MS AKT 2 Paper

Question 1

What are the CF of Herpes Simplex? (2 things)

Answer 1

1. Painful ulcers on genitals
2. Burning dysuria

Question 2

What are the rules about terminating pregnancy? (2 things)

Answer 2

1. Upto 24 weeks
2. Anytime during pregnancy, if has foetal abnormality (e.g anencephaly)

Question 3

What are the CF of Pagets disease of the bone? (4 things)

Answer 3

1. Bone pain
2. Raised ALP aka 850 IU/L (25-115)
3. XR: Sclerotic areas
4. Isotope bone scan: areas of increased uptake

Question 4

What is the Dx when Appendicitis CF, but more localised to RIF (instead of dull suprapubic) and recent history of URTI (aka sore throat)?

Answer 4

Mesenteric adenitis

Question 5

What is a severe side fx of anti psychotic meds (e.g Risperidone)?

Answer 5

Neuroleptic Malignant Syndrome (NMS)

Question 6

What are the CF of Neuroleptic Malignant Syndrome (NMS)? (3 things)

Answer 6

1. Fever
2. Altered mental status
3. Muscle stiffness

Question 7

What will the muscle stiffness lead to, that you can check for and confirm Dx?

Answer 7

Muscle breakdown, so check CK levels, will be raised

confirms NMS Dx

Question 8

What will the muscle stiffness lead to, that you can check for and confirm Dx?

Answer 8

Muscle breakdown, so check CK levels, will be raised

confirms NMS Dx

Question 9

What are the CF of SLE? (5 things)

Answer 9

1. Mouth: Ulcers
2. Skin: Butterfly rash (on cheeks + nose)
3. Joints: Arthritis
4. Kidney: Proteinuria + Haematuria
5. Blood: AI destruction of all blood cells in FBC

Question 10

What antibody confirms Dx of SLE?

Answer 10

anti-dsDNA

Question 11

What is FIRST line meds for SLE?

Answer 11

NSAIDs

Question 12

How does lung cancer spread to liver?

Answer 12

Haematogenous spread

blood gang

Question 13

How does lung cancer spread to liver?

Answer 13

Haematogenous spread

blood gang

Question 14

What is the Tx for Anorexia nervosa?

Answer 14

Family therapy

Question 15

What do you give for a bipolar pt who has an ACUTE episode of mania?

Answer 15

Olanzapine

(lithium takes a few days to start working)

Question 16

What do you give for a bipolar pt who has an ACUTE episode of mania?

Answer 16

Olanzapine

(lithium takes a few days to start working)

Question 17

What is the Dx when a kid is 6 months of diarrhoea, like 5 times a day, and has sweetcorn n stuff in their poo?

Answer 17

Toddlers diarrhoea

Question 18

What is the first line to induce labour, if cervix still 2cm and unripe?

Answer 18

Prostaglandin gel

Question 19

What is the Dx in male with burning dysuria + discharge?

Answer 19

STI (either chlamydia + gonorrhea)

Question 20

What abx do you give when you sus STI (chlamydia or gonorrhoea)?

Answer 20

Azithromycin and ceftriaxone
* Azithro = for chalmydia
* Ceftriaxone = for gonorrhoa
* be safe n cover both

Question 21

What is the best method of contraception, that can be used even 5 days after intercourse?

Answer 21

COPPER

Question 22

What is the genotype of Turners syndrome (aka widely spaced nipples + no puberty)?

Answer 22

45X0

chest so wide you can play X O on it

Question 23

What virus is associated with Squamous cell carcinoma in neck?

Answer 23

HPV

Question 24

What can you give to reduce breathlessness when RR is 30?

Answer 24

Morphine

(remember it causes resp depression, so can also reduce hypervent)

Question 25

What can you give to reduce breathlessness when RR is 30?

Answer 25

Morphine | (remember it causes resp depression, so can also reduce hypervent)

Question 26

What hormone has its surge on day 14?

Answer 26

LH

Question 27

Who determines DNAR status of pt on admission if pt unconscious?

Answer 27

Admitting team

Question 28

When should you stop insulin before surgery?

Answer 28

Morning of (so take night one like usual)

Question 29

What is FIRST line for scarlet fever?

Answer 29

Penicillin V for 10 days

Question 30

What is the best way to prevent colon cancer in pt with FAP n heavy FHx?

Answer 30

Panproctocolectomy (even if jus 18 yrs old, sheelu bara kulu)

Question 31

If a person has fear of public speaking, what disorder is this?

Answer 31

Social phobia

Question 32

What is FIRST line for mechanical back pain?

Answer 32

Ibuprofen (NSAID) | not paractemol like i put

Question 33

What is FIRST line for mechanical back pain?

Answer 33

Ibuprofen (NSAID) | not paractemol like i put

Question 34

What can you give for pt who can't squeeze nurse fingers post- op bc of anaesthetic?

Answer 34

Neostigmine (cholinesterase inhibitor, like for Myasthenia gravis)

Question 35

What are the CF of Perthes disease? (4 things)

Answer 35

1. Kids 1. Painless limp 1. Reduced ROM 1. Pain @ internal rotation + abd

Question 36

What should you do if newborn is in contact with chickenpox sibling, and mother has antibodies so is immune, and newborn is well?

Answer 36

Nothing, bc newborn probs has immunity from mum | plus baby is well

Question 37

What is the most important investigation in unconcious pt who has vodka bottle next to them?

Answer 37

BG (bc alcohol increases risk of hypoglycaemia)

Question 38

What should you do in a acute pain episode in Sickle cell disease?

Answer 38

Morphine | morphine is mainstay of mx for SCD pain

Question 39

What does HBsAg tell you in Hep B immunity?

Answer 39

If they have an infection RIGHT NOW (positive) | (can be either acute or chronic)

Question 40

What does anti-HBs tell you in Hep B immunity?

Answer 40

Whether they are immune (positive) or not (doesn't tell you if immune bc infection or vaccine though)

Question 41

What does anti-HBc tell you in Hep B immunity?

Answer 41

Positive = they had an infection | C for CILL ME NOW IM INFECTED

Question 42

What analgesic is best for Renal colic?

Answer 42

Diclofenac | Mohamed Dagalo le ayo kilya