MSSCA WRONG ANSWERS

Question 1

fundoscope features of retinal artery + vein occlusion

Answer 1

artery:
pale retine, cherry spot

vein:
can see haemorrhages

Question 2

what is given to manage delirium where meds are required

Answer 2

haloperidol

lorazepam in parkinson’s

Question 3

what levels does CK have to be for it to be rhabdomyolysis

Answer 3

> 10,000

Question 4

what drug can cause hyponatraemia

Answer 4

thiazide

Question 5

what are supraventricular premature beats (ectopics)

Answer 5

sensation of heart stopping followed for a second by a pounding sensation

benign

Question 6

what is the management of on going nose bleeds and you can locate the site

Answer 6

cautery

Question 7

what are the two common signs of lymphogranuloma venerum

Answer 7

proctitis and lymphadenopathy

Question 8

what is the management of cord compression

Answer 8

surgical decompression

if frail for surgery:
external beam radiotherapy

Question 9

management of gout and any CI

Answer 9

look at notes

Question 10

what is given in dying patients

Answer 10

midazolam

Question 11

what lobe does Alzheimer’s affect

Answer 11

temporal

Question 12

what can be given to vasoconstrict vessels if there are signs of fluid overload, meaning the fluid therapy isn’t effective

Answer 12

noradrenaline/norepinephrine

Question 13

what is the best anaesthetic in abdo surgery

Answer 13

epidural anaesthesia

Question 14

when would you give heparin in PE

Answer 14

if there are risks of haemorrhage, heparin can be stopped and reversed in event of bleeding

Question 15

what is the average life expectancy

Answer 15

82 years

Question 16

what diabetic drug is approved in CKD

Answer 16

DPP4 (gliptins)

Question 17

what is glycated haemoglobin

Answer 17

HbA1c

Question 18

what is important to do when there is unilateral sensorineural hearing loss

Answer 18

exclude vestibular schwannoma, done via MRI

Question 19

what is cataplexy

Answer 19

loss of skeletal muscle tone with strong emotions

Question 20

what vessel is commonly injured if hit on the side of the head

Answer 20

middle meningeal artery

Question 21

what can worsen constipation

Answer 21

oxybutynin

Question 22

what is the purpose of cricoid pressure

Answer 22

prevents passage of gastric contents into the airway

Question 23

what does a mixed growth in a urine specimen indicate

Answer 23

contamination

Question 24

what are features of lithium toxicity

Answer 24

confusion
coarse tremor
jerking leg movements
metallic taste

Question 25

what would intestinal metaplasia show

Answer 25

goblet cells

panted cells

Question 26

what is a risk from a situation of being in a fire and will need to be separately measure

Answer 26

carbon monoxide inhalation

Question 27

what is the first line treatment of prolactinomas

Answer 27

cabergoline

Question 28

what airway device protects lungs from regurgitated stomach contents

Answer 28

tracheal tube

Question 29

what is common after a spinal anaesthetics

Answer 29

low pressure headache

Question 30

what are the fasting times for liquids and solids

Answer 30

2hrs - liquids

6hrs - solid

Question 31

if patient takes cocaine and there is ST elevation on ECG, what does it mean

Answer 31

coronary artery spasm

Question 32

what is used to monitor resp function in an acute situations

Answer 32

FVC

Question 33

what is the most common pathogen cause for leg cellulitis

Answer 33

strep pyogenes

Question 34

what is superficial thrombophlebitis and how is it managed

Answer 34

a clot that is superficial to the skin

naproxen

Question 35

what nerve is affected in foot drop

Answer 35

common perineal nerve

Question 36

what does recurrent candidiasis indicate

Answer 36

test for DM