year 2 AFT

Question 1

Old woman has an ulcer above the left medial malleolus , type 2 diabetes mellitus

she smokes a lot

ulcer that is superficial and around medial malleolus

Answer 1

venous is the type

Question 2

*hyperpigmentation or lipodermatosclerosis at lateral malleolus

Answer 2

venous ulcer

Question 3

most common skin lesion that undergoes koebnerisation

Answer 3

psoriasis –> followed by vitiligo

Question 4

most common causative pathogen in cellulitis

Answer 4

streptococcus pyogenes

Question 5

*well defined area of hair loss with normal underlying skin

Answer 5

= alopecia areata

Question 6

*IgA at the dermal papillae

Answer 6

dermatitis herpetiformis

Question 7

*intact blisters, severe and large

Answer 7

bullous pemphigoid

Question 8

*desquamation, generalised erythema , painful erosions of mouth, recent new drug use

Answer 8

toxic epidermal necrolysis

Question 9

*back pain wakes from sleeping

Answer 9

do an x-ray

Question 10

*intrinsic hand muscle wasting

Answer 10

T1 nerve root

Question 11

acute management for acute gout

Answer 11

start naproxen

Question 12

most common causative organism responsible for prosthetic joint infections

Answer 12

staph aureus

Question 13

first line for addisons

Answer 13

corticosteroids

Question 14

what clinical feature of back pain is most specific for inflammatory back pain

Answer 14

improvement with activity

Question 15

acute treatment of gout with CKD

Answer 15

prednisolone

Question 16

charcot arthopathy

Answer 16

a type of neuropathic arthropathy - commonly seen in DM

Question 17

*short calcium pyrophosphate

Answer 17

pseudogout

Question 18

*femoral head shows evidence of collapse and cysts

Answer 18

avascular necrosis

Question 19

pathophys of Graves

Answer 19

antibody directed against the thyroid stimulating hormone receptor

Question 20

treatment of prolactinoma

Answer 20

cabergoline

Question 21

what diuretics drug can cause hyponatraemia

Answer 21

bendroflumethiazide

Question 22

action of ADH in nephron

Answer 22

stimulates synthesis of aquaporin

Question 23

osteomalacia test

Answer 23

serum 25-OH calciferol

Question 24

what clinical symptom differentiates T2DM and T1DM

Answer 24

weight loss

Question 25

muscle affected in orbital blowout

Answer 25

inferior rectus

Question 26

innervation of orbicularis oculi

Answer 26

facial (closes the eyelid)

Question 27

innervation of LPS

Answer 27

oculomotor (opens eyelid)

Question 28

*red, irritable sticky eyes

Answer 28

conjunctivitis –> abx drops

Question 29

child with demonstrable sensorineural hearing loss

Answer 29

congenital CMV

Question 30

first intervention in conscious choking baby

Answer 30

chest thrusts

Question 31

investigation for a child with proven UTI

Answer 31

abdominal US

Question 32

management of obstructive jaundice

Answer 32

phototherapy

Question 33

ST elevation in leads V2-V5

Answer 33

anterior site of heart

Question 34

diagnostic investigation for PPE

Answer 34

CTPA