past questions from exams Flashcards by zoe coyne

what is impaired fasting glucose defined as

greater than or equal to 6 but less than 7

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what is impaired glucose tolerance defined as

fasting plasma glucose less than 7

- OGTT 2 hour value greater than or equal to 7.8 but less than 11.1

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if a diabetic patient has any foot problems other than caluces what should their management be

refer to the diabetic foot clinic

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first line treatment for phaechromocytoma

phenoxybenzamine (alpha antagonist)

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what are the conditions to surrender your drivers license in diabetics

if they’ve had more than one episode of severe hypoglycaemia in the past 12 months that required help

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side effect of glucocorticoids

neutropenia

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female has a permanent complete unilateral hearing loss in pregnancy

otosclerosis

-pregnancy accelerates it

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sausage shaped fingers

psoriatic arthritis

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female with symmetrical polyarthritis and proteinuria

SLE

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someone has hearing loss after getting on a plane

tympanic perforation or glue ear

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bird beak on barium swallow

achalasia

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why does trimethoprim not work in upper UTI

doesn’t penetrate the renal parenchyma

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do you give antibiotics for a foot ulcer

-needs drainage, abscess walled off from the drug and bacteria live on

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ankylosing spondylitis then has bloody diarrhoea for two weeks

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man treated with antibiotics for pneumonia, smoker, returns 6 weeks later still hoarse

refer to ENT urgently

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what Ig for bullous pemphigoid

IgG

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stabbed in the neck then right shoulder pain

axillary nerve

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positive froments

cubital tunnel

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treatment for anterior uveitis

topical prednisolone

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heliotrope rash and liner streaks on hands

dermatomyositis

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woman collapses high potassium low sodium glucose 3.1, daughter said she’s not been taking her medication

addisonian crisis

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leg ulcers with ABPI >0.8

graduated compression

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what is seen histologically in psoriasis

absent granular layer

- hyperproliferation of keratinocytes

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haematuria in someone back from abroad

schistosomiasis

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woman taking NSAIDs for hip replacement develops bleeding (ulcer type)

acute erosive gastritis

test for someone with easy bruising and puffy face

low dose dexamethasone

child with abdo and joint pain and then has purpuric rash down buttocks to thighs feeling slightly unwell

henoch scholein purpura

biceps reflex

C5 guys=C5

triceps reflex

knee reflex

ankle reflex

first line for BPH

tamulosin

man has hypopituitary and bitemporal hemaniopia

non-functioning adenoma

man has compartment syndrome of extensor part of lower leg | -which structure most affected

deep fibular nerve

man with dark urine, muscle pain and difficulty getting up from chair

rhabdomyolysis

gritty eye and TSH antibodies

graves

what is the cause of polyuria in diabetes

osmotic effect of glucose

sinusitis for <3 days treatment

decongestants

trauma then blocked nose

septal haematoma

what stores sperm

epididymis

diabetic and has diarrhoea

autonomic neuropathy

patient has galactorrhoea

prolactin producing tumour

mid-dilated pupil | red eye

acute angle-closure glaucoma

red eye, no pain, pool of blood

subconjunctival haemorrhage

which direction are amino acids transcribed in DNA

5 to 3

orphan annie nuclei

papillary thyroid cancer

what does L1 supply

groin | L1 to the bum

medication for proteinuria and hypertension

labetalol

stridor and drooling in a child

epiglottitis

kid has rusty brown sputum and severe cough

pneumonia

what muscles does the femoral nerve supply

- pectineus - iliacus - sartorius - quadriceps femoris

would myeloma cause high or low calcium and why

high calcium due to bone breakdown

investigation for prolapsed disc

MRI

which nerve innervates the sternocleidomastoid

CN XI

loss of lumbar lordosis

mechanical back pain

back pain after lifting something heacy

slipped disc

itchy, blistering rash, sore abdo pain, change in bowel movements

dermatitis herpetiformis

woman, ankle ulcer just healed, ABPI good on both legs

compression stockings

surfer with hearing loss

exostosis | -abnormal bone growth within ear canal

woman had children, nausea and vomiting, then sudden onset dizziness lasting 2 weeks

acute labyrinthitis

what virus for slapped cheek

parovirus B19

bronchiolitis, infant with wheeze

RSV

what virus for croup

parainfluenza virus

management for cholesteatoma

urgent ENT referral

autoimmune process with a moss like appearance (derm)

lichen planus

investigation for impetigo

bacterial swab

target lesion

erythema multiforme

what Ig deposits in vasculature in erythema multiforme

IgM

investigation for chronic sinusitis and discharge

CT sinus

AKI and hyperkalaemia

goodpastures

patient with gum hyperpigmentation, what investigation?

synacthen

whats a divergent squint

an eye that turns outwards

what is a convergent squint

an eye that turns inwards

halos around lights

closed angle glaucoma

first line treatment for open angle glaucoma

latanoprost

first line for closed angle glaucoma

pilocarpine eye drops

headache and loss of vision in the cinema with haloes

acute angle closure glaucoma

white spots on soft palate and ear pain

ramsey hunt

single crease on nose

sign of allergic rhinitis | -crease from constant rubbing