Medicine

Question 1

Non stress test

Answer 1

Test in the third trimester

HR increase with the movement of the child

Question 2

Probranolol

Answer 2

Not indicated in hypoglycemia it hides symptoms of hypoglycemia as tachycardia

Question 4

Haemodynamicly stable with varices

Answer 4

Iv saline with octeotide

Question 4

Probranolol b blocker

Answer 4

Treat
Anxiety
Tremors
Chest pain
Blood pressure 
Irregular heartbeat
Migraine headache

Question 5

Contraindications of b blockers

Answer 5

Haemodynamic instability
Heartblock
Severe asthma
Bradycardia

Question 6

Defense mechanisms in phobias

Answer 6

Displacement
Projection
Avoidance

Question 7

Reduction of nursemaids elbow

Answer 7

Hyperpronation
Or
Supination and flexion

Question 8

Subclinical hyperthyroidism

Answer 8

Normal t3 T4
Low tsh
Take care of AF IM in tsh below 0.1

Question 10

Haemodynamic instable with varices

Answer 10

Iv saline with somatomedins

Question 10

Cat scratch disease

Answer 10

Bartonella henselae gram negative bacilli

3wks rash around the neck with lymphadenopathy and fever requires no antibiotics

Question 11

Contraindications of OCPs

Protect against ovarian cancer

Answer 11

Thromboembolism 
Smoking over 35 yrs
Vascular disease
Coronary disease
Active liver disease 
Uncontroled hypertension
Estrogen dependent cancer
Breast cancer

Question 12

Finastride (proscar)

Answer 12

Treat enlarged prostate and hair loss

But hides the PSA antigen true levels

Question 13

PCOS

Answer 13

Serum glucose levels aren’t important
Estradiol.  Prolactin.  
Us > 10 cysts in the periphery like pearl string are diagnostic
Testosterone level and DHEAS
Lh/fsh ratio 2:1 or 3:1.

Question 14

Nightmare disorder

Answer 14

Rapidly becomes oriented and responsive

And remember the nightmare

Question 15

Sleep terror disorder

Answer 15

Arousal. Intense fear. Unresponsiveness. Amnesia

Question 16

Idiopathic scoliosis

Answer 16

Shoulder higher than another
Moderate 20-40’ ttt conservative
Severe>40’surgical amelioration
More common in females

Question 17

Hirschsprung disease

Answer 17

Delayed passage of meconium in 40%
Absence of myenteric plexus
Sudden evacuation on digital rectal examination
Diagnosed with full thickness biopsy of the rectum
Treated with resection anastomoses

Question 18

Respiratory syncytial virus prevention

Answer 18

Palivisumab in susceptible children with prematurity and congenital heart diseases im five monthly doses 15 mg/kg starting from November or December

Question 19

Procainamide

Answer 19

Anti arrhythmic

Produce lupus like syndrome reversible

Question 20

Postdated pregnancy or post term

Answer 20

Extends beyond 42wks

Question 21

Hyperoxia test

Answer 21

<50 mmhg cardiac disorder with ristricter pulmonary circulation
50-100 without on 100% O2

Question 22

Random blood glucose

Answer 22

If below 100 take a snack
Preprandial should be 90-130
Postprandial should be less than 180

Question 23

Respiratory syncytial virus

Answer 23

Supportive care

Question 24

Warfarin

Answer 24

Oral anticoagulant

Bone defect in developing fetus

Question 25

Blood pressure management during prefnancy

Answer 25

Methyldopa hydralazine and calcium channel blocker are safe | Propranolol and atenolol are associated with intrauterine growth retardation

Question 26

Phenytoin

Answer 26

Anti seizure drug Reduce folic acid in the blood causing macrocytic anemia Folate supplementation

Question 27

Captopril

Answer 27

Acei. Dry cough

Question 28

HIDA SCAN

Answer 28

``` hepatobiliary iminodiacetic acid scan Visualise biliary tree Assess liver and gallbladder function Diagnose gallbladder dyskinesia Only diagnostic ```

Question 29

Gadolinium associated nephrogenic systemic fibrosis

Answer 29

History of contrast use with renal impairment Prevent if GFR< 30 Biopsy shows increased cd34 spindle shaped fibrocytes with thickened collagen pundles

Question 30

Aspirine

Answer 30

Gi bleading. Tinnitus

Question 31

Uterine rupture

Answer 31

``` Fetal bradycardia is most important Pain Vaginal bleeding Cessation of uterine contractions Failure of labor to progress Fetal regression ```

Question 32

Acute interstitial nephritis

Answer 32

85% drug induced Penicillins, sulfa drugs, NSAIDS resolves 7-10 days after cessation of the offending agent Minimal proteinuria except in NSAID induced reaches the nephrotic range

Question 33

Acute mesenteric ischemia

Answer 33

Pain is disproportionate with the physical finding pain is severe May be more subtle in the elderly as they have more tolerance to pain

Question 34

St segement elevation myocardial infarction

Answer 34

Reperfusion either with fibrinolysis or PCI | repefusion prefered within 4 hrs from the onset of syptoms

Question 35

Metformin glucophage

Answer 35

In pt above 80 dont measure serum creat to estimate glomerular filtration But measure creatinine clearance if < 70 dont give mitformen give instead Amaryl or glyset

Question 36

Amaryl

Answer 36

Glimepiride

Question 37

Monoamines

Answer 37

Seritonin norepinephrine dopamine

Question 38

Over flow incontinence

Answer 38

Dribbling Post void residual volume >100ml Outflow obstruction or detruser muscle denervation

Question 39

Stress incontinence

Answer 39

Associated with atrophic vaginitis and cystocele

Question 40

HSV I II

Answer 40

Suppressive therapy : Acyclovir, valacyclovir, famiciclovir Reduce but doesnt eliminate risk of transmission Vaccination is not effective in men. Type II Tyep one ie associated with onset of erythemamultiforme

Question 41

Opposition movement

Answer 41

Median nerve

Question 42

Extension of thumb and fingers

Answer 42

Radial nerve | Rest drop

Question 43

Finger adduction

Answer 43

Function of ulnar nerve

Question 44

Flexor pollicis brevis

Answer 44

2heads flex adduct and abduct so bt oppose Superficial head median Deep head ulnar

Question 45

Bipolar depression

Answer 45

Ttt with SSRI anti depressant but in addition to mode stabilizer to prevent manic episodes Ssri : floxetine Stabilizer: lithium carbonate , valproic acid and carbamazepine

Question 46

Olanzepine

Answer 46

Antipsychotics that control mania with psychotic features

Question 47

Antidepressants

Answer 47

TCA and SSRIs

Question 48

Paroxetine

Answer 48

SSRI with anticholinergic side effects

Question 49

Nortripriline

Answer 49

TCA cardiotoxicity anticholinergic falls

Question 50

Citalipram

Answer 50

SSRI the only ssri avoids side effects and effective in dementia Contraindicated in pts with prolonged QT interval Close monitoring of dose

Question 51

Diazepam

Answer 51

Benzodiazepines | Ttt anxiety Alcohol withdrawal. Restless leg. Panic attacks. Insomnia. Muscle spasm