Pastest questions

Question 1

RA drug causing nephrotic syndrome

Answer 1

Penicillamine

Question 2

Kidney condition caused by NSAID use

Answer 2

Acute interstitial nephritis

Question 3

Biochemical pattern in osteomalacia

Answer 3

High ALP, low calcium, low vit D

Question 4

Looser zones, or ‘translucent bands’ are seen in

Answer 4

osteomalacia

Question 5

Iron salts e.g. ferrous fumarate can cause reduced absorption of

Answer 5

Levothyroxine

Question 6

Anti-epileptic associated with aggression, hair loss and tremor

Answer 6

Sodium valproate

Question 7

IVDU, cavitating bilateral pneumonia

Answer 7

Staph aureus

Question 8

Amiodarone blood test monitoring

Answer 8

TFTs and LFTs 6 monthly

Question 9

Time after MI before driving HGV according to DVLA

Answer 9

6 weeks
Stress exercise test before allowed to drive

Question 10

Distal displacement of distal radius fracture

Answer 10

Colles

Question 11

Volar displacement of distal radius fracture

Answer 11

Smith’s

Question 12

Name for fracture of the base of the metacarpal of the thumb

Answer 12

Bennett fracture

Question 13

Which malignancy is staged on the Clark/Breslow scale

Answer 13

Malignant melanoma

Question 14

Which genetic condition does NICE recommend testing for in every patient diagnosed with colorectal cancer

Answer 14

Lynch syndrome
Autosomal dominant –> >80% increase in risk of developing colorectal cancer

Question 15

Defect characteristic of diseases affecting the macula

Answer 15

Central scotoma

Question 16

Visual field defect in retinitis pigmentosa

Answer 16

ring scotoma

Question 17

Visual field defect in glaucoma

Answer 17

Arcuate scotoma

Question 18

Visual field defect in toxic neuropathy

Answer 18

Centrocaecal scotoma

Question 19

At what age do children develop shyness around strangers

Answer 19

1 year

Question 20

Enlarged posterior auricular and suboccipital lymph nodes

Answer 20

Rubella

Question 21

Circumcorneal redness, blurred vision, photophobia, small pupil

Answer 21

Anterior uveitis (iritis)

Question 22

Drug causing blue/grey discolouration of nails

Answer 22

Minocycline

Remember the tetracyclines cause discolouration - c.f. doxy and neonatal tooth discolouration

Question 23

First line treatment of tonsilitis

Answer 23

Phenoxymethylpenicillin 10 days

Question 24

Leber’s hereditory optic neuropathy - genetics

Answer 24

mitochondrial

Question 25

vit d resistant rickets - genetics

Answer 25

X-linked dominant

Question 26

Statins cause which nerve problem

Answer 26

Peripheral neuropathy

Question 27

Cancer associated with membranous nephropathy

Answer 27

Adenocarcinoma of the stomach

Question 28

Which COPD patients are eligible for LTOT

Answer 28

Non-smoker, PaO2 7.3-8, 1 of the following secondary complications: Secondary polycythaemia, peripheral oedema or pulmonary hypertension

Question 29

Farm worker, fever, prodromal URTI symptoms, then jaundice, petechial rash, renal failure, fever

Answer 29

Weil's disease (Leptospirosis)

Question 30

Which is the only TB drug that is exhibits renal excretion - therefore reduced dose in renal failure

Answer 30

Ethambutol

Question 31

First and second line anti-anginal treatment

Answer 31

Beta blocker or Calcium channel blocker first-line, then combination 3rd line add in ISMN

Question 32

intra-articular loose bodies, swelling, pain exacerbated by movement Teenagers and young adults

Answer 32

Osteochondritis dissecans

Question 33

Lithium in pregnancy increases risk of

Answer 33

Ebstein's anomaly

Question 34

Keppra side effects

Answer 34

Anorexia, abdominal pain, anxiety

Question 35

Small drop shaped, salmon-pink plaques that occur after sore throat/viral infection

Answer 35

Guttate psoriasis

Question 36

Treatment length for depression

Answer 36

At least 6 months for initial episode, 12 months for repeated episodes

Question 37

Name for sign on fundoscopy when lipoprotein leaks out of blood vessels, seen in hypertension and diabetes

Answer 37

Hard exudates

Question 38

Why is trimethoprim contraindicated in the first trimester

Answer 38

Folate antagonist

Question 39

Carpel tunnel causes wasting of

Answer 39

Thenar eminance

Question 40

Carpel tunnel causes wasting of

Answer 40

Thenar eminence

Question 41

The -azole antifungals INCREASE risk of bleeding in patients taking

Answer 41

Warfarin

Question 42

Felty syndrome triad

Answer 42

Splenomegaly Rheumatoid arthritis Lymphopenia

Question 43

Kala-azar otherwise known as

Answer 43

Visceral leishmaniasis