Info from questions

Question 1

What is the indications of acute dialysis?

Answer 1

Hyperkalaemia >7 
Urea >40 
Fluid overload
Severe acidosis pH<7.5
Pericardial effusion

Question 2

How do you differentiate Phaechromocytoma from Conn’s Syndrome?

Answer 2

Triad of Phaechromocytoma: Headache, sweating, Hypertension (episodic)
Conn’s: Hypertension (resistant), hypokalaemia, metabolic alkalosis

Question 3

Features of Crohns vs UC

Which one is smoking protective in?

Answer 3

Crohns –> Skip lesions, Inflammation through all layers therefore can see fistula
UC –> Crypt Abscesses, Deplete goblet cells

Smoking is protective in UC

Question 4

Which murmur is a mid diastolic murmur?

Give the other diastolic vs systolic murmurs.

Answer 4

Mid diastolic murmur -> Mitral stenosis

Diastolic murmurs: ARMS (Aortic Regurgitation ‘blowing diastolic), Mitral stenosis)
Systolic: Aortic Stenosis (Ejection sys), Mitral regurgitation (pan systolic)

Question 5

What is Erbs palsy?

When common birth complication is it seen in?

Answer 5

Waiters tip
C5-C6 - radial nerve damage

Shoulder dystocia

Question 6

Female, infrequent periods, weight loss and sweating. She also feels itchy. BP: 135/75mmHg and resting pulse of 100bpm.

Which endocrine test is most appropriate?

Answer 6

TSH, and T4 levels

Hyperthyroidism

Question 7

Blood results likely seen in Conn’s?

Answer 7

Hypernatraeima
Hypokalaemia
High aldosterone

Question 8

Blood results likely seen in Addisons?

Answer 8

Hyperkalaemia
Hyponatraemia
Hypoaldosterone

Question 9

CURB65 What is it?

Answer 9

C - new onset confusion
U - urea over 7 
R - equal to or over 30 
B - BP systolic <90mmHg
            diastolic equal to or <60mmHg

Age = or greater than 65b

Each get 1 point

Question 10

Management from CURB scores:
0-2
3-5

Answer 10

0-2: amoxicillin (if allergic penicillin: doxy)

3-5: co-amox + doxy

Question 11

Hospital acquired
0-2
3-5

Answer 11

0-2: Same as community

3-5: severe IV amoxicillin + gent (if allergic cotrimazole)

Question 12

Which lung cancers secrete SIADH?

Answer 12

Small cell lung cancer: ACTH (cushings)

Question 13

Squamous cell carcinoma sees which blood result

Answer 13

Hypercalcaemia

Question 14

Types of Lung cancer?

Answer 14

Small Cell

Non-small cell: squamous, adenocarcinoma and large cell