general

Question 1

what is the main benefit of prescribing albumin when treating large volume ascites?

Answer 1

reduce postparacentesis circulatory dysfunction
(and mortality)

Question 2

managemen of whooping cough

Answer 2

azithromycin or clarithromycin if onset of cough within previous 21days

Question 3

management of myxoedemic coma

Answer 3

thyroxine + hydrocortisone

(NO beta blocker)

Question 4

dengue fever presentation

Answer 4

fllu like illlness, fever, severe headache
retroobital pain
widespreadd macullopapular rash
pharyngeal erythema
aches + pains

incubaaation time = 4-10 days

Question 5

leptospirosis px

Answer 5

fever, rigours
red discolouration of eye, then turning yellow
myalgia

exposure to unclean sources of water - leading to contact with urine of infected animals

Question 6

typhoid presentation

Answer 6

high temp (40’C)
headache, generalised pains, cough

constipation + abdo pain

Question 7

whats more sens/specific for pancreatitis - lipase or amylase

Answer 7

lipase !! also has longer hallf life

can be diagnosed based of px + 3x normal amylase/lipase
- early US done to assess AETIOLOGY

Question 8

onet of SSRI theraapeutic efffect

Answer 8

1-2weeks

• generally 2 wees
• iff not effect seen 2-4wks - checkkk addherence

Question 9

drugs that cause chollestasis +/- hepatitis

Answer 9

COCP
Abx - fluclox, co-amoxiclav, erythromycin
anabolic steroids, testosterone
sulphonylureas

Question 10

drugs that cause liver cirrhosis

Answer 10

methotrexate
methyldopa
amiodarone

Question 11

wernickes patients thats also hypoglycaemic - thiamine or glucose first?

Answer 11

thiamine THEN glucose

(if glucose first can fully deplete thiamine stores -> korsakoffs)

Question 12

in hyperventilation ABG is there metabolic compensation

Answer 12

nooo - that takes ages, panic attacks start + resolve quick

(resp alkalosis)

Question 13

bad sun burn in patient taking topical steroids + methotrexate - which one probs worsened ?

Answer 13

methotrexate
- photosensitivity, exaggerated sunburn reaction

Question 14

when does myalgia due to statins typically present

Answer 14

within 6 months of intiating

Question 15

hemiplegia + complete loss of vision in left eye - which artery occluded

Answer 15

left internal carotid

• COMPLETE loss of vision

Question 16

jaw deviated to right + absent corneal reflex - which CN?

Answer 16

trigeminal

jaw deviated towards weaker side (right)
-> ipsilateral

Question 17

change in voice, dysphagia, uvula is deviated toward right - which CN?

Answer 17

vagus - left side

• contralateral, uvula away from side of lesion