MSRA medicine

Question 1

COPd management in hypoxia

Answer 1

28 % o2 at 4 litres, aim 88-92, if gas normal go for 94-98

Question 2

causes of torsades de pointes

Answer 2

hypothermia, hypokalemia, hypmagnesemia,

Question 3

Iron deficiency anemia

Answer 3

Microcytic with High TIBC

Question 4

type 2 dabetes

Answer 4

fasting blood glucose above >16.6, fatigue, polydipsia, raised C peptide

Question 5

Following an ACS, all patients should be offered:

Answer 5

Dual antiplatelet therapy (aspirin plus a second agent).
ACE inhibitor
Beta-blocker
Statin

Question 6

addisons disease

Answer 6

hyponatremia, hyperkalemia, weightloss

Question 7

POMC

Answer 7

POMC = ACTH, MSH

Question 8

ICH

Answer 8

headache with blurred vision, fat female, COCP, Rx Topiramate, acetazolamide, optic nerve sheet decompression, repeated LP, LP/VP shunt.

Question 9

Degenerative Cervical Myelopathy [DCM]

Answer 9

mri gold standard

Question 10

A patient over 55 years with stage 2 hypertension and a QRisk score of >10%

Answer 10

requires a calcium channel blocker, atorvastatin and lifestyle advice as first-line therapy