01/03/24 (morning)

Question 1

What does LMWH act on?

Answer 1

Factor Xa

Question 2

What HbA1c level is diagnostic of T2DM?

Answer 2

48mmol/L (6.5%)

Question 3

What is given to reduce bleeding risk in vWD?

Answer 3

• Desmopressin
• Stimulates release of vWF

Question 4

What is the normal age for a baby to smile?

Answer 4

6-8 weeks

Question 5

What is the GI side effect of calcium channel blockers and beta blockers?

Answer 5

• CCB: constipation
• BB: diarrhoea

Question 6

How to calculate units?

Answer 6

(amount in ml x ABV|)/1000

Question 7

Common presentation of ITB syndrome?

Answer 7

Lateral knee pain in regular runners

Question 8

Which type of CCB are used in hypertension an give an example?

Answer 8

• Non-rat limiting
• Felodipine, amlodipine

Question 9

Snowstorm appearance on axillary lymph node US scan suggest what?

Answer 9

Breast implant rupture

Question 10

What blood products is most associated with iatrogenic septicaemia?

Answer 10

• Gram-positive: platelets
• Gram-negative: packed red cells

Question 11

What is used to treat acute flares of intermittent porphyria?

Answer 11

Haem arginate

Question 12

How does myasthenia graves cause distended neck veins and facial flushing?

Answer 12

SVC obstruction caused by thymoma

Question 13

What vaccination is given at 12-13 years old?

Answer 13

HPV

Question 14

Management of UTI in pregnancy women?

Answer 14

1) Send MSU culture + treat with 7 days of nitrofurantoin
2) If near term use amoxicillin or cefalexin instead

Question 15

Management of sigmoid volvulus

Answer 15

Decompression with flatus tub insertion (first line) or percutaneous colostomy tube (2nd line)