1

Question 1

patient with CKD receiving contrast is at risk of?

Answer 1

contrast nephropathy

Question 2

rhabdomyelosis would give a CK of over?

Answer 2

10000

Question 3

renal emboli are rare and would give?

Answer 3

loin pain

Question 4

benzodlumothiazide causes low levels of?

Answer 4

sodium, potassium and magnesium

Question 5

best investigation for a cervical spine fracture?

Answer 5

CT scan of neck

Question 6

after staph aureus, what is the next most common causative organism involved in septic arthritis?

Answer 6

coag negative

staph epidermidis

Question 7

PSC typically causes what sort of appearance on MRCP??

Answer 7

beaded appearance

Question 8

nuclear enlargement, hyperchromasia and pleomorphism are features that suggest

Answer 8

carcinoma

Question 9

resp acidosis needs to be corrected with ? in an alert patient ?

Answer 9

non invasive ventilation

Question 10

diagnosis of endocarditis requires blood cultures and an ?

Answer 10

transoesophageal echo

Question 11

hypercalcaemia, elevated PTH and hypercalciuria point towards

Answer 11

primary hyperparathyroidism

Question 12

do all patients with AF need to be on anti coagulation ?

Answer 12

no depends on chadvas score. If asymptomatic and no risk factors - don’t start it

Question 13

epistaxis - minor bleeding from an accessible site can be treated with?

Answer 13

cautery using silver nitrate

Question 14

anterior pack is for >

Answer 14

profuse bleeding with site difficult to localise

Question 15

in acute epistaxis, what are secondary treatments and of little advantage?

Answer 15

cryotherapy and ice packs

Question 16

what is proctitis?

Answer 16

inflammation of the lining of the rectum

Question 17

proctitis and lympadenopathy in MSM?

Answer 17

lymphogranuloma venereum

Question 18

vessel that runs posteriorly to first and second parts of duodenum?

Answer 18

gastroduodenal artery

Question 19

ratio of LH:FSH in woman indicatees?

Answer 19

PCOS

Question 20

duodenal ulcers tend to get worse when ?

Answer 20

stressed

Question 21

duodenal ulcers are relieved by?

Answer 21

eating

Question 22

what ulcer is made worse by eating ?

Answer 22

gastric

Question 23

which ulcer do you lose weight with and which do you gain weight?

Answer 23

lose weight with gastric (sore to eat)

gain weight with duodenal (better with eating)

Question 24

inflammatory back pain is improved with?

Answer 24

activity

mechanical back pain is worsened on activity

Question 25

nocturnal back pain can be a sign of?

Answer 25

spinal tumours

Question 26

does alloprinol help an acute attack of gout

Answer 26

no

Question 27

can you give NSAIDS with CKD?

Answer 27

no

Question 28

terminal restlessness treatment ?

Answer 28

midazolam

Question 29

what is the treatment of choice for a prolonged QRS after a tricycle antidepressant overdose?

Answer 29

sodium bicarbonate

Question 30

when the blood pressure is controlled, which drugs are good for slowing rate of progression of chronic kidney disease?

Answer 30

ACE inhibitors

Question 31

There is good evidence for renal function protection in diabetic nephropathy with

Answer 31

ACE inhibitors

Question 32

which drug can cause pulmonary fibrosis ?

Answer 32

amiodarone

Question 33

does pulmonary fibrosis with amiodarone typically case finger clubbing?

Answer 33

no

Question 34

what vitamin do you need to absorb calcium ?

Answer 34

vitamin D