Week 4 bb revision

Question 1

‘Ring-enhancing’ lesion on MRI

Answer 1

Cerebral abscess
Tuberculoma
Toxoplasmosis

Question 2

Forgetfulness
Ataxia
Spasms of muscles
EEG with periodic sharp waves

Answer 2

Prion disease CJD

Question 3

General term for inflammation of brain and spinal cord

Answer 3

Encephalomyelitis

Question 4

UTI treatment in early pregnancy

Answer 4

Nitrofurantoin

Question 5

Organism causing functional/anatomical abnormalities of renal tract
(also cavitating lung lesions)

Answer 5

Klebsiella

Question 6

Broad spectrum penicillin traditionally used in the treatment of UTIs.

Answer 6

Ampicillin

Question 7

Most common cause of UTI in catheterised men

Answer 7

E. Coli

Question 8

After E. coli this organism is the most common cause of uncomplicated UTI in women

Answer 8

Staph saprophyticus

Question 9

Children

Haemorrhagic cystitis

Answer 9

Adenovirus

Question 10

Treatment for pseudomonal infections in cystic fibrosis

Answer 10

Ceftazidime

Question 11

Given IM as a single shot for gonococcal urethritis

Answer 11

Ceftriaxone

Question 12

Dysuria
Frequency
No bacteriuria or any other cause found

Answer 12

Urethral syndrome

Question 13

Painless frank haematuria

Answer 13

Bladder cancer

Question 14

CF patient
wheeze and SOB
gram-negative bacteria

Answer 14

Burkholderia cepacia

Question 15

MacConkey agar used to identify

Answer 15

Gram negative enteric bacteria and whether they ferment lactose

Question 16

Aesuclin positive

Answer 16

Enterococci

Listeria Group D strep

Question 17

American trypanosomiasis aka …

Answer 17

Chagas disease

Question 18

Unilateral painless periorbital oedema and conjunctivits with ipsilateral regional lymphadenopathy

Answer 18

Romana’s sign seen in Chagas disease (where T. cruzi enters through the conjunctiva)

Question 19

Offensive burps

stool with trophozoites/cysts

Answer 19

Giardia lamblia - giardiasis

Question 20

Amastigote

Answer 20

Leishmania

Question 21

Schistosoma associated with squamous cell cancer of the bladder

Answer 21

haematobium

Question 22

Schistosoma associated with travel to carribean and south america as well as standard africa/middle east

Answer 22

Mansoni

Question 23

Travel
contact with fresh water
Swimmer’s itch
month symptom free followed by rash fever myalgia and maybe pneumonitis

Answer 23

Schistosomiasis

Question 24

Microfilariae

Answer 24

Wuchereria bancrofti

Question 25

Sandly

Answer 25

leishmaniasis

Question 26

Undercooked pork facial oedema myalgia

Answer 26

Trichinella spiralis

Question 27

Fluctuating fever brown black urine africa

Answer 27

Falciparum malria

Question 28

Tear drop or pear shaped trophozoites

Answer 28

Giardia

Question 29

Machado-Guerreiro test

Answer 29

Trypanosoma cruzi

Question 30

A neonate is referred and presents with skin lesions, lymphadenopathy and failure to thrive.

Answer 30

Syphilis

Question 31

Raised APTT Normal PT Normal bleeding time

Answer 31

Haemophilia

Question 32

Raised APTT Normal PT Raised bleeding time

Answer 32

vWD

Question 33

coagulation disorder | Spontaneous bleeding

Answer 33

Haemophilia

Question 34

coagulation disorder | usually noted after a challenge like injury or surgery

Answer 34

vWD

Question 35

enlarged maxilla prominent frontal/parietal bones hepatosplenomegaly expanded medullary cavity with 'hair on end' appearance on xray.

Answer 35

beta thalassaemia

Question 36

Whole blood cutoff for diabetes

Answer 36

6.1mmol/l

Question 37

fasting plasma glucose cutoff for diabetes

Answer 37

7.0mmol/l

Question 38

random venous plasma glucose cutoff for diabetes

Answer 38

11.1mmol/l

Question 39

Definition of impaired fasting glucose

Answer 39

fasting plasma glucose 6.1-6.9mmol/l

Question 40

Definition of impaired glucose tolerance

Answer 40

fasting plasma glucose less than 7mmol/l AND 2-hour glucose between 7.8 and 11 mmol/l

Question 41

cerebral vessel occlusion leads to contralateral lower limb weakness milder contralateral upper limb weakness

Answer 41

ACA

Question 42

infarcts affecting basal ganglia, internal capsule, thalamus, pons.

Answer 42

lacunar infarcts

Question 43

Young person headaches particularly worse in the morning a bit of N+V

Answer 43

Benign intracranial hypertension

Question 44

Ruptured berry aneurysm

Answer 44

SAH

Question 45

hard palpable breast mass calcified pleomorphic nuclei necrotic centre

Answer 45

DCIS

Question 46

lump in breast nipple discharge - sometimes bloody branching fibrovascular cores bland epithelium

Answer 46

duct papilloma

Question 47

risk of breast cancer | multifocal lumps

Answer 47

lobular carcinoma in situ

Question 48

nipple retraction breast clinic

Answer 48

invasive carcinoma

Question 49

breast clinic red roughened ulcerated nipple

Answer 49

Paget's disease of the nipple

Question 50

FNA with serous turbid fluid

Answer 50

breast cyst

Question 51

cystic dilatation of duct during lactation caused by obstruction

Answer 51

galactocele

Question 52

breast clinic palpable mass microcalcification

Answer 52

DCIS

Question 53

Breast clinic red around nipple skin as scaly

Answer 53

Paget's disease of the nipple