Pass medicine revision April 2019

Question 1

A patient is seen In GP with a mouth ulcer lasting longer than 3 weeks. What should be done

Answer 1

2ww to oral surgery

Question 2

Ankylosis got spondylitis associated extra-articulate features?

Answer 2

The A’s Apical fibrosis Anterior uveitis Aortic regurgitation Achilles tendinitis AC node block Amyloidosis

Question 3

What is Schirmier’s test?

Answer 3

Measures tears production via a paper strip placed on the eye lid decreased tears - indicated SICCA. Sjrogens syndrome

Question 4

What type of renal stone is radiolucent?

e.g: clear

Answer 4

Urate

Urate for radiolucent

Question 5

What is the most common renal stone?

Answer 5

Calcium oxolate

then mixture of calcium oxolate and phsophate and thridly calcium phosphate stones

Basically calcium is the big deal

Question 6

What type of renal stone is discribed as having “stag horn” calculi?

Answer 6

Struvate

Struvate for Stag horn

Question 7

Did you hear about the cheese factor which exploded in France?

Answer 7

There was nothin but De brie!

Question 8

What symptoms surgest optic neuritis?

Answer 8

Loss of vision - fogginess, blur

Pain on movement

Question 9

What can be a optic neuritis mimic?

Answer 9

B12 deficience

Question 10

What is the most commmon SE with Cholchicine?

Answer 10

diarrheoa

Question 11

What interaction happens betweeen allupurinol and aziothyrprine?

Answer 11

Bone marrow supression

They are both xanthine oxidase inhibitors

Question 12

Epigastric pain relieved by eating. MLD?

Answer 12

duodenal ulcer

Question 13

How can a prerenal AKI be distinguished from an acute tubular necrosis?

Answer 13

Urinary sodium

Prerenal AKI - leads to poor perfusion and therefore the kidney want to hang on to urianary sodium to preserve circulatory volume.

ATN - Ischaemic kidneys have damaged epitherlia and therefore sodium cannot be reabsorbed