From the wall

Question 1

What can T wave inversion mean

Answer 1

Hypokalaemia

Question 2

Atropine is a competitive/non-competative inhibitor

Answer 2

competitive

Question 3

What is atropine a competitive inhibitor of

Answer 3

acetylcholine

Question 4

What is the affect of atropine on the heart

Answer 4

speeds it up

Question 5

Where does the LAD run

Answer 5

in the inter ventricular groove

Question 6

How is angina described

Answer 6

a tight crushing retrosternal pain

Question 7

What does amoxicillin treat

Answer 7

Gram positive

Question 8

What does gentomycin act on

Answer 8

gram -

Question 9

What does metronidazole

Answer 9

anaerobic

Question 10

Where does the left phrenic nerve pass over

Answer 10

the pericardium of the left ventricle

Question 11

What is polymorphic VT normally associated with

Answer 11

Torsades de pointes

Question 12

What do you use to treat tornadoes de pointes

Answer 12

magnesium sulphate

Question 13

What are the first three investigations for Angina

Answer 13

Exercise ECG
Perfusion imaging
CT angiography

Question 14

What are 4 classic symptoms of crohns

Answer 14

abdo pain
diarrhoea
anorexia and weight loss
Malaise and fever

Question 15

What are 3 symptoms of UC

Answer 15

Bloody diarrhoea, colicky abode pain and urgency

Question 16

What is the acronym for pulmonary oedema treatment

Answer 16

SMINT

Question 17

What does SMINT stand for

Answer 17

Sit up and give high flow oxygen
Morphine and anti-emetic
IV diuretics ( e.g. furesimide)
Nitrates
Try urgent haemodyalysis or haemofiltration if no response to above

Question 18

What does TNM stand for and what are the possible numbers for each one

Answer 18

Tumour - T1 to T4
Nodes- NO to N3
Metastases- MO to M1

Question 19

What is loperamide used for

Answer 19

to decrease the frequency of diarrhoea

Question 20

What is glycogen breakdown catalysed by

Answer 20

glycogen phosphorylase

Question 21

What group of antibiotics does doxycycline belong to

Answer 21

tetracyclines

Question 22

What does the LENT score predict

Answer 22

the survival in malignant pleural effusion

Question 23

The enzymes glucose-6-phosphate is only found in cells able to store…

Answer 23

glycogen

Question 24

Strawberry tongue is typical of which condition

Answer 24

Kawasaki disease

Question 25

What is the management for Kawasaki disease

Answer 25

High dose aspirin

Question 26

What is the potential complication of Kawasaki disease

Answer 26

Coronary artery aneurysm

Question 27

What doe the following symptoms describe

Answer 27

Strawberry tongue, bright red cracked lips, red palms of the hands and the soles of the feet which later peel

Question 28

Where do the coronary arteries arise from

Answer 28

The right and left aortic sinuses of the ascending aorta

Question 29

What channels does adenosine open

Answer 29

Aah sensitive K+ channels (GIRK)

Question 30

What does Adenosine hyperpolarises briefly and what is the result of this

Answer 30

Hyperpolarises the AV node briefly, suppressing impulse conduction

Question 31

What tachycardia is adenosine used to terminate

Answer 31

Paroxysmal SVT caused by re-entry

Question 32

What are adrenaline and noradrenaline secreted by

Answer 32

posterior pituitary

Question 33

What is the vertebral level for the visceral afferent nerve fibres

Answer 33

Foregut- T6-T9 Midgut- T8-T12 Hindgut- T10-L2

Question 34

What bacteria is the most common cause of acute cholecystitis

Answer 34

Enterococcus