Peerwise

Question 1

Management of mild acne

Answer 1

Topical anti-acne preparations

Question 2

Management of moderate acne

Answer 2

Oral abx or anti-androgens (e.g. COCP)

Question 3

management of severe acne

Answer 3

Oral isotretinoin

Question 4

Features of actinic keratosis

Answer 4

flat or thickened lesion (may be a papule or plaque), white or yellow in colour, scaly warty surface, may be skin coloured, red or pigmented and may be tender or asymptomatic to touch.

Question 5

What may actinic keratosis develop into?

Answer 5

SCC

Question 6

Drug that may be used alongside insulin in T1DM

Answer 6

Dapagliflozin

Question 7

First line in benign essential tremor

Answer 7

Propanolol

Question 8

Management of malignant spinal cord compression

Answer 8

Immediate steroid followed by radiotherapy or surgery within 24 hours

Question 9

HOCM murmur

Answer 9

Patients normally have an ejection systolic murmur due to left ventricular out flow obstruction between the apex and left sternal border. This can radiate to the carotids and may be louder during the Valsalva manoeuvre

Question 10

Ductal papilloma summary

Answer 10

causes discharge which may be bloody or can be serous. May have a palpable mass on examination however it is common for there not to be a mass detected since they are small. Mammography may come back as negative

Question 11

Posterior vitreous detachment symptoms

Answer 11

sudden appearance of floaters, flashes of light in vision, blurred vision, cobweb across vision

Question 12

What anaesthetic is usually used for patients on ITU?

Answer 12

Propofol

Question 13

What anaesthetic is usually used for rapid induction of anaesthesia?

Answer 13

Sodium thiopental

Question 14

Difference between scleritis and episcleritis

Answer 14

Episcleritis not painful

Question 15

What is herpes simplex keratitis?

Answer 15

Corneal ulcer due to herpes

Question 16

Achilles reflex nerve

Answer 16

S1

Question 17

Patella reflex nerve

Answer 17

L2,3,4

Question 18

How to differentiate vestibular neuritis from viral labyrinthitis

Answer 18

Viral labyrinthitis has hearing loss

Question 19

Juvenile myoclonic epilepsy symptoms

Answer 19

• generalised convulsions
• morning jerking (myoclonus)
• day time absences

Question 20

Indications for AAA repair

Answer 20

Symptomatic, aortic diameter >5.5cm or rapidly enlarging (>1cm per year)

Question 21

Reflexes in neuroleptic malignant syndrome

Answer 21

Reduced

Question 22

Reflexes in serotonin syndrome

Answer 22

Increased

Question 23

Torsion of testicular appendage symptoms and management

Answer 23

Similar to testicular torsion but cremasteric reflex is present and there may be a blue dot. Conservative management

Question 24

Priapism management

Answer 24

Penile aspiration and washout

Phenylephrine injections

Question 25

What is telogen effluvium?

Answer 25

Diffuse hair loss in the months after pregnancy or severe illness

Question 26

Magnesium toxicity symptoms

Answer 26

Hyporeflexia, drop in blood pressure, respiratory depression and cardiac arrest.

Question 27

Uterine fibroids treatment in woman trying to concieve

Answer 27

Myomectomy

Question 28

First line test for cushings

Answer 28

Overnight dexamethasone suppression test

Question 29

CSF finding in GBS

Answer 29

Raised protein

Question 30

Nerve damaged in claw hand

Answer 30

Ulnar

Question 31

Varicocele management

Answer 31

Testicular vein embolisation or ligation if symptomatic

Question 32

What does sjogrens syndrome significantly increase risk of?

Answer 32

Lymphoma

Question 33

Acute sarcoidosis initial management

Answer 33

NSAIDs and rest

Question 34

What is Fits-Hugh-Curtis syndrome?

Answer 34

Liver inflammation due to chlamydia or gonorrhoea

Question 35

What is Jaccoud's arthropathy?

Answer 35

Reversible subluxation of joints often due to SLE

Question 36

What visual field defect may be seen in benign idiopathic hypertension?

Answer 36

Enlarged blind spot

Question 37

Driving restrictions after STEMI

Answer 37

1 week if treated by angioplasty | 4 weeks if no angioplasty

Question 38

Prophylactic medication in Lynch syndrome

Answer 38

Aspirin

Question 39

Pagets treatment

Answer 39

Bisphosphonates and calcitonin

Question 40

Medical third nerve palsy main symptom

Answer 40

Down and out pupil

Question 41

Surgical third nerve palsy main symptom

Answer 41

Miosis (pupil constriction)

Question 42

First line in bradyarrhytmia

Answer 42

Atropine

Question 43

Contact management in epiglottitis

Answer 43

Abx to close contacts

Question 44

What is ivory phalanx?

Answer 44

Increased density of a phalanx on X-ray suggestive of psoriatic arthritis