final passmed:0

Question 1

what needs to be done before a water deprivation test in suspected nephrogenic DI

Answer 1

serum collected calcium

-to exclude hypercalcaemia due to hyperparathyroidism

Question 2

drug most likely to cause hyponatraemia

Answer 2

bendroflumethiazide

Question 3

which rheumatoid arthritis drug can cause osteoporosis

Answer 3

prednisolone

Question 4

intraperitoneal organs

Answer 4

• stomach
• small bowel
• part of the colon (caecum, transverse and sigmoid)
• liver
• spleen

Question 5

tension movements in a stressed child

Answer 5

disorganised attachment

Question 6

when mother departs or comes back the child is distressed or uncertain

Answer 6

ambivalent attachment

Question 7

normal child

Answer 7

easy temperment

Question 8

itchy vesicles over extensor surfaces

Answer 8

dermatitis herpetiformis

Question 9

what hormone induces labour and is important in breastfeeding

Answer 9

oxytocin

Question 10

investigation for unilateral sensorineural hearing loss

Answer 10

MRI head

Question 11

investigation for recurrent episodes of acute sinusitis

Answer 11

CT head

Question 12

do cataracts usually appear in one or two eyes

Answer 12

two eyes

Question 13

if there is a large haemorrhage at the macula and sudden onset vision loss what does this suggest

Answer 13

wet ARMD

Question 14

hair loss with exclamation mark hairs

Answer 14

alopecia areata

Question 15

what is the active contractile phase of dupuytrens contracture

Answer 15

myofibroblasts within the lesion

Question 16

treatment for herpes zoster opthalmicus

Answer 16

oral acyclovir

Question 17

what are the clinical findings of frozen shoulder

Answer 17

active and passive movement limited and external rotation most affected

Question 18

treatment for anti-phospholipid syndrome

Answer 18

aspirin if they’ve never had a thromboembolic event

warfarin if they have

Question 19

is azathioprine safe to use in pregnancy

Answer 19

yes

Question 20

what is a colles fracture

Answer 20

Colles’ fracture - Dorsally Displaced Distal radius → Dinner fork Deformity

Question 21

what is a bennets fracture

Answer 21

intra-articular fracture at the base of the thumb metacarpal which commonly results from forced abduction of the first metacarpal

Bennets = Boxer

Question 22

symptoms or mortons neuroma

Answer 22

• forefoot pain in between the toes
• worst on walking
• loss of sensation in the toes

Question 23

investigation for mortons neuroma

Answer 23

USS

Question 24

treatment for an extracapsular fracture that is: reverse oblique, transverse or sub trochanteric

Answer 24

intramedullary nail

Question 25

treatment for all other extracapsular hip fractures

Answer 25

dynamic hip screw

Question 26

treatment for an intracapsular displaced hip fracture

Answer 26

independent - total hip replacement | dependent - hemiarthroplasty

Question 27

treatment for an undisplaced intracapsular fracture

Answer 27

healthy - internal fixation | frail - hemiarthroplasty

Question 28

whats the garden classification used for

Answer 28

hip!!!!!

Question 29

if T score is less than -1.5, what is done

Answer 29

offer bone protection | -vit D, calcium supplementation and oral bisphosponate

Question 30

is an intertrochanteric fracture intracapsular or extracapsular

Answer 30

extracapsular

Question 31

which nerve root for the triceps

Answer 31

C7

Question 32

callus surrounding the bone

Answer 32

stress fracture

Question 33

investigation for achilles tendon rupture

Answer 33

USS

Question 34

most common complication of hip replacements

Answer 34

aseptic loosening

Question 35

what is sometimes seen on otoscopic examination in otosclerosis

Answer 35

reddish blush visible on the cochlear promontory

Question 36

bulging tympanic membrane with symptoms

Answer 36

acute otitis media

Question 37

bubbles behind tympanic membrane and no symptoms

Answer 37

otitis media with effusion

Question 38

if someone has scarring from acne what should their management be

Answer 38

refer to dermatology

Question 39

what antibiotic for tonsillitis

Answer 39

phenoxymethylpenicillin for 10 days

Question 40

first line treatment for lichen planus

Answer 40

topical steroid and antihistamine

Question 41

in pemphigus vulgaris what do the antibodies target

Answer 41

the desmosomes

Question 42

what do the antibodies target in bullous pemphigoid

Answer 42

hemidesmosomes

Question 43

treatment for unhealed perforated ear drum

Answer 43

myringoplasty

Question 44

what is this

Answer 44

seborrheic keratoses

Question 45

alcohols effect on ADH

Answer 45

inhibits the release of ADH

Question 46

what is the descending limb of the loop of henle permeable to

Answer 46

only water

Question 47

what is a worrying urinary ACR

Answer 47

3 or more

Question 48

if elevation of the testes relieves the pain, what does this mean

Answer 48

its epididymitis

Question 49

treatment for nephrogenic diabetes insipidus

Answer 49

thiazide diuretics | NOT DESMOPRESSIN

Question 50

most common cause of primary hyperparathyroidism

Answer 50

adenoma

Question 51

what type of hypersensitivity is SLE

Answer 51

type 3

Question 52

what neurovascular structure is most likely to be compromised in a scaphoid fracture

Answer 52

dorsal carpal branch of the radial artery

Question 53

most likely cause of death for someone on haemodialysis for CKD

Answer 53

ischaemic heart disease

Question 54

kawasaki disease

Answer 54

``` childhood febrile vasculitis mostly under 5 years and males -bilateral conjunctivitis -changes in lips and oral mucosa cavities -lymphadenopathy -polymorphous rash -changes in the extremities ```

Question 55

what defines a pre term baby

Answer 55

before 37 weeks gestation

Question 56

how many weeks for foetal loss

Answer 56

<22 weeks

Question 57

age of head control

Answer 57

3 months

Question 58

sitting balance

Answer 58

6 months

Question 59

crawling

Answer 59

9 months

Question 60

standing

Answer 60

12 months

Question 61

runs

Answer 61

18 motnhs

Question 62

hand regard in midline

Answer 62

3 months

Question 63

grasps toy

Answer 63

6 months

Question 64

knows name

Answer 64

12 months

Question 65

friendly with strangers

Answer 65

6 months

Question 66

risk factor for adhesive capsulitis

Answer 66

diabetes mellitus

Question 67

what is endophthalmitis

Answer 67

purulent inflammation of the intra-ocular fluid usually due to infection -complication of cataract surgery