DUMES Y2 Q's

Question 1

COCP can be used for treatment in a patient with a history of migraine with aura. True/false?

Answer 1

False

COCP is contraindicated in patients who have a history of migraine with aura due to increased risk of stroke.

Question 2

What is gold standard investigation for any joint pathology (including rheumatoid arthritis)?

Answer 2

MRI

Question 3

What does an x-ray show for early stage rheumatoid arthritis?

Answer 3

Normal/soft tissue swelling

Periarticular swelling

Question 4

What does an x-ray show for late stage rheumatoid arthritis?

Answer 4

Erosion and subluxation (partial dislocation)

Question 5

What is the DAS-28 score?

Answer 5

A measure of disease activity in rheumatoid arthritis.

DAS= disease activity score

28 = the number of joints examined.

Question 6

What are the components of the DAS-28 score?

Answer 6

Sore joint count

Swollen joint count

ESR (erythrocyte sedimentation rate)

Global health score

Question 7

What are the ranges for blood glucose in gestational diabetes?

Answer 7

Fasting glucose >/= 7 mmol/l

Random glucose >/= 11.1 mmol/l

Question 8

What medications can cause deterioration in acute kidney injury?

Answer 8

ACE inhibitors and other aminoglycosides (such as gentamicin and streptomycin) as they directly affect kidney function.

Question 9

Why may metformin be stopped in AKI?

Answer 9

Can be stopped in AKI due to increased risk of toxicity however it does not directly lead to further kidney damage.