29/02/24

Question 1

What are the components cryoprecipitate?

Answer 1

Factor VIII, factor XIII, fibrinogen, and VWF

Question 2

A painful third nerve palsy suggests what aetiology and where is the lion most likely to raise?

Answer 2

• A compressive aetiology
• Most likely an aneurysm in the posterior communicating artery

Question 3

How to remember what cranial nerves innervate what eye muscles?

Answer 3

• LR6, SO4, all the rest are3
• Remember 3 does the upper eyelid (causing ptosis in palsy)

Question 4

Is urea part of the AKI assessment?

Answer 4

No

Question 5

What are the sings of rheumatic fever and hat is the treatment?

Answer 5

• Recent sore throat, arthralgia, rash (erythema marginatum), and murmur (pan systolic/mitral)
• On off IM benpen or oral PenV

Question 6

Bloody diarrhoea 2 months after a trip to Ghana suggests?

Answer 6

• Ameobic dysentry
• Has long incubation

Question 7

What is the most appropriate treatment for orbital cellulitis?

Answer 7

• Immediate IV antibiotics
• Don’t let referral delay treatment

Question 8

What are the live attenuated vaccines?

Answer 8

MMR, BCG, oral polio, oral typhoid, yellow fever

Question 9

What is the management of chronic sinusitis?

Answer 9

Intranasal steroid and nasal saline irrigation

Question 10

When are inguinal hernias operated on in children?

Answer 10

• <6 weeks old = within 2 days
• <6 months old = within 2 weeks
• <6 years old = within 2 months

Question 11

What are the features of plycythameia rubric vera?

Answer 11

Hyperviscosity, pruritus,splenomegaly. and a florid appearance

Question 12

What is the management of polyythamia rubric vera?

Answer 12

• Aspirin to reduce thrombosis risk
• Venesection to keep Hb in range
• Chemotherapy

Question 13

What are the major complications of polycythaemia rubric vera?

Answer 13

• Thrombotic events
• Myelodysplasia (5-15%)
• AML (5-15%; increased risk if chemo used in PCV treatment)

Question 14

What are cotton wool spots a sign of?

Answer 14

Retinal infarction

Question 15

What is the bone profile of osteoporosis?

Answer 15

ALP, calcium. phosphate and PTH all normal

Question 16

What is the preferred reporting measure in case-control studies?

Answer 16

Odds ratio