even more passmed

Question 1

pregnant woman with SLE, what additional medication should she take

Answer 1

aspirin
-women with autoimmune diseases at higher risk of pre-eclampsia

Question 2

investigation for MS

Answer 2

MRI with contrast

Question 3

ipsilateral CNIII palsy and contralateral weakness of upper and lower

Answer 3

webers syndrome
-branches of PCA to midbrain

Question 4

ipsilateral: ataxia, nystagmus, dysphagia, facial numbness, cranial nerve palsy e.g. Horner’s
contralateral: limb sensory loss

Answer 4

PICA (lateral medullary syndrome)

Question 5

hypochromic microcytic anaemia
high ferritin iron & transferrin saturation

Answer 5

sideroblastic anaemia

Question 6

how long do symptoms need to be present for a diagnosis of PTSD

Answer 6

4 weeks

Question 7

when should fetal movements be felt by

Answer 7

24 weeks

Question 8

which anti-epileptic medication is most likely to cause neuropathy

Answer 8

phenytoin

Question 9

surgical treatment for vaginal vault prolapse

Answer 9

sacrocolpoplexy

Question 10

when should women be offered next cervical smear after being treated for CIN

Answer 10

6 months later

Question 11

Most common benign ovarian tumour in women under the age of 25 years

Answer 11

dermoid cyst

Question 12

The most common cause of ovarian enlargement in women of a reproductive age

Answer 12

follicular cyst

Question 13

Most common type of ovarian pathology associated with Meigs’ syndrome

Answer 13

fibroma

Question 14

First screen for anaemia and atypical red cell alloantibodies

Answer 14

8-12 weeks

Question 15

which type of HRT for perimenopausal women

Answer 15

monthly cyclical HRT

Question 16

most common side effect of clozapine

Answer 16

constipation

Question 17

complication of oligohydramnios

Answer 17

fetal pulmonary hypoplasia
-amniotic fluid important for fetal lungs

Question 18

what is the other name for herceptin

Answer 18

trastuzumab

Question 19

causes of autonomic neuropathy

Answer 19

Diabetes mellitus
Infections (including HIV, lyme and chagas)
Autoimmune disease (including SLE)
Amyloidosis

Question 20

brown sequard

Answer 20

Ipsilateral hemiplegia
Ipsilateral loss of proprioception and vibration
Contralateral loss of pain and temperature sensation

Question 21

strawberry cervix

Answer 21

trichomonas vaginalis

Question 22

small pear shaped parasites with a single nucleus and flagella found on cervix

Answer 22

trichomonas vaginalis

Question 23

whats the diagnosis and treatment if someone has megaloblastic anaemia and an autoimmune condition

Answer 23

pernicious anaemia
-hydroxocobalamin IM injections

Question 24

causes of horner’s syndrome

Answer 24

-Pancoast tumour (affecting sympathetic nerve supply)
-Stroke
-internal Carotid artery dissection (Red flag: neck pain)

Question 25

what is lung compliance

Answer 25

ability of the lungs to stretch and expand

Question 26

in locked in syndrome, at which level of the brainstem has the disease affected

Answer 26

pons

Question 27

from which artery does the opthalmic artery arise

Answer 27

internal carotid

Question 28

what is an absolute contraindication for the depot injection

Answer 28

current breast cancer

Question 29

most common type of epithelial ovarian tumour

Answer 29

serous cystadenoma

Question 30

do you get steppage gait in parkinsons

Answer 30

no

Question 31

first line for trigeminal neuralgia

Answer 31

carbamazepine

Question 32

treatment of anti-phospholipid syndrome in pregnancy

Answer 32

aspirin and LMWH

Question 33

how many weeks pregnant does a woman have to be to be diagnosed with pre-eclampsia

Answer 33

20 weeks

Question 34

what is the most common paraprotein found in myeloma

Answer 34

IgG

Question 35

what would a posterior communicating artery aneurysm lead to

Answer 35

subarachnoid haemorrhage

Question 36

which type of haemorrhage is caused by a bridging vein rupture

Answer 36

subdural

Question 37

which type of haemorrhage is caused by a middle meningeal artery aneurysm

Answer 37

extradural

Question 38

which part of the brain controls temperature of the body

Answer 38

hypothalamus

Question 39

which part of the brain contains the oculomotor nucleus

Answer 39

midbrain

Question 40

function of the medulla

Answer 40

breathing, heart rate and circulation

Question 41

where are astrocytic pilocytomas usually found

Answer 41

cerebellum

Question 42

-vertical diplopia -classically noticed when reading a book or going downstairs -subjective tilting of objects (torsional diplopia) -the patient may develop a head tilt -the affected eye appears to deviate upwards and is rotated outwards

Answer 42

fourth nerve palsy