Week 3

Question 1

What causes triad of sudden onset abdominal pain, ascites, and tender hepatomegaly

Answer 1

Budd-Chiari syndrome

Question 1

Abx prophylaxis used in COPD patients who get recurrent exacerbations?

Answer 1

Azithromycin

Question 1

Blood gas results in opioid overdose

Answer 1

Respiratory acidosis secondary to hypoventilation.

Question 2

First line Mx of Acromegaly

Answer 2

Octreotide

Question 3

Mx of optic neuritis?

Answer 3

Methylprednisolone

Question 4

Ix of optic neuritis

Answer 4

CONTRAST MRI brain and orbits

Question 5

Which IBD is smoking protective against?

Answer 5

Ulcerative Colitis

Question 6

What is TIBC in IDA and ACD

Answer 6

High TIBC in IDA
Low/normal in ACD

Question 7

Pansystolic murmur at lower left sternal edge and louder P2

Answer 7

Ventricular Septal Defect

Question 8

Mx of Pseudogout

Answer 8

NSAIDs or steroids

Question 9

What is Felty’s syndrome (3)?

Answer 9

Rheumatoid Arthritis + splenomegaly + low white cell count

Question 10

Treatment of choice for allergic bronchopulmonary aspergillosis

Answer 10

Oral prednisolone

Question 11

Most common cause of bacterial otitis media?

Answer 11

Haemophilus influenzae

Question 12

Suddenly worsening back pain, bilateral sciatica, left foot drop and perianal paraesthesia?

Answer 12

Cauda Equina

Question 13

1st line Tx of SLE

Answer 13

Hydroxychloroquine

Question 13

Tx of anti-freeze poisoning?

Answer 13

Fomepizole

Question 14

What is an indication that kidney disease is chronic and not acute

Answer 14

Hypocalcaemia

Question 15

Which TB medication can cause drug-induced lupus

Answer 15

Isoniazid

Question 16

Where is the lesion in Wernicke’s aphasia

Answer 16

Superior temporal gyrus

Question 17

Conversion of oral to subcutaneous morphine conversion

Answer 17

Divide by 2

Question 18

What is used as prophylaxis for contacts of patients with meningococcal meningitis

Answer 18

Oral Ciprofloxacin or Rifampicin