SA% x weight x 4