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Past paper Flashcards

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1
Q

pulmonary embolism in a 34-year-old woman who also has livedo reticularis and a prolonged activated partial thromboplastin time =

A

Antiphospholipid syndome

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2
Q

widespread skin eruption 2 weeks after having had a sore throat.
5-mm diameter, scaly, erythematous papules over her trunk and limbs

A

guttate psoriasis

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3
Q

broad spectrum Abx therapy now diarrhoea
CT - thickened sigmoid colon

A

pseudomembranous colitis ie C diff

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4
Q

When is someone immunocompromised with if taking prednisolone?

A

prednisolone 40 mg (or more) for longer than 7 days,

prednisolone 20 mg (or more) for longer than 14 days

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5
Q

End-stage renal disease and this in fingers?

A

secondary hyperparathyroidism

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6
Q

4-year history of acute intermittent pain and swelling of the knees one at a time. Normal serum urate during attack.
Obese, hepatomegaly. Swollen metacarpophalangeal joints on right hand. Urinalysis showed glucose 3+. BM 14

A

haemochromatosis

As systemic disease, asymetrical arthiritis

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7
Q

Pancreatitis due to ++ hypertriglycerides prevention?

A

Fibrates Eg ciprofibrate

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8
Q

43-year-old woman was investigated for increasing abdominal girth, nausea and alteration of bowel habit.

A

pseudomyxoma peritonei

not a HCC as tumour from outside liver

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9
Q

leg weakness and tenderness, which was worse on exercise.
Raised MCV
Raised CK
anti-thyroid peroxidase antibodies positive
anti-gastric parietal cell antibodies positive
dX?

A

Hypothyroidism - mild rise in CK in 90%
[wouldn’t see this in pernicious anaemia]

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10
Q

When a pacemaker for pauses

A

> 3s in someone awake
<3s if definite symptoms associated

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11
Q

when can you classify AF as paroxysmal

A

> 30 seconds

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12
Q

Immunocompromised with CAP - CXR patchy shaddowing right base rx?

A

Oral amox and clary

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13
Q

pain and swelling of his left knee 4 weeks after a holiday in Spain. 38.1°C
CRP 210

A

Reactive

[Reactive Run - rash on soles]
keratoderma blennorrhagica

Gonococcal
-Migratatory and tendosynovitis - no rash palm soles

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14
Q

baseline spirometry:
FEV1 90% predicted
FVC 91% predicted

20 minutes after exercise:
FEV1 63% predicted
FVC 84% predicted

A

exercise-induced asthma

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15
Q

4-cm thyroid swelling
Previous adrenalectomy for a benign pheochromocytoma
What is the thyroid swelling?

A

MEN2
Calcitonin producing medullary Thyroid Ca

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16
Q

hypokalaemic, hypochloraemic metabolic alkalosis with hypertension
Raised renin

A

Fibromuscular dysplasia of the renal artery leads to renal artery stenosis

Conns = low renin

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17
Q

right-sided shoulder weakness when his R scapula “stuck out” painlessly during weightlifting.
Previous injury
Cousin has a muscular dystrophy
Isolated right serratus anterior muscle weakness.

A

Brachial neuritis

Muscular dystrophies are symmetrical
Radiculopathy wouldn’t do just specific serratus anterior

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18
Q

50-year-old woman has evidence of purpura and peripheral sensorimotor neuropathy.
Positive anti-MPO antibodies

A

microscopic polyangiitis

Not GPA - neither the purpura nor the neuropathy is suggestive of granulomatous involvement

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19
Q

Which sleep disorder has risk of Parkinson’s disease

A

Rapid eye movement-sleep behaviour disorder

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20
Q

29F 12-hour history of severe throbbing headache and right-sided weakness.
COCP and extacy use.
LP - mild raised pressure

A

cerebral venous thrombosis

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21
Q

Hypertension Rx options in preg

A

Labetalol, methyldopa and nifedipine

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22
Q

10 year history - right conductive deafness, a right palatal palsy, dysphonia, a non-explosive (bovine) cough and wasting of the right side of her tongue

A

glomus jugulare tumour
[Insidious over years with lower MN signs]

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23
Q
A

Sinus rhythm with normal PR and QT intervals.

Partial right bundle branch block pattern
STE, leading to T-wave inversion in leads V1 and V2.

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24
Q

26 breathlessness associated with chest discomfort.
Asthma

A

negative QRST complexes in lead I and aVL that look like inversions of the normal morphology
QRS complex in aVR is isoelectric (usually it is clearly negative).

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25
26M Left sided chest pain FHx angina systolic murmur at the left sternal edge.
hypertrophic cardiomyopathy inferior Q waves [ reflect prolonged depolarisation of the hypertrophied interventricular septum] and marked T-wave inversion in leads I, aVL, V2–V5. precordial complexes suggest left ventricular hypertrophy (LVH) (26-mm R wave in V3).
26
Second degree HB type 1 frequent non-conducted P waves with a progressive increase in the PR interval before the ‘dropped’ beats.
27
7-month history of a progressive, asymptomatic, slightly scaly rash. Previous topical therapy ineffective
pityriasis versicolor caused by the yeast Malassezia Itraconazole
28
Rx of heparin-induced thrombocytopenia
anticoagulate with argatroban or danaparoid
29
anaemia and thrombocytopenia with fragmentation of red cells. Raised lactate fever and headaches, no significant renal impairment and normal coagulation screen
Thrombotic thrombocytopenic purpura HUS would have renal impairment and abnormal coag
30
2-day history of occipital headache of sudden onset, vertigo and unsteadiness, choking on solids right-sided partial ptosis - His right pupil was smaller than the left and both reacted normally to light. on attempting to say “aah”, his palate moved upwards and to the left. Unsteady and fell to right when attempt to mobilise
vertebral artery dissection sudden-onset headache, vertigo and unsteadiness = vascular lateral medullary involvement (ipsilateral Horner’s syndrome, ipsilateral laryngeal, pharyngeal, and palatal hemiparalysis) and cerebellar involvement (unsteadiness).
31
36-year-old homeless woman was found unconscious in the street.
SAH
32
5-day history of confusion and fever CSF: total protein 0.60 g/L (0.15–0.45) glucose 3.5 mmol/L (3.3–4.4) white cell count 20/µL (≤5) cytology predominantly lymphocytes
HSV encephalitis MR scan shows evidence of increased signal in the left temporal lobe,
33
In prostate Ca what is the role of bicalutamide when you give it with goserelin?
reduces goserelin-induced tumour flare
34
Systemic sclerosis Now severe headache and BP 188/132 mmHg Her optic fundi showed bilateral haemorrhages. She had no neurological deficit. Rx?
Ramipril - [systemic sclerosis renal crisis]
35
drug to reduce urinary calcium excretion
Bendroflumethiazide
36
50 4 months of (wheeze) in the context of an eosinophilia, very high serum IgE pulmonary infiltrates on the chest X-ray
allergic bronchopulmonary aspergillosis
37
Jamacain 6-week history of cough and increasing breathlessness. Dx? Ix?
Sarcoid - Caribbean [Bi hilar lymphadenopathy ] transbronchial needle aspiration
38
limited cutaneous systemic sclerosis antibody
Anticentromere
39
systemic sclerosis antibody
Anti-topoisomerase antibodies (Scl-70)
40
On citalopram and prescribed tramadol - what's gonna happen?
Serotonin syndrome
41
Dermatomes T4 T10 L5 S1
T4 - nipple T10 - Umbilicus (belly butTEN) L5 - Big toe (Largest of 5) S1 - Little toe (Smallest 1)
42
Causes of dilated cardiomyopathy
ABCCCDD Alcohol Beri beri Coxackie B virus Cocaine Chargras disease Doxorubicin, Daunorubicin
43
Causes of upper lung fibrosis
BREASTS Berylliosis Radiation Extrinsic alergic alveolitis / eosinophilic pneumonia Ankylosing spond / allergic bronchopulmonary aspergillosis Sarcoid TB Silicossis
44
Lower lung fibrosis causes
CABRIOS Collagen vascular disease / cryptogenic fibrosis alveolitis Asbestosis Bronchiectasis Rheum arthritis Idiopathic Other... (Blah never mind BNM) Bleomycin Nitrofurantoin MTX Scleroderma
45
Drugs which cause liver enzyme inhibition? What does this mean?
Increased effect of drug SICKFACES.COM Sodium valproate Isoniazid Cimetidine Ketoconazole Fluconazole Alcohol & Grapefruit juice Chloramphenicol Erythromycin Sulfonamides Ciprofloxacin Omeprazole Metronidazole Or - AODEVICES Allopurinol Omeprazole Disulfiram Erythromycin Valproate Isoniazid Cipro Ethanol Sulphonamide
46
Liver enzyme induction
CRAP GPs Carbamazepine Rifampicin Alcohol Phenytoin Griseofulvin Phenobarbitone Sulphonylureas Or PC BRAGS Phenytoin Carbamazepine Barbituates Rifampicin Alcohol St johns wart
47
What is Rockall score for?
Upper GI bleed risk ABCDE Age Blood pressure drop Co-morbidity Diagnosis Endoscopic finding
48
2,3,4 rule of AF
Cardiovert if in first 2 days Otherwise anti coag for 3 weeks first Anticoag for 4 weeks post cardioversion
49
High anion gap metabolic acidosis Causes
GOLDMARK Glycols (ethylene and propylene), Oxoproline, L-lactate, D-lactate, Methanol, Aspirin, Renal failure, Ketoacidosis
50
Who gets D lactate acidosis
Short bowel syndrome
51
What makes up the anion gap?Normal range? What is usual value for raised anion gap?
Na - (Cl+Hco3) 8-12 >20
52
Usual cause of normal anion gap metabolic acidosis? Causes
Renal/GI loss bicarbonate HARDUP H -hyperalimentation (i.e. delivery of nutrients into a vein): typically due to excess normal saline solution. A - acetazolamide: carbonic anhydrase inhibitor R - renal tubular acidosis D - diarrhoea: gastrointestinal bicarbonate loss (e.g. high-output fistula) U - ureterostomies (urinary diversions): alters handling of cations/anions P - post hypocapnic state S - spironolactone (and hypoadrenalism / hypoaldosteronism)
53
Antibiotic classes mnemonic
GCPC MALT protein Inhibit cell well synthesis Glycopeptites Carbapenems Penicillin Cephalosporins Inhibit protein synthesis Macrolides Aminogycosides Liconasmides Tetracycline Then remember SulFOnamides - folic acid synthesis FluroQUINolones - Inhibit RNA replication (making QUINtuplets)
54
Which organisms in asplenia
His Spleen Never Got Sick Haemophilus influenzae type B Streptococcus pneumoniae Neisseria meningitides Group B streptococcus Salmonella typhi
55
What passes through diapragm
I 8 10 eggs at 12 I 8: inferior vena cava at T8 10 eggs: oesophagus at T10 at 12: aorta at T12 T8: vena cava has 8 letters, as does the abbreviation of its companion structure the phrenic nerve "phrenicN" T10: oesophagus (UK spelling) has 10 letters, its companion structure the vagus nerve is cranial nerve X "CN 10"
56
Not painful genital ulcer causes
LGV Granuloma inguinale syphylis
57
Urethral discharge with pain on ejaculation chlamydia and gonno neg
Mycoplasma genitalium
58
Hepatorenal type 1 vs 2
1 - rapid worsening in 2 weeks -Eg double Cr in 2 weeks due to SBP or vareceal bleed 2- Slower worsening over 3 months
59
Well-controlled T1DM - what should you do with insulin for short operation
Continue long-acting and just omit short acting Sliding scale for longer operations
60
Difference between acute demyelinating optic neuritis and acute ischemic optic neuritis
Demye - MS ischemic - Giant cell
61
Chemo long term now pain in hip
AVN - eg prednisolone Steroid and alcogol make up 90% of AVN Notice flattening of femoral head and suchondral cyst formation
62
Rx
SVT Adenosine 6mg
63
Alternative to adenosine in SVT
Verapamil 2.5mg - causes more hypotension
64
Diastolic murmur loudest left sternal base with collapsing pulse
AR
65
pansystolic murmur over left middle/lower sternal border development o RHF and jugular distension
Tricuspid Regurg
66
Early diastolic murmur at left upper sternal border ? how to make louder
Pulmonary stenosis breath held at end expiration
67
Subdural
68
gout
69
Ferritin level to replace iron in CKD anaemia
<100
70
OA Boney sclerosis and joint space narrowing
71
Prev lithium ongoing DI rx?
Low sodium and protein diet -> thiazide like if no improvement
72
Small irregular pupils that barely contract to light
Argyl robertson
73
unilateral dilated pupil which reacts slowly to light
homes aide
74
Anaemia with 'teardrop poikilocytes'
Myelofibrosis
75
Pregnant intense itching ALP raised most
Intrahepatic cholestasis of preg
76
Right sided facial weakness and speach disturbance Left carotid 60% stenosis R 40% rx?
Left endarctectormy -
77
19 collapse. normal heart sounds a d clear chest
LongQT
78
MTX overdose rx
calcium folinate
79
Long term feeding tube needed
gastrostomy
80
Mesothelioma
81
iron def anaemia and harmatomas
peutz jeger
82
When HHT not peuz jehger
Recurrent epistaxis (key finding I'd say) As you've noted multiple telengiectasias Visceral AVMs (classic locations can be like lung, brain, and liver I think) First degree family member with HHT (be hard to give this in a stem without giving it away)
83
Recurrent nose bleeds and mild increase APPT
VWD most likely
84
Woody fibrosis of thyroid gland
riedels thyroiditis
85
HyperCa of malig rx
IV NaCl then bisphosphonates
86
Prophylaxis agaisnts tumpr lysis
rasburicase
87
Ongoing air lea in PTX 4 days in rx
VATS Pleurodesis if unfit for surg
88
Rapidly increasing in size
Keranthocoma rapid growing solitary nodule with necrotic core
89
CV stable, lethargy and palps for 3 weeks rx?
Planned DC cardioversion
90
OA Joint space narrowing and subchondral sclerosis
91
70s extreme lethargy nausea and anorexia Recent anaemia and gastritis raised eosin but normal WCC Significant kidney impairment
AIN likely omeprazole
92
High fever, salmon rash arthriitis over 6 months Key Ix?
Adult onset stills Autoantibodies - as should all be negative
93
Opiate choice for long term analgesia in those with ++ renal impairment
buprenophine
94
1st choice abx for sx of pyelonephritis in preg
cefalexin
95
Do you check for h pylori eradication usually?
no
96
Given haloperidol now oliguric crisis rx? class
procyclidine anticholinergic
97
Mulitple small painful ulcer on anal mucosa =
herpes
98
1st line c diff
oral vanc
99
Blistering rash sun exposed on HRT and drinks
Porphyria cutanea tarda
100
Primary PPH in preg mortality
50% - need to council mum
101
Return to driving HGV after MI
Must complete ETT (no meds need stopping)
102
Horse voice, nephrotic syndrome, enlarged tongue, hepatomegaly =
Amyloidosis Can Dx with abdominal fat / rectal mucosa biposy with congo red stain
103
drugs causing retroperitoneal fibrosis
B blockers Ergot derived
104
prominent U wave electrolyte
HypoK
105
Hb target in renal disease
100-120
106
Most common pulm manifesation of SLE
Pleuritis
107
Measels incubation
10 days
108
Staging of Hodgkins
PET CT
109
Molluscum
110
Renal failure, bone pain, raised ALP, rasied PO4 and normal Ca
Renal osteodystrophy [PO4 low in osteomalacia
111
Turkish with intermittent peritonism / chest pain, fevers, scrotal pain ? rx?
familal mediterranian fever Colchicine
112
Old meningitis + diarrhoea rx?
Listeria Amox + gent
113
Micro vs macro pit adeoma rx
Micro - cabergoline Macro with acromegaly - surgery Macro Prolactin - Carbegoline
114
Granuloma annulae
115
24M sat 92%
Aspirate
116
Diabetes, crp 30
charcots
117
Capgras syndrome
Belief that someone close has been replaced with an imposter
118
Thinks a stanger is one of their friends.family
De Fregoli syndrome [seen in schitz]
119
Asthma with PO2 <8
vENTILATE
120
UTI with reduced GFR first line? 2nd ?
Trimethoprim Penicilivam
121
Tried 4 types of laxitive and still constipation rx?
Linaclotide
122
How to make a quick diagnosis of ATN
Spot urinary Na (>40)
123
Young person with GPA rx 1st line
Ritux + mpred
124
Adrenal insufficiency normal steroid replacement
Hydrocortisone 20mg morning 10mg eve
125
Reactive arthritis 1st line
NSAIDs
126
retinal detachment
127
A vs B dissection
A involves Ascending
128
Known to have PBC ? rx? if loads?
Lichen planus Topical steroids Oral azathioprine if covers loads of body
129
leigionella allergic to clari
Levofloxacin [not doxy as less effective]
130
Investigation of bone pain in likely myeloma
Whole body MRI
131
Recovering from hip operation in hospital. Develops bad pneumonia - Abx choice
Taz - likely hospital-acquired and need pseudomonal cover
132
Hyperemesis gravidum 1st line antiemetic
Cyclizine
133
Prev lymphoma. Now pancytopenia and no hepatosplenomegaly on exam
Myelodysplasia
134
When esophagectomy for cancer
Between 5-10mm
135
When would a normal phenytoin level actually be toxic
If acidosis (increased unbound phenytoin)
136
Loss of peripheral vision Bilat retinal focal aggregates, with appearance of bone spicules
Retinitis pigmentosa
137
/Amiodarone thyrotoxicosis type 1 vs 2 ix? rx?
1 - people with thyroid disease and due to increased iodine load - Increased uptake on thyroid scan -Anti-thyroid drugs 2 - Destructive leading to increased release rather than overproduction from the thyroid gland -Globally reduced uptake on scan - Steroids
138
Old intermittent difficulty swallowing solids and liquids with vomiting - no weight loss
Achalasia [pouch more hallitosis and couple days old rotten food vomit]
139
18 stressed with exams
Alopecia acreta
140
Thyroxine dose in preg
increase by 25-50%
141
COPD maximal inhaled therapy what next
Roflumilast
142
VF / pulseless VT and had 3 shocks and adrenaline next? After 5 shocks?
Amiodarone 300mg Amiodarone 150mg
143
Severe rosacea 1st line
oral doxy
144
Likely oesophageal rupture eg vomit then sub-cut emphysema Ix in order
CXR Oesoph gastrograffin CT
145
50s weakness with mild raised CK
inclusion body myositis
146
30 progressive visual loss in center of eyes. telangectasias on fundoscopy
Leber optic atrophy
147
bleeding gums when brushing teeth INR 8
omit warfarin and 3mg IV vit K
148
HF on sacubitril/valsartan + b blocker with K 5.1 next line
Dapagliflozin
149
Chest pain when walking dogs Ix?
Coronary angiogram not ETT
150
Antihypertensive causing photosensitivity
Thiazides
151
NAFLD key Ix for assessing severity
Fibroscan
152
Key rx in APKD
BP control
153
Day drinking now stable atrial flutter rx
Flecanide
154
Stable morphine dose but issues with constipation
Change to fentanyl patch or senna + lactulose
155
PCOS how to get more regular periods
COCP
156
Haemochromatosis with swollen joint
Pseudogout
157
1.8cm prolactinoma compressing optic chiasm rx
Dopamine agonist [ALWAYS 1st line in prolactinoma]
158
Unvaccinated and gets a hepB pos needle stick
IVIg 30% risk of transmission
159
Asthmatic with angina and HR 85
Ivabradine [CCBs only symptomatic and don't improve outcome]
160
CKD bone pain and low Ca. What would make you say osteomalacia and what secondary hyperPTH [if not given PTH levels]
Raised PO4 = HyperPTH
161
Distal peripheral neuropathy with anaemia and thrombocytopenia
Alcoholic neuropathy
162
2 options if fluid resriction doesnt work for HypoNa? When hypertonic saline?
Demeocycline Tolvaptan Life threatening sequale
163
Meningioma - arrises from skull base
164
which 2 lung cancers can secrete ACTH
Small cell carcinoid
165
Small bowel overgrown Abx
Rifaximin, tetracyclines, metronidazole
166
Post hodgkins rx most common Ca
Breast
167
Mixed cyroglobulinaemia which hepatitis
HepC HepB is PAN
168
Squamous lung Ca resected now met on sternum skin rx?
Local radiotherapy
169
DVT in Ca rx
Apixaban
170
COPD on tripplpe inhaled therapy rX? What if reversibility and raised eosinophils
Roflumilast Mepolizumab
171
Mild erythermatous and scaly lesions
Pytiriasis versicolour Melsalsia
172
Which stage lung Ca can have resection even if some involvement of chest wall?
IIB - no lymph nodes
173
Overactive badder on oxybutinin but confusion rx?
Change to mirabegron [tolteridine also would have anticholinergic confusion]
174
Barrets low grade dysplasia rx? high grade?
PPI and repeat endoscopy in 6m If persists -> ablation Esophagectomy
175
Calculated insulin dose 48 units how much at breakfast lunch and dinner
Should get 24 background then 8 bolus for each meal
176
After raised INR and vit K when can you begin restarting warfarin
INR <5
177
Active cholescystitis in preg rx
Lap choley
178
Arrow pointing at
Wedge fracture
179
Keratoacathoma
180
bum sex rectal pain and passage of blood and mucus
LGV serovars L1, L2, L3 UK - ITs chlamydia
181
rx
topical metronidazole
182
Primary hyperaldosteronism rx
Spironolactone
183
What medications cause lithium toxicity when co prescribed
Thiazides NSAIDs ACEi
184
Seizure with an aura
Temporal lobe
185
Which antidepressant if patient has epilepsy
SSRId
186
1st line ix in diabetes with reduced GFR
Urinary albumin:creatinine ratio
187
Dry cough and erythema nodosum
Lupus pernio [sarcoid]
188
Farmer ferver and malaise now has pneumonia and mild derranged LFTs rx?
Coxiella q fever doxy
189
1st line imaging bone lesions myeloma
MRI
190
Asthma - low dose corticosteroid + Laba what next
Montelukast
191
IVDU with endocarditis 1st lie abx
Fluclox
192
Anaemia
Myelofibrosis teardrop piokilocytes
193
What Ix
CTAP for RCC
194
Most common cause of nec fasc
Strep pyogenes
195
Recent stent of LAD. Now upperGIB plan?
Stop clopi
196
Bleeding gums Thrombocytopenia, prolonged APTT, microcytic anaemia
Von willebrand
197
37weeks pregnant with UTI Abx?
Trimethoprim [only CI in 1st trimester] Nitro - risk of neonatal haemolysis when given at term
198
Brugada STE >2mm followed by TWI in 1 lead
199
cystinuria rx
Hydration and urinary alkalisation
200
Sore throat 2 weeks ago
Guttache psoriasis [hypopigmented bits round each lesion typical]
201
Diabetic sore foot rx?
IV abx - [surgical washout not first line]
202
Signs of heart failure and Na 120 rx?
IV diuretics
203
SLE endocarditis called
Libman sacks endocarditis
204
Inhaling ballons
Nitric oxide -> b12 deficiency -> subacute degeneration of cord
205
Penicillin allergy and lepto
Doxy
206
CF diet
High calorie high fat
207
78 rx?
Analgesia and physio pubic rami fracture usually conservative
208
History of exzema rx/=?
IV acicloir eczema herpeticum
209
Late systolic murmur most likely
Mitral valve prolapse
210
CKD4 with increased hypochromic red cells >6% rx?
Oral iron [IV only if on haemodialysis]
211
3 MS flaires in a year rx
Natalizumab
212
SCC Nodular with raised edges and central crustigng
213
SCC Nodular with raised edges and central crustigng
214
Brugada [type 2] 2mm sadleback STE in v1/2
215
Solitary thyroid adeoma rx
radioiodine
216
Zoldendronate - check what before prescribing
Dental exam - high risk of osteonecrosis
217
Wots happened
hip dislocation
218
Boney met pain rx
Radiotherapy
219
Chest infections -> bronchiectasis with exhaled NO very low <250ppm =
primary ciliary dyskinesia [between 250-500 could be cystic fibrosis]
220
27 bleeding, splenomegaly with pancytopenia and raised ldh
AML [dont get splenomegaly in aplastic anaemia'
221
IBS best way to control pain
FODMAP diet
222
Stable parkinsons but with restless leg syndrome rx?
Gabapentin
223
Which med for recurrent cystine stones
Penicilamine for cystine
224
Dilated aortic root in marfans sugery
Valve sparing as avoids needs for anticoagulation
225
Agitation in Lewy body dementia first line
Donepazil
226
? Causes
Bigeminy Usually hypoK/Mg Digox/b blocker OD MI
227
Hx suggestive of insulinoma best ix?
Overnight fast / exercise provocation
228
Adrenal Cushings antihypertensive prior to surg
milotane
229
Amphetamine OD with HTN rx?
diazepam
230
SLE with lots of renal involvement rx?
Mycophenolate [cyclophosphamide if really bad]
231
What reduces the absorption of thyroxine
calcium
232
anti mi 2
Dermatomyositis
233
headaches and ataxia
tectal plate astrocytoma
234
Myocarditis rx
Supportive only eg rx of heart failure
235
Stress incontinence despite pelvvic floor excercises
Duloxetine
236
GORD with extensive eosinophilic infiltrate on biopsy rx?
Dispersable steroids
237
Calcium oxylate stones rx
pOTASSIUM CITRATE
238
Brady + j wave = hypothermia
239
How does bipap help heart failure pulm oedema
Reduced LV afterload
240
Anapylactoid sx with NAC infusion rx?
Steroids, chlophenamine, fluids then restart infusion at lower rate
241
CLL haemolytic anaemia rx?
Steroids Add rituximab if not improving
242
Which BP med worst for constipation
Verapamil [CCBs]
243
Dihgoin OD with HyperK 6.2 rx
Fab fragmenets medical rx unlikely to work for K with digoxin in system
244
Wheere is the mi
1 / AVL =obtuse marginal branch of left
245
Rhem A 6 months why SOB
Inyerstitial lung disease most common
246
Constipation in preg rx
Ispagula husk first
247
Scleroderma with sx of pulm fibrosis rx
Mycophenolate
248
MSRA in urine but mostly well with some dysuria
Nitro / trimethoprim vanc if sick

MRCP 2 (5 decks)

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