Week 4

Question 1

What condition comprises:
Rheumatoid Arthritis
Splenomegaly
and low WCC

Answer 1

Felty’s syndrome

Question 2

Compare the Glashow-blatchford score and the Rockall score

Answer 2

The Glasgow-Blatchford score at first assessment
helps clinicians decide whether patient patients can be managed as outpatients or not

The Rockall score is used after endoscopy
provides a percentage risk of rebleeding and mortality

Question 3

What is indicated by an elevated TSH with normal T4?

Answer 3

Subclinical hypothyroidism

Question 4

First line Mx of benign prostatic hyperplasia

Answer 4

alpha-1 antagonists e.g. tamsulosin

Question 5

Most common cause of primary hyperaldosteronism

Answer 5

Bilateral idiopathic adrenal hyperplasia

Question 6

Outline the 5 different types of Salter Harris Fracture

Answer 6

I Fracture through the physis only (x-ray often normal)
II Fracture through the physis and metaphysis
III Fracture through the physis and epiphysis to include the joint
IV Fracture involving the physis, metaphysis and epiphysis
V Crush injury involving the physis (x-ray may resemble type I, and appear normal)

Question 7

Which antidiabetic medications have the beneficial side effect of weight loss in patient with T2DM

Answer 7

SGLT-2 inhibitors
Empaglifozin

Question 8

Cause of infective endocarditis following valve replacement?

Answer 8

Staph epidermis

Question 9

What is used to reverse rivaroxaban or apixaban

Answer 9

Andexanet alfa

Question 10

What is indicated by anti-mitochondrial antibodies (AMA) M2 subtype

Answer 10

Primary Biliary Cirrhosis

Question 11

Is syphilis painful

Answer 11

No

Question 12

Well-circumscribed plaques or papules with a ‘stuck on’ appearance

Answer 12

Seborrhoeic keratosis