6/06

Question 1

cause of croup

Answer 1

parainfluenza virus

Question 2

cause of bronchiolitis

Answer 2

resp syntical virus

Question 3

tx of tricyclic overdose

Answer 3

iv sodium bicarb

Question 4

adrenaline induced ischaemia tx

Answer 4

phentolamine

Question 5

supracondylar fracture nerve injury

Answer 5

median nerve

Question 6

decrease bleeding in vWF pre-surgery

Answer 6

desmopressin

Question 6

decrease bleeding in vWF pre-surgery

Answer 6

desmopressin

Question 7

adult with asthma not controlled by a SABA

Answer 7

add a low dose ICS, then LTRA, then LABA

Question 8

tx of tension pneumo

Answer 8

14G cannula into 2nd intercostal space

Question 9

oslers nodes

Answer 9

tender purple red raised lesions on hands assoc with endocarditis, SLE

Question 10

cresent sign on hip xray indicates

Answer 10

avascular necrosis

Question 11

internally rotated hip = dislocation

Answer 11

externally rotated hip = fracture

Question 12

DIC typical blood picture

Answer 12

↓ platelets
↓ fibrinogen
↑ PT & APTT
↑ fibrinogen degradation products
shistocytes on blood film

Question 13

what does raised hba2 indicate

Answer 13

beta thalassaemia major

Question 14

RBC transfusion threshold without ACS

Answer 14

70

Question 15

RBC transfusion threshold with ACS

Answer 15

80

Question 16

tx APS in preg

Answer 16

LMWH + aspirirn

Question 17

down syndrome preg screening

Answer 17

11-13+6 weeks scan nuchal translucency
PAPP-A low
beta - HCG raised

Question 18

what contraindicates sildenafil use

Answer 18

nitrates and nicorandil

Question 19

what to anticoagulate with after heparin induced thrombocytopenia

Answer 19

direct thrombin inhibitor

Question 20

what does urine that turns red on standing indicate

Answer 20

acute intermittent porphoryia