ALL passmed :0

Question 1

what do beta blocker eye drops do in glaucoma

Answer 1

decrease production of aqueous fluid

Question 2

woman constantly has UTI after sex, is there any prophylaxis?

Answer 2

single dose of nitrofurantoin after sex

Question 3

prolonged (post 15 min) epistaxis and can’t see bleeding site

Answer 3

packing

Question 4

palliative pain relief in patients with mild/moderate renal impairment

Answer 4

oxycodone

Question 5

palliative pain relief in patients with severe renal impairment

Answer 5

buprenorphine and fentanyl

Question 6

ECG result for hypercalcaemia

Answer 6

shortening of the QT interval

Question 7

what is indapamide

Answer 7

thiazide diuretic

Question 8

late complications of down syndrome

Answer 8

-subfertility
-learning difficulties
-repeated resp infections
-hearing impairment from glue ear
-ALL
-hypothyroidism
-alzheimer’s
-atlantoaxial instability

Question 9

treatment of GBS in pregnancy

Answer 9

intrapartum IV benzylpenicillin only

Question 10

first line investigation for stable chest pain of suspected coronary artery disease

Answer 10

contrast enhanced coronary CT angio

Question 11

when should warfarin be stopped before a surgery

Answer 11

5 days before
-once the INR is less than 1.5 the surgery can happen

Question 12

which type of shock: man’s low heart rate alongside warm, flushed peripheries indicates

Answer 12

spinal shock - neurogenic

Question 13

which vaccine should patients with coeliac receive

Answer 13

penumococcal

Question 14

hiccups in palliative care

Answer 14

chlorpromazine or haloperidol

Question 15

which antibiotic causes c.diff

Answer 15

CLINDAMYCIN

Question 16

what is endophthalmitis

Answer 16

inflammation of aqueous and/or vitreous humour
-occurs after cataract sugery
-painful red eye
-discharge
-worsening vision

Question 17

treatment of anterior uveitis

Answer 17

steroid eye drops + cycloplegic eye drops (atropine)

Question 18

most important test for haemochromatosis

Answer 18

TRANSFERRIN saturation (high)
-ferritin sats also high but can be high in other things like malignany

Question 18

features of adenocarcinoma of oesophagus

Answer 18

-history of GORD and barret’s
-lower third
-more common in UK

Question 19

features of SCC of oesophagus

Answer 19

-developing world
-upper two thirds of oesophagus
-achalasia
-plummer-vinson syndrome