Mock

Question 1

IgA nephropathy management

Answer 1

If haemodynamically stable can observe

Question 2

Define sensitivity

Answer 2

Of those that test positive who have the disease

Question 3

Define specificity

Answer 3

Of those that test negative those that don’t have the disease

Question 4

Define NPV

Answer 4

Of those that don’t have the disease, who tests negative

Question 5

Define PPV

Answer 5

Of those that have the disease, who tests positive

Question 6

ACTH secreting tumour

Answer 6

Gastric adenoma

Question 7

Atlanto-axial RA imaging

Answer 7

XR in neutral and flexed position

Question 8

Meds to stop if pregnant and PAH

Answer 8

Endothelin antagonists

Question 9

Haematochromatosis treatment

Answer 9

Phlebotomy (venesection)

Question 10

Ezetimibe moa

Answer 10

Lowers LDL

Question 11

Evolocumab moa

Answer 11

Use alongside a statin if statins have not adequately reduced LDL

Question 12

Zollinger-Ellison

Answer 12

Lots of gastric ulcers
GASTRINOMAS

Question 13

Management of restless legs

Answer 13

Gabapentin, pregablin

Question 14

Lichen planus management of gum

Answer 14

Topical steroids

Question 15

Anaemia in CKD

Answer 15

Trial oral iron, if unable to tolerate can have IV

Question 16

% of lung cancer that is preventable by smoking

Answer 16

> 90

Question 17

Rheumatoid arthritis IG

Answer 17

IgM

Question 18

CLL blood transfusion uses irradiated blood why

Answer 18

Depletion of donor white cells

Question 19

S4 ECG

Answer 19

After the P wave

Question 20

Necrobiosis lipidica management

Answer 20

Topical steroids

Question 21

Pacemaker insertion

Answer 21

If become hypoxic can cause VT –> caused by pacemaker in the coronary sinus

Question 22

Whipples disease

Answer 22

IV ceftriaxone

Question 23

Metformin when fasting

Answer 23

Change to when eating!

Question 24

Osteomalacia clue in question

Answer 24

VEGETARIAN

Question 25

Syphilis management if allergic to penicillin

Answer 25

Azithromycin

Question 26

Joint pain TB meds

Answer 26

Pyrazinamide

Question 27

Active TB meds

Answer 27

2 months RIPE 4 months RI (+pyridoxine)

Question 28

Latent TB meds

Answer 28

3 months RI (+pyridoxine) 6 months i (+pyridoxine)

Question 29

Meningococcal TB meds

Answer 29

RIPE + steroids for 12 months

Question 30

Direct observed treatment for TB

Answer 30

Homeless Poor compliance Prisoners

Question 31

Isoniazid complications

Answer 31

Peripheral neuropathy (add pyridoxine) Hepatitis Agranulocytosis

Question 32

Pyrizinamide complications

Answer 32

Hyperuricaemia Hepatitis Arthralgia

Question 33

Crohns + pyoderma gangrenosus mx

Answer 33

IV infliximab

Question 34

Primary progressive MS management

Answer 34

Ocrelizumab

Question 35

Can PPI cause osteoporosis

Answer 35

PPI BIG cause of osteoporosis

Question 36

Dipyradimole moa

Answer 36

Adenosine uptake inhibitor

Question 37

PPI electrolyte imbalance

Answer 37

Hypomagnesia and hyponatraemia

Question 38

Trastuzumab SE

Answer 38

Cardiac failure

Question 39

Small bacterial overgrowth syndrome management

Answer 39

Oral rifaximin (can also use co-amox or metrinoidazole)