Mock Flashcards

1
Q

Stress incontinence

A

Pelvic floor –> duloxetine

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2
Q

Urge incontinence

A

Bladder retraining –> mirebegron

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3
Q

Rasburicase MOA

A

Uric acid oxidation

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4
Q

Cushings preliminary investigation

A

24 hour urinary cortisol

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5
Q

Membranous nephropathy management

A

Rituximab

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6
Q

Ank spon imaging

A

MRI of sacroiliac joints

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7
Q

vWB disease management

A

Desmopressin

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8
Q

SLE antibody

A

anti ds-DNA

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9
Q

MODY management

A

Gliclazide

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10
Q

Which vaccination to avoid if allergic to egg

A

Yellow fever
flu vaccine

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11
Q

Acne rosacea management

A

Start with topical azelic acid, can try oral doxy if severe

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12
Q

pH for a NGT

A

1.5-3.5

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13
Q

MEN 1 tumours

A

glucagonoma more common than insulinoma

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14
Q

Homocystinuria management

A

Pyridoxine

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15
Q

Chickenpox pneumonia management

A

IV aciclovir

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16
Q

Autoimmune haemalytic disease investigation

A

Direct antiglobulin test

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17
Q

Hereditary spherocytosis investigation

A

cryoheamolysis and eosin - 5 maelamine binding test

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18
Q

Diarrhoea in a kids nursery

A

Shigella

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19
Q

Condition related to RA

A

Renal amyloidosis

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20
Q

Ifosfamide side effect

A

Haemorhagic cystitis

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21
Q

Roux en Y bypass what do people struggle to absorb

A

Iron

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22
Q

Behcets genetics

A

B51

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23
Q

Vestibular schwannoma cell

A

Schwann cells

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24
Q

Timescale for post strep glomerulonephritis

A

> /=10 days OTHERWISE more likely to be IgA nephropathy

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25
Management of Alzheimers
Start with donepezil and can move to memantine
26
Non-falciparum malaria management
artemethur and lumefantrine
27
how does metformin work
increase hepatic glucose output
28
Post MI, pansystolic murmur radiating to the axilla
Acute mitral regurgitation
29
Hyperkalaemia, if high what is the first line management
Calcium gluconate as it stabilises the membrane and therefore stops the risk of a life threatening arrhythmia
30
CLL first line investigation
Immunotyping
31
First line management of chronic open angle glaucoma
Topical timolol or a prostaglandin analogue
32
Where is the insulin cell receptor
On the cell membrane
33
CMV prophylactic agent
Vanciclovir
34
Lateral medullary syndrome which artery
Vertebral
35
36
lateral medullary syndrome artery
vertebral artery
37
hypertensive meds that cause ankle swelling
amlodipine and doxazoacin
38
post, pan systolic murmur radiating to the axilla cause
acute mitral regurgitation
39
treatment for acute hyperkalaemia inital
IV calcium gluconate - need to stabilise the membrane to reduce risk of cardiac arrhythmia
40
CLL initial investigation
Immunotyping
41
Chronic open angle glaucoma management
Topical timolol or prostaglandin analogue
42
Where is the cell receptor for insulin
On the cell membrane
43
Philadelphia chromosome
9;22 (CML)
44
CMV prophylaxis
valgangcliovir
45
How does dialysis work in drug overdose
drugs with a high water solubility are removed from the blood
46
APKD imaging
USS
47
Cyclophosphamide MOA
B cell depletion
48
Parietal lobe stroke artery
anterior cerebral artery
49
Diptheria
grey skin (difficulty swallowing, grey skin)
50
Pulmonary hypertension and pregnancy
Need to add LMWH if PH is well controlled
51
Testicular tumour 1. AFP 2. B-HCG 3. LDH 4. PLAP
1. AFP - non-seminomatous tumours (teratomas, yolk-sac) 2. Choriocarcinoma 3. marker of tumour bulk (seen in seminomas and non-seminomas) 4. Seminomas
52
Sensitivity
Of those that have the disease who tests positive
53
Specificity
Of those that do not have the disease those who test negative
54
NPV
Of those that test negative, those that do not have the disease
55
PPV
Of those that test positive, those that have the disease
56
Treatment of Torsades
IV magnesium
57
Why does trimethoprim increase creatinine
Because it inhibits the excretion of creatinine
58
which cells produce IgE
B cells
59
Renal artery stenosis investigation
CT renal angiogram
60
Congenital long QT syndrome management
BB (atenolol, propranolol, metoprolol)
61
IgG subclass deficiency
Recurrent UTIs
62
Haemochromotosis investigation
Genetic testing
63
Wet macular degeneration management
Bevilzumab
64
How does alcohol cause hypoglycaemia
Reduced gluconeogenesis
65
Angiodysplasia cause of bleeding
VWF deficiency (commonly presents with AF)
66
Average number of calories for a male per day
2500
67
Recurrent meningitis, which complement level is low
C5
68
Fabry's disease
Skin rash, osteoporosis, abdominal pain, neurological dysfunction Alpha galatosidase deficiency
69
Acute uveitis management
Topical steroids
70
Cauda equina vs conus medullaris syndrome
Cauda equina: saddle paraesthesia Conus medullaris: perianal paraesthesia
71
Medication that should not be used in Graves eye disease
Radioiodine
72
Avascular necrosis of the femur gold standard imaging
MRI
73
Bullous pemphigoid skin biopsy
C3 deposition
74
Renal tubular acidosis 1
metobolic acidosis, osteomalacia, nephrocalcinosis
75
Alcohol causing blindness
Methanol
76
Brittle asthma management
omalizumab
77
Blood thinner bad in renal failure
Warfarin
78
Congenital prolonged QT syndrome which channel is effected
Potassium