Aloud

Question 1

ECG changes in LVH

Answer 1

S wave in V1 or 2 over 25 mm
R wave in V5 or 6 over 25mm
S (v1) + R (v6) over 35 mm

Question 2

how do thiazides work

Answer 2

block Na/CL in distal convoluted tubule

Question 3

where does spironolactone act

Answer 3

Na/K/H pump

Question 4

5 causes of raised BNP

Answer 4

HF
LVH
COPD
ACS
cirrhosis

Question 5

3 contraindications for DOACs

Answer 5

mitral stenosis
prosthetic valves
APA

Question 6

2 ECG changes for mitral stenosis

Answer 6

RVH

P mitrale

Question 7

TSH and prolactin relationship

Answer 7

TRH stimulates both

TSH low last in hypopituitarism

Question 8

FSH/LH and prolactin relationship

Answer 8

FSH/LH suppressed by prolactin

FSH/LH lost first in hypopituitarism

Question 9

3 B lactam abx

Answer 9

penicillin
cef…
glycopeptides (vanc and teic)

Question 10

sclerotic (osteoblastic) lesions

Answer 10

prostate
small cell lung
Hodgkins

Question 11

def MCHC

Answer 11

measure of Hb conc in a given volume of packed red cells

Question 12

formula MCHC

Answer 12

Hb/haematocrit

Question 13

3 bugs for splenectomy

Answer 13

HiB
s,pneumoniae
n,meningitidis

Question 14

4 chemo classes and an example of each

Answer 14

Alkylating - cisplatin
Antimetabolite - 5FU
anti tumour abx - bleomycin
mitotic inhibitors - vincristine

Question 15

how doe NSAIDs work

Answer 15

inhibit cyclooxygenase to prevent prostaglandin and thromboxane A2 formation

Question 16

kidney disease in Hep |C

Answer 16

membranoproliferative GN

Question 17

4 classes of ovarian tumour

Answer 17

thecoma
granulosa
germ cell
epithelial cells

Question 18

what do theca cells do

Answer 18

LH into androgens

Question 19

what do granulosa cells do

Answer 19

FSH into aromatase

Question 20

5 germ cell ovarian tumours

Answer 20

teratoma
dysgerminoma
yolk sac
choriocarcinoma
embryonal carcinoma

Question 21

3 epithelial ovarian tumours

Answer 21

serous
endometroid
mucinous

Question 22

ASD murmur

Answer 22

soft
midsystolic
LUSE
fixed split S2

Question 23

congenital nephrotic syndrome rx

Answer 23

NSAID
ACEi
albumin
transplant

Question 24

4 cause of false positive sweat test

Answer 24

adrenal insufficiency
hypothyroid
hypoparathyroid
G6PD def

Question 25

raised amylase

Answer 25

pancreatitis
renal failure
obstruction
genetic
ripped bowel
anythin abdo
mumps

Question 26

exudative pleural effusion

Answer 26

high protein

Question 27

exudative ascites

Answer 27

low SAAG (high portal pressure)