PASSMED PAPER WRONG ANSWERS 2

Question 1

what antibiotic can cause torsades de pointes

Answer 1

macrolides

Question 2

what murmur is heard in turner’s syndrome

Answer 2

systolic over aortic valve

Question 3

what is the most common side effect of the progestogen only pill

Answer 3

irregular bleeding

Question 4

what does an advance directive indicate

Answer 4

it refers to a specific treatment in a specific circumstance

Question 5

what is the management for an overactive bladder

Answer 5

antimuscarinics

Question 6

when is lactational amernorrhoeic a a reliable form of contraception

Answer 6

<6 month old baby
amenorrhoeic
breastfeeding exclusively

Question 7

where a stone going to be blocked and it doesnt cause jaundice

Answer 7

cystic duct

Question 8

what is a complication of mastoiditis

Answer 8

meningitis

Question 9

what corticosteroid is administered to mothers to reduce risk of RDS

Answer 9

dexamethasone

Question 10

description of colostomy and ileostomy

Answer 10

colostomy - flush to skin

ileostomy - spouted

Question 11

what is important to rule out and think about before doing a LP

Answer 11

raised ICP

mass in brain

Question 12

what is the most common cause of bilious vomiting in the first few days of life

Answer 12

duodenal atresia

Question 13

what is the criteria for orthostatic hypotension

Answer 13

• drop in systolic BP of 20
• drop below 90 on standing
• drop in 10 with symptoms

Question 14

what does irregular breathing in a child indicate in an acute situation

Answer 14

agonal breathing, can occur in first few mins after cardiac arrest

Question 15

what is the investigation of choice for reflux nephropathy

Answer 15

micturating cystography

Question 16

what is the medical management of abortion

Answer 16

mifepristone and prostaglandins

Question 17

what is the investigation for SAH if CT is normal and what is the timescale for doing this

Answer 17

LP, 12 hrs after onset of symptoms

Question 18

what is a side effect of dopamine agonist

Answer 18

inhibition disorder

Question 19

how do you reverse lidocaine toxicity

Answer 19

lipid emulsion

Question 20

how do you reverse heparin overdose

Answer 20

protamine sulfate

Question 21

how do you reverse opioid overdose

Answer 21

naloxone

Question 22

what drug overdose can cause a respiratory alkalosis

Answer 22

aspirin

Question 23

what drug can cause thrombocytopenia

Answer 23

heparin

Question 24

what are signs of digoxin toxicity and what can precipitate it

Answer 24

yellow vision, bradycardia, nausea, vomiting

thiazide diuretics

Question 25

what ophthalmic condition can cause sudden visual loss in diabetics

Answer 25

vitreous haemorrhage

Question 26

what eGFR level is metformin contraindicated

Answer 26

eGR<30

Question 27

how long does the merena coil last

Answer 27

5 years

Question 28

where will pain be experienced the most for medial and lateral epicondylitis

Answer 28

medial - resisted pronation, flexion | lateral - resisted supination, extension

Question 29

what does the time out stage refer to

Answer 29

surgical safety checklist before the first skin incision is made

Question 30

what should not be routinely offered in acute pancreatitis

Answer 30

antibiotics

Question 31

what should be done for patients with long saphenous vein superficial thrombophlebitis

Answer 31

USS to exclude DVT

Question 32

what are the doses for adrenaline depending on ages

Answer 32

0-6 yrs - 150mg 6-12 yrs - 300mg 13+ yrs - 500mg

Question 33

would you give IM benzylpenicillin in meningococcal sepsis if px has a penicillin allergy

Answer 33

yes

Question 34

what is needed for a diagnosis of CKD in terms of staging

Answer 34

stages 1+2 - eGFR + evidence | stage 3-5 - eGFR

Question 35

what is the first line investigations for suspected prostate cancer

Answer 35

MRI

Question 36

how can you tell the difference between lewy body dementia and parkinson's disease dementia

Answer 36

lewy body - parkinson's signs develop after dementia parkinson's - parkinson's signs develop before

Question 37

how should malignant otitis externa in diabetics be managed

Answer 37

ciprofloxacin

Question 38

what drug can cause galctorrhoea

Answer 38

metoclopramide

Question 39

how is hydrocortisone given in addison's

Answer 39

majority given in the first half of the day