mock

Question 1

what drug reduces forced vital capacity

Answer 1

BB

Question 2

severe acne rosacea how do we treat

Answer 2

doxy and ivermectin

Question 3

coeliac disease how long can you not eat gluten for before test

Answer 3

6 weeks

gluten containing stuff includes - rye, oat, barley, wheat

Question 4

first seizure isolated how long off driving

Answer 4

6months

Question 5

established epilepsy how long off driving

Answer 5

12months

Question 6

valvular replacement when do you go for mechanical or prosthetic

Answer 6

prostehtics deterioriate only over 65 for aortic and 75 for mitral - low dose aspirin given long term

mechnaical most common , low failure rate, need warfarin

Question 7

aortic valve warfarin inr if mechnaical

Answer 7

3

Question 8

mitral valve inr if repair neededwarfarin

Answer 8

3.5

Question 9

vascular dementia do you need MRI to confirm

Answer 9

yes

Question 10

how long does finasteride take to work

Answer 10

6 months

Question 11

fever on alternating days what tropical disease

Answer 11

malaria

Question 12

anoxeria, nause and vomiting and RUQ pain what disease tropical considered

Answer 12

hep b

Question 13

cerebral oedema with brain mass what treatment is indicated

Answer 13

dexamethasone

Question 14

delayed pe scan what do you do

Answer 14

treatment dose apixaban and scan next day

Question 15

if someone has a TIA with a bleeding disorder or on anticoag what do you do

Answer 15

admit and arrnage CT head

Question 16

vt tx

Answer 16

iv loading dose of amiodarone before longerterm infusion post this

Question 17

MRSA positive what do you treat with

Answer 17

vancomycin

Question 18

aki what do you treat with

Answer 18

fluid bolus if signs of aki

Question 19

what do you need to test for in tia

Answer 19

glucose rule out hypo

Question 20

asx lymes what do you do

Answer 20

nothing

Question 21

pancreatic ca diagnostic test

Answer 21

high resolution CT abdo

Question 22

severe alcoholic hepatitis seen with raised transaminases what do you give

Answer 22

corticosteriods

Question 23

uti asx

Answer 23

do not treat

Question 24

prevention of vasopspams in SAH what do you give

Answer 24

nimodipine

Question 25

Organisms causing post splenectomy sepsis:

Answer 25

Streptococcus pneumoniae Haemophilus influenzae Meningococci

Question 26

what is cushing triad

Answer 26

widened pulse pressure, bradycardia and irregular breathing

Question 27

minimum amount of time waiting between salbutmaol puffs

Answer 27

30mins

Question 28

delirium vs dementia what things might favour delirium

Answer 28

acute onset impairment of consciousness fluctuation of symptoms: worse at night, periods of normality abnormal perception (e.g. illusions and hallucinations) agitation, fear delusions

Question 29

men who have sex with men what vaccine do they need

Answer 29

hep a

Question 30

glandular fever how do you test for it

Answer 30

monospot test

Question 31

diarrhoea abg

Answer 31

met acidosis high chlorine as compensates for loss of bicarb low potassium

Question 32

ed what do you test

Answer 32

mornign testosterone

Question 33

sick day rules of cortio and mineral steriods

Answer 33

double hydrocortisone leave fludrocortisone the same

Question 34

high ca treat

Answer 34

iv saline

Question 35

on anticaog for ct head

Answer 35

ct head 8hr

Question 36

orichodexpy

Answer 36

fixation bilaterl needed fro torsion

Question 37

gram negative diplocci

Answer 37

gons

Question 38

ssri electrolyte side effect

Answer 38

low soidum

Question 39

under estimates blood sugar level

Answer 39

sickle cell

Question 40

prophylactic abx tx to SBP

Answer 40

ciprofloxacin

Question 41

drug sensitivies in tb

Answer 41

sputum culture

Question 42

speech fluent, but repetition poor. Comprehension is relatively intact

Answer 42

conduction aphasia

Question 43

Hot compress and mechanical removal of debris

Answer 43

belpharitis tx

Question 44

plauqe pasoarisi tx

Answer 44

Topical potent corticosteroid + vitamin D analogue is first-line for chronic plaque psoriasis

Question 45

Painful third nerve palsy

Answer 45

posterior communicating artery aneruysm

Question 46

post ictal weakness known as and what seizure palce

Answer 46

todds paresis and frontal lobe

Question 47

1st lien tx copd

Answer 47

saba or sama

Question 48

tests for screening for hiv

Answer 48

Combination tests (HIV p24 antigen and HIV antibody) are now standard for the diagnosis and screening of HIV

Question 49

SAH can present with signs of meningeal irritation what is best ix

Answer 49

non contrast ct head

Question 50

what prostate cancer tx causes a tumour flare consisting of bone pain, bladder obstruction

Answer 50

Prostate cancer: GnRH agonists may cause 'tumour flare' when started, resulting in bone pain, bladder obstruction and other symptoms

Question 51

women haemutria and uti sx what should be sent

Answer 51

Send an MSU for all women with a suspected UTI if associated with visible or non-visible haematuria

Question 52

a large pe can presetn as what on ecg

Answer 52

RBBB

Question 53

Following panretinal laser photocoagulation up to 50% of patients have a noticeable reduction in

Answer 53

vsual filed

Question 54

confuson asthma attack

Answer 54

life threatneing feature