phase 2 sba 4

Question 1

tumour marker for HCC

Answer 1

Alpha-fetoprotein

Question 2

inheritance pattern does Duchenne Muscular Dystrophy have

Answer 2

Autosomal Recessive

Question 3

‘contemplation’ phase of the stages of change model?

Answer 3

Aware a problem exists but no commitment to action

Question 4

stages of change transtheoretical model of change

Answer 4

Precontemplation → Contemplation → Preparation → Action → Maintenance → Relapse → Precontemplation etc.

Question 5

what originates from endoderm

Answer 5

pancreas

Question 6

what originates from ectoderm

Answer 6

epidermis of the skin, tooth enamel and the nervous
system

Question 7

Which artery is most at risk of rupture from a posterior duodenal wall ulcer

Answer 7

Gastroduodenal artery

Question 8

is pyruvate produced in krebs cycle

Answer 8

no

Question 9

characteristics of anal fissure

Answer 9

The presence of fresh red blood and the tearing sensation

Question 10

Turner Syndrome karyotype

Answer 10

45, XO

Question 11

what can cause hyperuricaemia

Answer 11

thiazide diuretics.

Question 12

Where is McBurney’s Point Located?

Answer 12

2/3 of the way from the Umbilicus to the Right ASIS

Question 13

biggest risk factor for primary biliary cholangitis

Answer 13

female

Question 14

Which clotting factor is not affected by warfarin?

Answer 14

Factor VI

Question 15

treatment for acute chest syndrome sickle cell crisis

Answer 15

Hydroxycarbamide

Question 16

which med given before phaeochromocytoma surgery

Answer 16

Phenoxybenzamine

Question 17

what is cut to release pressure on the median nerve?

Answer 17

Transverse carpal ligament.

Question 18

what is is diagnostic of acute pancreatitis

Answer 18

Raised urinary amylase

Question 19

treatment for tonsilitis

Answer 19

Phenoxymethylpenicillin QDS 10 days

Question 20

what are kerley b lines

Answer 20

interstitial oedema

Question 21

how to diagnose postural hypotension

Answer 21

getting the patient to lie down for 5 minutes then measure BP.

Ask them to stand up and at 1 minute and 3 minutes measure their BP.

If there is a systolic drop >20mmHg or if the systolic BP drops to less than 90 (from any original starting point)
the patient is diagnosed with postural hypotension.

Question 22

does hyperthryodism cause polyuria

Answer 22

no

Question 23

does ceeliac cause loss of appetite

Answer 23

no - just malabsorption

Question 24

what is enlarged virchows node associated with

Answer 24

gastric cancer

Question 25

a first-line treatment for mild ulcerative colitis

Answer 25

Mesalazine- member of 5-ASA drug group that is used for mild UC

Question 26

definr acute liver failure

Answer 26

INR greater than 1.5
Onset of less than 26 weeks duration
Mental alteration without pre-existing cirrhosis
No previous liver disease

Question 27

describe cancer of the head of pancreas

Answer 27

can obstruct the Common Bile Duct, causing obstructive
jaundice

Question 28

what does Benzene exposure increase risk of

Answer 28

renal cell carcinoms

Question 29

treatment for e diarrhoea due to cholera

Answer 29

Rehydration with IV fluids

Question 30

treatment for suspected meningococcal septicaemia

Answer 30

Benzylpenicillin

Question 31

example of beta-haemolytic gram-positive streptococcus with
Lancefield grouping A

Answer 31

Strep. Pyogenes

Question 32

UTI treatment for pregnat woman

Answer 32

Nitrofurantoin

trimethoprim is teratogenic

Question 33

which antibiotics inhibit nucleic acid synthesis?

Answer 33

Ciprofloxacin
Metronidazole
Rifampicin
Trimethoprim

Question 34

What nutrient agar is used to grow Mycobacterium tuberculosis

Answer 34

• Lowenstein-Jensen

Question 35

example of a non-lactose fermenting aerobic bacillus that gives a
positive result on oxidase test?

Answer 35

Pseudomonas

Question 36

most common cause of infective endocarditis in
adults

Answer 36

Optochin resistant alpha-haemolytic streptococcus

Question 37

descrbe grades of mrc dysponea scal

Answer 37

Grade 1: Breathless with strenuous exercise.

Grade 2: Short of breath when hurrying or when walking up hill.

Grade 3: Walks slower than people of the same age or stops for breath when walking at own pace on flat.

Grade 4: Stops for breath after
walking 100m on flat.

Grade 5: Too breathless to leave the house/ Breathlessness on changing
clothes.

Question 38

how does Parapneumonic pleural effusion present

Answer 38

commonly occur after a pneumonia

stony dull percussion

blunting of the Right costophrenic angle with a homogenous
opacity of the lower zone of the right lung

Question 39

Which antibody is most commonly associated with granulomatosis
with polyangitis?

Answer 39

• C-ANCA

Question 40

most common culprit of community acquired pneumonia?

Answer 40

Streptococcus pneumoniae