Acute Care/Infectious/MFE/Cancer

Question 1

Jacksonian movement = pathology where?

Answer 1

Frontal lobe

Question 2

Treatment of symptomatic chronic subdural bleeds?

Answer 2

Burr hole evacuation

Question 3

Treatment of acute subdural haemorrhage?

Answer 3

Decompressive craniectomy

Question 4

Which airway is unsafe to use in a patient who has eaten recently?

Answer 4

Laryngeal mask

Question 5

Why is U&Es important to so in a post-SAH patient?

Answer 5

Hyponatraemia is very common

Question 6

Fluctuating cognition indicates which type of dementia?

Answer 6

Lewy body

Could be easily mistaken for parkinson’s as it has similar features but if cognition failure comes before movement that makes it more likely lewy body

Question 7

FEV1 for LTOT therapy in COPD patients?

Answer 7

<30%

Question 8

Criteria for COPD LTOT?

Answer 8

-Cyanosis
-Polycythaemia
-Peripheral oedema
-Raised JVP
-O2 sats less than or equal to 92%

Question 9

What do you give if bisphosphonates CIed in patient with T>-3.5? And tell me the reasons why they could be CIed (think obvious)

Answer 9

Denosumab

CIed due to adverse effects or to eGFR >35mL/min

Question 10

Immunocompromised patient with Campylobacter. Do you want to treat?

Answer 10

Yea dummy

Clarithromycin

Question 11

Salicylates cause what ABG?

Answer 11

Primary respiratory alkalosis + metabolic acidosis

Question 12

Penicllin allergic patient with cellulitis in pregnancy?

Answer 12

Erythromycin

Question 13

Contralateral hemiparesis + sensory loss with lower extremity being more predominant than upper? WHat is affected?

Answer 13

Anterior cerebral artery

Question 14

Prostate with hard, asymmetrical, enlarged left lobe. What ya gonna do?

Answer 14

Multiparametric MRI

Question 15

Don’t do an LP in sus meningitis if?

Answer 15

Rapidly evolving rash
Severe sepsis signs

Question 16

InvgX for sus orbital cellulitis?

Answer 16

Contrast enhanced CT scan of orbits, sinuses, brain

Question 17

Whooping cough 2 treatment options?

Answer 17

Azithromycin
Clarithromycin

If onset within 21 days

Question 18

Ipsilateral facial pain and temp loss + contralateral limb pain and temp loss + ataxia?

Answer 18

Posterior inferior cerebellar artery

Question 19

What type of rubber related dye substance is a risk factor for transitional bladder carcinoma?

Answer 19

Aniline dye

Question 20

Croup… oral or neb dexamethasone?

Answer 20

ORAL 1 DOSE (0.15mg/kg)

Question 21

FEV1/FVC >0.7 confirms what?

Answer 21

COPD

Question 22

Undercooked pork hepatitis?

Answer 22

E

Question 23

Non-falciparum malaria treatment and why?

Answer 23

Primaquine
-Destroys live hypozoites and prevents relapse

Question 24

Increased risk of which cancers with HNPCC?

Answer 24

Pancreatic
Endometrial
Colorectal and bowel

Question 25

Second line to treat MRSA?

Answer 25

Linezolid

Question 26

Contralateral homonymouse heminaopia with macular sparing + visual agnosia? Which artery affected?

Answer 26

Posterior cerebral artery

Question 27

Head CT findings for alzheimers?

Answer 27

Atrophy of cortex and hippocampus

Question 28

Locked in sydnrome affects which artery?

Answer 28

Basilar artery infarcy

Question 29

UTI pregnant woman, third trimester?

Answer 29

7 days amoxi or cefalexin

Question 30

Score for assessing patients risks of pressure sores?

Answer 30

Waterlow score

Question 31

What should be given as pre-treatment with Goserelin and why?

Answer 31

Goserelin may cause transient increases in prostatic cancer symptoms (flare effect) caused by initial increase in lutenizing hormone

SO

GIVE FLUTAMIDE (synthetic antiandrogen) to attenuate the tumour flare

Question 32

MRSA?

Answer 32

Vancomycin

Question 33

Most common organism to cause IECOPD?

Answer 33

H. Influenza

Question 34

Asymptomatic bacteria in catheterised patients. What you want to do?

Answer 34

No treatment

Question 35

Campylobacter disease progression?

Answer 35

Prodrome
Abdo pain
Bloody diarrhoea

Question 36

Patient with croup…what examination do you do?

Answer 36

Listen…NOT an airway examination = possible airway obstruction :((((((
Just do it off of clincial vibes or if you’re feeling really intense a CXR would show subglottic narrowing (steeple sign) on PA view

Question 37

Patient loses conciousness, gains it back, then loses it again after low impact head injury.
What’s up you think?

Answer 37

Extradural haematoma

Question 38

Paracetamol overdose extra risk factors?

Answer 38

Chronic alcohol
HIV
Anorexia
P450 inducers

Question 39

Cavitating lung lesions is likely of what cancer?

Answer 39

Squamous cell carcinoma

Question 40

Paraneoplastic feature of squamous cell carcinoma in lungs?

Answer 40

Hypertrophic pulmonary osteoarthropathy

Question 41

What is pulmonary oedema in a patient with AKI an indication for?

Answer 41

Haemodialysis

Question 42

Criteria for TACIs?

Answer 42

-Unilateral hemiparesis and/or hemisensory loss of face, arm and leg
-Homonoymous hemianopia
-Higher cognitive dysfunction (dysphagia)

Question 43

Dropping sats quickly following intubation, what do you think might have happened to cause this?

Answer 43

Oesophageal intubation

Question 44

1st line treatment for HAP pneumonia?

Answer 44

Co-amoxiclav