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Mock 3 Flashcards

1
Q

Section 5’2

A

Doctors holding power for 72 hours

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2
Q

Section 5’4

A

Nurses holding power for 6 hours

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3
Q

Section 136

A

Police emergency powers

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4
Q

Section 2

A

28 days for assessment

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5
Q

Section 3

A

6 months for treatment

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6
Q

Can you treat on a section 2

A

Not without patient consent apart from ECT

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7
Q

Gonorrhoea management if pen allergic

A

IM ceftriaxone and oral azithromycin

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8
Q

Spherocytosis at risk

A

Cholecystitis caused by an increase in bile pigment gallstones

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9
Q

Acute colitis and hepatic impairment in a traveller with bloody diarrhoea cause

A

Amoebiasis –> entamoeba histolytica

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10
Q

PAH when pregnant

A

Stop endothelin receptor antagonists and can start a phosphodiesterase inhibitor +/- LMWH

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11
Q

Testing PAH

A

Acute vasodilator testing

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12
Q

If vasodilator positive management in PAH

A

CCB

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13
Q

If vasodilator negative management in PAH

A

Prostaglandin analogues
Endothelin A receptor antagonists
Phosphodiesterase inhibitors

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14
Q

Gout preventative medication

A
  1. Allopurinol or febuxostat
  2. Benzbromarone
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15
Q

Lowest cortisol levels

A

0000

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16
Q

Cushings ABG

A

hypokalaemic metabolic alkalosis

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17
Q

Congenital adrenal hyperplasia cause

A

21 hydroxylase deficiency

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18
Q

Vesicoureteric reflux imaging

A

Micturating cystogram

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19
Q

Symptoms of vesicoureteric reflux

A

Renal scarring and hypertension

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20
Q

Acne rosacea first line management

A

Topical metronidazole

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21
Q

Adalimumab moa

A

Anti-TNF alpha

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22
Q

Chancroid symptoms

A
  1. Painful ulcers
  2. Purulent ulcers
  3. Lymphadenopathy
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23
Q

Cause of chancroid

A

Haemophilus decryei

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24
Q

Management of chancroid

A

Single dose of azithromycin or IV ceftriaxone

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25
Examples of TNF alpha blockers
Adalimumab, golimumab, etanercept
26
Examples of IL-6 monoclonal antibodies
Tocilizumab
27
Examples of IL2/3 monoclonal antibodies
Ustekinumab
28
When to use ustekinumab
Failure of TNF alpha blockers
29
Drug that causes pulmonary fibrosis with long term use
Nitrofurantoin
30
Primary pulmonary hypertension
Tricuspid regurgiration
31
How does TR present
Pan systolic murmur Loudest in fourth intercostal space Hepatomegaly
32
Fleicanide MOA
Fast sodium channel inhibitor
33
Psoriatic arthritis first line DMARD
Methotrexate
34
What needs to be given alongside methotrexate
Folic acid
35
CD20 monoclonal antibody
rituximab
36
Granulomatosis with polyangitis biopsy results
Pauci-immune cresecentric glomerulonephritis
37
Polymyositis diagnostic ix
Muscle biopsy
38
Polymyositis antibody
Anti-Jo (note only 20% of patients with polymyositis will test positive)
39
Dermatomyositis antibody
Anti Mi 2
40
Starting ramipril blood results if renal artery stenosis
Raised potassium and creatinine, if type 4 renal acidosis, will just have raised potassium and normal creatinine
41
JAK 2 mutation
Polycythaemia and myelofibrosis
42
ADAMTS13 deficiency
VWD
43
First line delirium IM
Start with haloperidol, if known Parkinsons to use diazepam
44
Angio-oedema cause
Elevated bradykinin Low C1
45
Solitary toxic thyroid nodule management
Radio-iodine treatment (can have a partial thyroidectomy if patient wishes to conceive)
46
Achalasia management
Heller cardiomyopathy
47
Patient high from cocaine management
IM haloperidol and lorazepam
48
Ciclosporin moa
IL-2 antagonist
49
Gastric MALT low grade management
H Pylori eradication
50
Palindronic rheumatoid management
Hydroxychloroquine
51
How do you know that rheumatoid arthritis is palindronic rheumatoid
Recovery in between joint pain
52
Hyperkalaemia ECG changes
U waves
53
AF caused by an ischaemic event management
Aspirin + Clopi + DOAC (stop fondaparinex)
54
MOA fondaparinex
Factor Xa inhibitor
55
VT over sVT
negative concordance across ECG
56
Medication causing worsening psoriasis
BB
57
Cancer associated with Hashimotos
Thyroid lymphoma
58
SLE management
Cyclophosphamide and mycofenalite
59
IgA nephropathy vs membranous glomerulonephropathy
IgA: proteinuria and haematuria Membranous: proteinuria
60
Angiodysplasia valve disorder
AS
61
vWD bloods
Normal PT and aPTT
62
vHL eye tumour
haemangioma
63
H pylori eradication test
Carbon 13 test

MRCP (28 decks)

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