MSRA

Question 1

Cushings

Answer 1

Hypokalaemic metabolic alkalosis

Question 2

Test for Addison’s

Answer 2

Short synacthin test

Question 3

lack of red reflex

Answer 3

retinoblastoma

Question 4

klebsiella

Answer 4

upper lobes, cavitating
diabetics, homeless

Question 5

mycoplasma rash

Answer 5

erythema multiforme

Question 6

shaken baby triad

Answer 6

retinal haemorrhage
subdural haematoma
encephalopathy

Question 7

Tylosis - definition and association

Answer 7

Hyperkaratosis of palms and plantars
Associated with oesophageal cancer

Question 8

Acquired ichthyosis

Answer 8

Lymphoma
Crazy pave skin

Question 9

dermatomyositis association

Answer 9

ovarian and lung cancers

Question 10

Erythema gyratum repens

Answer 10

Woodgrain appearance of rash over trunk
Associated with lung cancers

Question 11

Viral labarynthitis

Answer 11

Has hearing changes

Question 12

Vestibular neuritis

Answer 12

vertigo, nausea and vomiting, horizontal nystagmus
NO hearing changes

Question 13

Treatment ITP

Answer 13

Prednisolone

Question 14

Microcephaly, micrognathia, club feet/ rocker bottom feet, overlapping fingers

Answer 14

Edwards (18)

Question 15

Microcephalic, small eyes
Cleft lip/palate
Polydactyly
Scalp lesions

Answer 15

Patau (13)

Question 16

Webbed neck
Pectus excavatum
Short stature
Pulmonary stenosis

Answer 16

Noonan syndrome

Question 17

H pylori

Answer 17

Urea breath test

Question 18

sudden painless loss of vision, severe retinal haemorrhages on fundoscopy

Answer 18

Central retinal vein occlusion

Question 19

Adenoma sebaceum

Answer 19

Tuberous sclerosis

Question 20

PSC

Answer 20

UC

Question 21

PBC

Answer 21

Middle aged women

Question 22

variceal haemorrhage give

Answer 22

terlipressin + abx

Question 23

non sedating antihistamine

Answer 23

Loratidine

Question 24

prophylaxis for cluster headaches

Answer 24

Verapamil

Question 25

Treatment prolactinoma

Answer 25

Bromocriptine (dopamine agonists)

Question 26

Rx campylobacter

Answer 26

Clarithromycin

Question 27

erytehma chronicum migrans

Answer 27

bulls eye rash in early Lyme's disease

Question 28

meralgia parasthetica

Answer 28

compression lateral femoral cutaneous nerve

Question 29

Cyanosis on feeding and crying

Answer 29

Transposition of great vessels

Question 30

antihistone antibodies

Answer 30

drug induced lupus

Question 31

falsely low BNP

Answer 31

ramipril

Question 32

section 2

Answer 32

admit for 28 days

Question 33

section 3

Answer 33

admit for 6 months

Question 34

section 4

Answer 34

72 hour acute assessment order, usually changed to section 2

Question 35

section 17a

Answer 35

can recall patient to hospital if they do not comply with treatment in the community

Question 36

section 135

Answer 36

police can break into a property to remove person to place of safety

Question 37

section 136

Answer 37

someone found in a public place with presumed mental disorder can be removed to a place of safety

Question 38

depression + AF

Answer 38

Don't give SSRI and warfarin together

Question 39

COCP and cancers

Answer 39

Increased risk of cervical and breast cancer Protective against ovarian and endometrial cancer

Question 40

Drug induced lupus

Answer 40

Procainamide, hydralazine, isoniazid, minocycline, phenytoin

Question 41

Cinacelcet

Answer 41

Calcium mimic for tertiary hypoparathyroidism

Question 42

IM benpen doses

Answer 42

300, 600, 1200 1, 1-10, >10

Question 43

Paediatric hernias

Answer 43

Inguinal - repair straight away Umbilical - conservative until 4-5 yrs

Question 44

Rx with isoniazid

Answer 44

pyridoxine

Question 45

Major bleeding warfarin

Answer 45

Stop warfarin, give vitamin K, prothrombin complex

Question 46

Live attenuated vaccines

Answer 46

BuY My Po-ta-To BCG Yellow fever MMR Polio (oral) Typhoid (oral)

Question 47

dry cough, autoimmune haemolytic anaemia, erytehma multiforme

Answer 47

mycoplasma

Question 48

atypical chest infection and lymphopaenia

Answer 48

legionella also has hyponatraemia

Question 49

weight gain, deranged LFTs, fractures

Answer 49

Pioglitazone

Question 50

weight gain, cholestatic LFTs, SIADH

Answer 50

glimepiride

Question 51

gliptins cause

Answer 51

pancreatitis

Question 52

Rx angina

Answer 52

B blocker or Ca channel blocker

Question 53

Diarrhoea which later becomes bloody

Answer 53

E coli

Question 54

2 Level WELLS score >2

Answer 54

USS

Question 55

Cocaine MI Rx

Answer 55

IV benxodiazepines

Question 56

Copper coil can be fitted for UPSI

Answer 56

Within 5/7 or within 5/7 of ovulation date

Question 57

Staggered OD

Answer 57

NAC straight away

Question 58

Appendicitis mimic

Answer 58

Campylobacter

Question 59

Mgx RA flare

Answer 59

IM steroids

Question 60

Cervical cancer screening

Answer 60

3yrs 25-49, 5yrs 50-64

Question 61

Meningococcal sepsis prophylaxis

Answer 61

ciprofloxacin

Question 62

small testes and precocious puberty

Answer 62

adrenal hyperplasia

Question 63

cabergoline side effect

Answer 63

pulmonary fibrosis

Question 64

Broca's area

Answer 64

Frontal lobe, can understand, can't relay (frontal, think mouth)

Question 65

Wernicke's area

Answer 65

temporal, can't understand (think ears)

Question 66

Subdural haematoma

Answer 66

Cresent shape, bridging veins

Question 67

Malaria prophylaxis, taken weekly

Answer 67

Chloroquine, mefloquine Contraindicated in epilepsy

Question 68

When can you stop malarone?

Answer 68

Atovaquone and proguanil - after 1 week (the rest are 4 weeks)

Question 69

pitted keratolysis

Answer 69

punched out holes caused by corneubacterium in people who sweat lots

Question 70

Rx dental abscess

Answer 70

amoxicillin

Question 71

Cisplatin side effect

Answer 71

decreases magnesium

Question 72

MTX side effects

Answer 72

myelosupression, liver firbosis, oral mucositis

Question 73

Off school mumps

Answer 73

5/7 from swelling

Question 74

Rx atypical pneumonia

Answer 74

clarithromycin

Question 75

secondary bacterial pneumonia

Answer 75

flucloxacillin

Question 76

erythema multiforme and hyponatraemia

Answer 76

mycoplasma

Question 77

Autosomal recessive

Answer 77

Metabolic

Question 78

Autosomal dominant

Answer 78

Structual

Question 79

Dysphagia to liquids not solids

Answer 79

Motor neurone disease

Question 80

From birth, crosses sutures

Answer 80

caput succedaneum

Question 81

Neonatal - doesn't cross sutures

Answer 81

cephalohaematoma

Question 82

Post vontouse swelling

Answer 82

Subgaleal haematoma 12-72hrs post delivery epicranial apeunerosis

Question 83

keratoderma blenorrhagica

Answer 83

reactive arthritis

Question 84

anti-epileptic + peripheral neuropathy

Answer 84

phenytoin

Question 85

electrolyte causing prolonged QT

Answer 85

Hypokalaemia