1

Question 1

Low levels of gonadotrophins (FSH, LH) In amenorrhea- cause?

Answer 1

Hypothalamic cause:
- Secondary stress
- Excessive exercise

Question 2

Management of Addison’s disease

Answer 2

Hydrocortisone (Should be doubled in an illness) + fludrocortisone

Question 3

Which supplement should not be given with levothyroxin

Answer 3

Iron
Calcium carbonate
- Reduce the absorption of levothyroxin, should be given for hours apart

Question 4

Which antiepileptic drug causes pancreatitis

Answer 4

Sodium valproate

Question 5

Most common cause of thyrotoxicosis

Answer 5

Graves’ disease

Question 6

Diagnostic values for gestation Diabetes

Answer 6

• Fasting glucose >= 5.6
• Two hour glucose >= 7.8

Question 7

What is ECG changes or diagnostic for pericarditis

Answer 7

PR depression

Question 8

First line treatment of glaucoma

Answer 8

Latanoprost – prostaglandin analogue
Increases outflow

Question 9

Which medication used in glaucoma causes brown pigmentation of the iris

Answer 9

Latanoprost

Question 10

Which medication should be avoided in glaucoma if the patient is taking Tricyclic antidepressants or MAOI

Answer 10

Sympathomimetics-
example brimonidine

Question 11

Antenatal care- anomaly scan is done at

Answer 11

18–20+6 weeks
-earliest - 18 weeks

Question 12

Dating scan is done at

Answer 12

Eight weeks the earliest

Question 13

Nuchal scan is done at

Answer 13

11 weeks the earliest

Question 14

First dose of Anti– D prophylaxis to rhesus negative women is given at

Answer 14

28 weeks

Question 15

Second dose of Anti – D prophylaxis to rhesus negative women

Answer 15

34 weeks

Question 16

Treatment of recurrent C.diff

Answer 16

Fidaxomicin

Question 17

Empirical treatment of epididymo-orchitis

Answer 17

• Ceftriaxone 500 mg IM single-dose
• doxycycline PO 100 mg BD for 10 to 14 days

Question 18

What electrolyte abnormality do SSRI cause

Answer 18

Hyponatraemia

Question 19

Which antidiabetic medication causes necrotising fasciitis of the genitalia or perineum

Answer 19

SGLT – 2 inhibitors eg, Dapagliflozin

Question 20

What is the first line treatment of a woman with menorrhagia and requiring contraception

Answer 20

Mirena (IUS)

Second line – COCP, long acting progestogens

Question 21

First line treatment in women with menorrhagia who do not need contraception

Answer 21

Mefenamic acid 500 mg TDS

Question 22

Medication used for short-term to immediately stop bleeding in Menorrhagia

Answer 22

Norethisterone 5 mg TDS

Question 23

Medication for treatment of drooling of saliva in people with Parkinson’s disease

Answer 23

Glycopyrronium bromide

Question 24

What is treatment of whooping cough

Answer 24

Azithromycin or clarithromycin

Question 25

What is the organism which causes acute epiglottitis

Answer 25

Haemophilus influenza type B

Question 26

X-ray findings in acute epiglottitis

Answer 26

Thumb sign steeple sign

Question 27

Cause of cavitating pneumonia in upper lobes (hint-alcoholics)

Answer 27

Klebsiella

Question 28

What extrapulmonary features does legionella pneumonia cause

Answer 28

Hyponatraemia Hepatitis

Question 29

What extrapulmonary features does Mycoplasma pneumonia cause

Answer 29

Haemolytic anaemia Erythema multiforme

Question 30

Treatment of bacterial conjunctivitis in pregnant women

Answer 30

Topical fusidic acid

Question 31

Prophylaxis of spontaneous bacterial peritonitis

Answer 31

Oral ciprofloxacin or norfloxacin

Question 32

Diagnosis of spontaneous bacterial peritonitis

Answer 32

Paracentesis – neutrophil count > 250 cells/ul

Question 33

Treatment of SBP

Answer 33

IV Cefotaxime

Question 34

Drug treatment in panic disorder

Answer 34

SSRI- paroxetine

Question 35

Scoring for sepsis

Answer 35

Quick SOFA

Question 36

Treatment of syphilis in pregnancy

Answer 36

IM benzathine penicillin G

Question 37

Mechanism of action of Nexplanon

Answer 37

Inhibits ovulation

Question 38

Continuous machinery murmur is found in

Answer 38

PDA

Question 39

Management of tremor in drug induced Parkinson

Answer 39

procyclidine

Question 40

Which Anti-Parkinsonian drug causes pulmonary fibrosis

Answer 40

Cabergoline

Question 41

Antiemetic used in Parkinson is

Answer 41

Domperidone

Question 42

- pain after exercise - intermittent locking and swelling of the knee joint

Answer 42

Osteochondritis dissecans

Question 43

- Pain, swelling, tenderness over the tibial tubercle - sporty teenager

Answer 43

Osgood-Schlatter’s disease

Question 44

- Chronic anterior knee pain arising from walking up and down the stairs - And prolonged sitting

Answer 44

Chondromalacia patellae