literally f this

Question 1

Nerve roots if positive femoral stretch test

Answer 1

L3/L4

Question 2

Nerve roots if positive sciatic stretch test?

Answer 2

L5/S1

Question 3

Crystals in osteoarthritis

Answer 3

Calcium phosphate - coffin shaped (no refringence)

Question 4

Crystals in rheumatoid arthritis

Answer 4

Cholesterol - rhomboid shaped (negatively birefringence)

Question 5

Maintenance therapy for SLE

Answer 5

NSAIDs and hydroxychloroquine

Question 6

Treatment for severe flares of SLE

Answer 6

IV cyclophosphamide and high dose steroids

Question 7

Treatment of giant cell arteritis

Answer 7

High dose steroids

give PPI and bone protection as well

Question 8

Sun burst pattern

Answer 8

Osteosarcoma

Question 9

Popcorn calcification

Answer 9

Chondrosarcoma

Question 10

Local cortical sclerosis with central radiolucent nidus

Answer 10

Osteoid osteoma

Question 11

How does fat embolism present?

Answer 11

SOB
Rash
Cognitive dysfunction

Question 12

Brown-sequard

Answer 12

Ipsilateral paralysis and loss of dorsal column

Contralateral pain and temperature

Question 13

Nerve that could be damaged in anterior hip dislocation

Answer 13

Obturator

Question 14

Nerve that could be damaged in hip and pelvic fractures

Answer 14

Femoral nerve

Question 15

Injury results in positive trendelenberg sign

Answer 15

Superior gluteal nerve

Question 16

Injury results in difficulty rising from seated position

Answer 16

Inferior gluteal nerve

Question 17

Side effects of sulfasalazine

Answer 17

Rash
Sperm
Hepatotoxicity

Question 18

This hernia is medial to the epigastric artery

Answer 18

Direct inguinal hernia

Question 19

This hernia is lateral to the epigastric artery

Answer 19

Indirect inguinal hernia

Question 20

What makes up Hesselbach’s triangle?

Answer 20

Epigastric artery and vein, rectus abdominus, inguinal ligament

Question 21

Triad of Boerrhave’s syndrome

Answer 21

Vomiting
Thoracic pain
Subcutaneous emphysema

Question 22

Ulcer relieved by eating

Answer 22

Duodenal ulcer

Question 23

Budd-Chiari triad

Answer 23

Abdominal pain, ascites, enlarged liver

Question 24

Drugs you should avoid in liver failure

Answer 24

Opiates and diuretics
Avoid oral hypoglycaemics
(warfarin will have increased effect)

Question 25

Cancer markers that may be raised in cholangiocarcinoma

Answer 25

CA125, CA19-9, CEA

Question 26

Ultrasound will typically show a fluid filled structure with poorly defined boundaries

Answer 26

Amoebic abscess

Question 27

Treatment of amoebic abscess

Answer 27

Metronidazole

Question 28

Blood test results in hydatid cysts

Answer 28

LFTs are usually abnormal and eosinophilia is present in 1/3rd of cases

Question 29

Treatment of hydatid cysts

Answer 29

Sterilisation of the cyst with mebendazole and followed by surgical resection

Question 30

Investigation for Meckel’s diverticulum

Answer 30

Technetium-99 perchentate scan

Question 31

“treatment of breast cancer”

Answer 31

Surgery and radiotherapy

Question 32

Drugs, which can cause parkinsons

Answer 32

Prochlorperizine, chlorpromazine, lithium, metoclopramide

Question 33

Should you use NSAIDs or paracetamol in old people?

Answer 33

Try to use paracetamol - NSAIDs and COX-2 inhibitors may cause GI haemorrhae in old people, they can exacerbate CHF, they also interact with diuretics and blood pressure medication