General Medicine

Question 1

What are the causes of meningitis

Answer 1

Neonates: Grouo B strep, Listeria, Ecoli
Children: Nisseria, Strep pneumonia
Elderly: Listeria, strep pneumonia

Question 2

What is the most likely first line TB drug implicated in loss of colour vision?

Answer 2

Ethambutol

Question 3

What 3 drugs do you give for Pulmonary Oedema

Answer 3

Nitrates
Furosemide
Ace inhibitors

Question 4

Which TB drug causes peripheral neuropathy

Answer 4

Isoniazide

Question 5

Which Q waves are considered pathological when seen on ECG

Answer 5

> 0.04 s
2 mm in depth
=/>25% of QRS

Question 6

Causes of Poor R wave progression on ECG (2)

Answer 6

Prior Anterior MI
RVH with strain / LVH
Cardiomyopathy
LBBB
COPD

Question 7

Causes of bigger than normal R waves from V1-V3/V6 (2)

Answer 7

RVH
Posterior MI
RBBB

Question 8

Dx for dominant R waves, ST depression and upright T waves V1-V3 (1)

Answer 8

Posterior MI

Question 9

How would you differentiate RVH and LVH on ECG

Answer 9

RVH: R wave V1+ S wave V5>10mm
LVH: R wave in V6 + S wave in V1>35mm.

Question 10

Causes of short QT interval on ECG (3)

Answer 10

Hyperkalemia
Hypermagnesemia
Digoxin toxicity

Question 11

Causes of prolonged QT interval on ECG (8)

Answer 11

Hypokalemia
Hypomagnesemia
Hypocalcemia
Ischemia

Antipsychotics
Antiemetics
Antidepressants
Anti arrhythmias
Antibiotics

Question 12

Causes of prolonged QT interval (3)

Answer 12

1st degree heart blocks
2nd degree Morbitz type 1
3rd degree heart block

Question 13

List 3 causes of left axis deviation

Answer 13

LBBB
LVH
Inferior MI

(In left axis deviation electrical activity moves from Right )

Question 14

List 3 causes of Right axis deviation

Answer 14

RVH
RBBB
Anterior MI
VTach

(Electrical activity has to move from left to right due to problem on the right)

Question 15

List 3 causes of Extreme right axis deviation

Answer 15

Severe Obesity
VTach
Extreme RVH

Question 16

Which drug should you avoid in a pt with PUD

Answer 16

Ibrufen

Question 17

Causes of pathological Q waves

Answer 17

MI
Ventricular hypertrophy?

Question 18

Which drug would you give in Asprin OD

Answer 18

Sodium bicarbonate

Question 19

Which drug would you give in TCA OD

Answer 19

Sodium bicarbonate

Question 20

Which drug would you give in Warfarin overdose

Answer 20

Vitamin K

Question 21

Which drug would you give in Benzo OD

Answer 21

Flumazenil

Question 22

Which drug would you give in digoxin OD

Answer 22

Digoxin immune Fab

Question 23

Which drug would you give in poison OD

Answer 23

Charcoal

Question 24

High drug would you give in Magnesium OD

Answer 24

Calcium gluconate

Question 25

High drug would you give in potassium OD/Poisoning

Answer 25

Calcium chloride or calcium gluconate

Question 26

High drug would you give in insulin OD

Answer 26

Glucose

Question 27

Which drug would you give for hypokalemia

Answer 27

KCl

Question 28

Which drug would you give in Torsades (rhythm you can get during resusc)

Answer 28

Magnesium 2mg

Question 29

Which drug would you give for arrhythmias

Answer 29

Amiodarone 300mg followed by 150mg (5mg/kg in paeds) If not available Lignocaine 1.5mg/kg IVI then 0.5 IVI 4min later

Question 30

Outline the indications of Adrenalin

Answer 30

Cardiac Arrest Anaphylaxis Life threatening severe asthma Severe hypotension not due to hypovolaemia