PAST PAPERS

Question 1

most important test for ob cholestasis

Answer 1

bile acids

Question 2

citalopram side effect

Answer 2

qt prolongation

Question 3

what is area affected first in dementia

Answer 3

hippocampus

Question 4

delusion where they are convinced their partner is cheating on them

Answer 4

othello

Question 5

what electrolyte abnormality is associated with antidepressants

Answer 5

hyponatraemia

Question 6

whats the probability of being paralysed from an epidural

Answer 6

1 in 50,000

Question 7

what risk of normal delivery is increased in a water birth

Answer 7

PPH

Question 8

at what GA does parity count

Answer 8

24 weeks

Question 9

what strains of HPV are targeted by the quadrivalent vaccine

Answer 9

6
11
16
18

Question 10

whats the most effective form of emergency contraception

Answer 10

copper IUD

Question 11

paeds fracture fall on outstreched hand

Answer 11

suprachondylar

Question 12

toxic left shift

Answer 12

lymphadenitis

Question 13

what type of haemophilia is more common

Answer 13

a

Question 14

definitive test for cystic fibrosis

Answer 14

geentic testing

Question 15

what causes toxic left shift in paeds

Answer 15

lymphadenitis
due to bacterial infection lots of WCs are produced

Question 16

when were mental health act vs mental capacity act made

Answer 16

MHA= 1983
MCA= 2005

Question 17

who does the MCA apply to

Answer 17

those over 16 yrs

Question 18

what class of medication is mirtazipine

Answer 18

noradrenaline and serotoninergic antidepressant

Question 19

less severe vs more severe depression

Answer 19

less: PHq 9 <15 or 15
more: phq 9 >15 ie 16 or more

Question 20

what medication is preferred in rapid tanquilisation

Answer 20

IM lorazepam
use this if not sure what one to give or patient not been on antisychotics before

Question 21

what 2 medications can be used for rapid tranquilisation

Answer 21

IM lorazepam
IM haloperidol with promethazine

Question 22

differences between pseudodementia and dementia

Answer 22

present similarly but no cognitive impairement in pseudodemetia

identify it as having:
more rapid onset, low mood, pt exaggerating sx, identifiable trigger, have insight, psych hx, responsive to questions

Question 23

under what age is it mandatory to report fgm

Answer 23

under 18
must be done within a month

Question 24

what to do if a child is at risk of fgm

Answer 24

make a referral to childrens social care
if at immediate risk call 999

Question 24

hep b surface antigen

Answer 24

first antigen to be detected if present for more than 6 months= chronic infection

Question 24

law on re infibulation

Answer 24

it is illegal and cannot be done under any circumstance

Question 25

what is anti hep b core antibody used for

Answer 25

this is the one where you get IgM and IgG therefore you can see if someone has acute or chronic/cleared infection

Question 26

what antibody do people vaccinate against hep b have

Answer 26

anti hep b surface antibody

Question 27

what is hep b e antigen and anti hep b e antibody used for

Answer 27

hep b e is an indicator of how active the infection is it can therefore be used to see if a chronic infection is active or inactive (its active if e antigen is present) presence of anti hep b e antibody therefore indicates an inactive status

Question 28

first line for menorrhagia due to fibroids (and when can it be considered)

Answer 28

LNG IUS <3cm no distortion of uterine cavity no other pathology adenomyosis

Question 29

what size uterus may you consider referral

Answer 29

>3cm

Question 30

what GA do foetal movements plateau

Answer 30

32 weeks

Question 31

reduced foetal movement order of ix

Answer 31

1= doppler to identify heartbeat 2= ultrasound if not identified, CTG if identified and over 28 weeks GA 3= if there is still perception of reduced foetal movements after a reassuring CTG or if any risk factors for stillbirth etc, also do an US within 24hrs

Question 32

when to feel for IUD threads

Answer 32

4-6 weeks after insertion then monthly or after menses

Question 33

how long after CIN is a test of cure smear done

Answer 33

6 months

Question 34

if the test of cure after CIN mx is HPV positive whats done

Answer 34

immediate colposcopy

Question 35

what antibiotics are given for pprom?

Answer 35

erythromycin 250mg Qd for 10 days or until labour established

Question 36

indications for emergency cervical cerclage

Answer 36

16-28 weeks GA dilated cervix and unruptured membranes

Question 37

indications for tocolysis

Answer 37

24-25+6 weeks GA

Question 38

how is breast abscess managed

Answer 38

urgent referral to general surgeon for aspiration and drainage

Question 39

in a foetus with transverse lie where there is SROM and CTG distress what has likely happened

Answer 39

cord prolapse

Question 40

when q is asking for heavy period mx and picking between tranexamic and mefanamic acid pick what

Answer 40

tranexamic

Question 41

what BMI is weight loss recommended in incontinence

Answer 41

>30

Question 42

what do you measure at booking for hep B

Answer 42

surface antigen

Question 43

most likely cause of azoospermia

Answer 43

varicocele

Question 44

what does a lambda sign on US indicate

Answer 44

DCDA twin pregnancy

Question 45

when should you aim to dleiver DCDA twins

Answer 45

37 weeks

Question 46

if someone comes in for sterilisation but has had protected sex what do you do

Answer 46

continue with surgery as long as sex was protected

Question 47

when are serial growth scans offered to women who smoke during pregnancy

Answer 47

if they smoke more than 10/day

Question 48

whats first line for candida

Answer 48

topical clotrimazole or pessary

Question 49

what antibodies are seen when someone has sacroilitis

Answer 49

none

Question 50

what first line for ESBL

Answer 50

carbapenam

Question 51

what covers vancomycin resistant enterococcus

Answer 51

linezolid

Question 52

Which agent is an Interleukin 6 (IL-6) inhibitor, indicated for treatment of severe COVID-19 infection with hypoxia? Anakinra Nafamostat Palivizumab Ruxalitinib Tocilizumab

Answer 52

tocilizumab

Question 53

Streptococcus pneumoniae is resistant to penicillin, by which mechanism? Alteration of the target that binds the antimicrobial Bypass of the antimicrobial susceptible step in metabolism Enhanced efflux of the antimicrobial Enzymatic inactivation of the antimicrobial Impaired uptake of the antimicrobial into the bacterial cell

Answer 53

Alteration of the target that binds the antimicrobial

Question 54

Which antiviral agent is used for the treatment of Influenza A? Cidofovir Foscarnet Ribavirin Tenofovir Zanamivir

Answer 54

zanamivir

Question 55

zanamivir moa

Answer 55

neuraminidase inhibitor

Question 56

what is haemorrhagic cystitis associated with

Answer 56

BK virus cyclophosphamide