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1
Q

naltrexone

A

alcohol cravings

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2
Q

neostigmine

A

reverses neuromuscular blockers post surgery

also myaesthenia gravis

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3
Q

minimal change disease

A

prednisolone

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4
Q

new purpuric rash on shins

A

ITP

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5
Q

Sandpaper rash on trunk, fever, red throat

A

scarlet fever

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6
Q

naproxen

A

first line gout treatment

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7
Q

painless ulcer on penis

A

syphilis

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8
Q

fever + new murmur

A

infective endocarditis

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9
Q

CAP

A

strep pneumonia

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10
Q

CAP gram +ve diplococci

A

amoxicillin

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11
Q

sats drop when exercising

A

PCP

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12
Q

binuclear pleomorphic red nuclei

A

reed sternberg

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13
Q

black man, bilateral hilar lymphadenopathy, ace levels high

A

sarcoidosis

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14
Q

dermatitis herpetiformis

A

coeliac disease

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15
Q

hyoscine

A

noisy breathing end of life

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16
Q

hyponatraemia drug

A

fluoxetine

bendroflumethiazide

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17
Q

Alpha feto protein

A

liver cancer recurrence

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18
Q

ca 19-9

A

pancreatic cancer

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19
Q

CEA - carcinoembryonic antigen

A

bowel cancer

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20
Q

ca 125

A

ovarian cancer

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21
Q

man from rowing team

A

abberant conduction pathway

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22
Q

GP6P

A

neonatal jaundice

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23
Q

tonsilitis

A

pen v

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24
Q

chlamydia pregnent

A

ethrythromycin

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25
Q

TCA

A

dry mouth postural hypotension and blurred vision

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26
Q

clozapine

A

FBC

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27
Q

irregular pupils painful eye

A

ant uveitis

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28
Q

acute angle closure glaucoma

A

timolol

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29
Q

red eye yellow discharge

A

bacterial conjuntivitis

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30
Q

peripheral neuropathy after a cold

A

demyelination of peripheral nerves

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31
Q

back pain path fractures and kidney disease

A

myeloma

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32
Q

digoxin

A

yellow vision

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33
Q

aspirin overdose

A

tinitus

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34
Q

TCA overdose

A

sodium bicarb

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35
Q

pupils dilated, low bp, tachycardc

A

serotonin syndrome

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36
Q

reverse epidural

A

naloxone

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37
Q

liver

A

vitamin A

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38
Q

bruceolosis

A

petting zoo

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39
Q

cystic fibrosis

A

high chloride

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40
Q

medullary thyroid cancer

A

calcintonin

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41
Q

ovulation test

A

LH

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42
Q

antiphospholipid syndrome

A

paradoxical rise in APTT

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43
Q

thickened nerve

A

leprosy

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44
Q

double vagina

A

mullerian duct

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45
Q

staphylococci + streptococci (including enterococci)

A

gram pos cocci

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46
Q

Neisseria meningitidis + Neisseria gonorrhoeae, also Moraxella catarrhalis

A

gram neg cocci

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47
Q 
ABCD L
Actinomyces
Bacillus anthracis (anthrax)
Clostridium
Diphtheria: Corynebacterium diphtheriae
Listeria monocytogenes
A

gram pos rods

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48
Q 
Escherichia coli
Haemophilus influenzae
Pseudomonas aeruginosa
Salmonella sp.
Shigella sp.
Campylobacter jejuni
A

gram neg rods

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49
Q

neiseria meng

A

meningitis diplococci

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50
Q

legionella pneumonia

A

charcoal yeast extract

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51
Q

total left knee replacement

A

amoxicillin

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52
Q

legionaries disease

A

tachypnoea

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53
Q

vincristine

A

does not cause depression

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54
Q

insect bite

A

bulla

55
Q

malignant melanoma prognostic

A

mitotic rater

56
Q

allopurinol

A

inhibits purine synthesis

57
Q

vitamin d deficiency

A

high pth
low calc
low phosphate

58
Q

appendectomy prophylaxis

A

metronidazole

59
Q

mycoplasma pneumonia

A

do not give penicillin (not effective)

60
Q

flucloxacillin

A

destruction of the cell wall

61
Q

girl on a school trip to france

A

erythromycin

62
Q

patient found dead

A

rigor mortis

63
Q

atrial fibrillation

hypocalcaemia

A

bendrofluazide

64
Q

recurrent boils

A

staph aureus

65
Q

raised serum ace
bilateral hilar lymphadenopathy
sarcoidosis

A

non caveating epithiloid granulomas

66
Q

corneal ulceration

A

fluorescing dye staining

67
Q

diplococci

A

neisseria
m catarrhalis
strep pneumonia
enterococcus

68
Q

amoxicillin

A

inhibits synthesis of the pepitdoglycan cell wall

69
Q

laryngeal carcinoma risk factor

A

family history

70
Q

lobular carcinoma

A

pleomorphic cells, cords of cells on routine mammogram

71
Q

candida

A

fluconazole if not pregnant

72
Q

extramedullary haematopoeisis

A

liver

73
Q

how does blood bypass the lung

A

patent ductus arterioles and foramen ovales

74
Q

spina bifida

A

USS and amniocentesis

75
Q

8 year old boy with hoarseness

A

laryngeal papilloma

76
Q

neonate with jaundice, enlarged liver, hydrocephalus, choroidoretinitis, foci calcifications on skull

A

toxoplasmosis gondii

77
Q

dark red diarrhoea

A

intussusseption

78
Q

fragile x

A

mental retardation and large testes

79
Q

turners syndrome

A

chromosomal analysis

80
Q

red hot swollen knee and haemophilus influenza child

A

immunoglobulin assay

81
Q

white punctate lesions of buccal mucosa

A

measles

82
Q

child with constipation

A

anal fissures

83
Q

underdeveloped left mandible

A

middle part of ear also deformed

84
Q

organ most likely to be damaged in sickle cell

A

spleen

85
Q

croup

A

parainfluenza virus

86
Q

pulmonary fibrosis, freckles, bearing, microstomia, nodules

A

diffuse cutaneous scleroderma

topoisomerase 1

87
Q

bilateral wasting of muscles of pelvic girdle

A

anti jo

dermatomyositis

88
Q

ank spond asociation

A

iritis

89
Q

rhinorhea, haemoptysis, pleuritic chest pain, necrotising glomerulonephritis

renal failure 
epistaxis
haemoptysis
vasculitis
sinusitis 
dysnoea
A

wergners

90
Q 
vasculitis
sinsusitis 
dysnoea
asthma 
eosinophilia
A

EPGA

91
Q

Old lady foosh

A

radius and hamate

92
Q

child has arm held in flexed pronated position

A

dislocation of radial head

93
Q

pagets disease

A

osteosarcoma

94
Q

Somali woman with back pain

A

osteomalacia

95
Q

boy falls off swing onto foosh

A

radius and ulnar

96
Q 
thoracic pain 
bone loss 
hypercalcaemia 
unwell 
renal impairement
A

myeloma

97
Q

lady, still hands, cannot open mouth, dyspepsia, face rash

A

anti centromere

98
Q

anticardiolipin

A

antiphospholipid

99
Q

crest

A

anti centromere

100
Q

voilacious periorbital rash and progressive muscular weakness

A

dermatomyosists

101
Q

malaise fever back pain weigh loss

A

tuberculosis

102
Q

pain in left buttock and ankle reflex lost

A

S1

103
Q

Expresionless face and dementia

A

Lewy body

104
Q

suicidal patient threatens to leave hospital

A

detain under section 5

105
Q

alzeimers

A

b amyloid

106
Q

lithium toxicity

A

potassium and water loss

107
Q

admit from home to hospital under mental health act

A

signature from 2 GPs

108
Q

man with Parkinson’s

A

cannot sedate with antipsychotics- use lorazepam

109
Q

water deprivation test

A

diabetes insipidus

however must exclude hypercalcaemia due to hyperparthroid first so do serum calcium

110
Q

stroke and AF

A

Warfarin or apixaban

111
Q

rhabdomyolysis

A

hypovolaemia

112
Q

cervical spine fracture

A

do CT neck

113
Q

septic arthritis in a prosthetic joint

A

staph aureus

114
Q

diagnosis of psc

A

MRCP

115
Q

pleomorphism, nuclear enlargement, hyperchromasia

A

carcinoma

116
Q

respiratory acidosis

A

non invasive ventilation

117
Q

diagnosis for infective endocarditis

A

TOE

118
Q

overactive bladder with urge incontinence

A

oral oxybutinin

119
Q

anticoagulation in AF

A

chads Vasc

120
Q

MSM, tender swelling in groin and pain on defecation
unprotected sex
perianal ulcer
inguinal lymphadenopathy

A

lymphogranuloma venereum

121
Q

major haemorrhage in peptic ulcer disease

A

gastroduodenal artery

122
Q

increased LH to FSH ratio

mild elevation in prolactin

A

PCOS

123
Q

Microcytic anaemia refractory to treatment

A

coeliac disease

tissue transglutaminase

124
Q

metastatic cord compression

A

external beam radiotherapy

125
Q 
family history of hypertension 
headaches
hypertension 
low sodium 
raised plasma aldosterone renin ratio
A

primary hyperaldosteronism

126
Q

IgA nephropathy

A

visible haematuria a few days after URTI

127
Q

post infectious GN

A

haematuria after 2 weeks

more serious presentation

128
Q

cannot have NSAIDs for gout due to renal disaese

A

give steroids (pred)

129
Q

over hydration

A

vasoconstrictor with noradrenaline

130
Q

supraspinatus tendinopathy

A

physiotherapy

131
Q

terminal agitation

A

midazolam

132
Q

early alzeimers disease

A

temporal lobe

133
Q

amytriptaline

A

TCA

treat overdose with sodium bicarb

134
Q

Apkd

A

assoc with subarachnoid haemorrhage

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