Placement

Question 1

What is a differential for a ruptured Baker’s cyst

Answer 1

DVT

Check a d dimer

Question 2

The mirena coil can be used as part of HRT, true or false

Answer 2

true
in combination with oestrogen HRT
the mirena is the progestogen part

Question 3

the COCP can be used in breastfeeding, true or false

Answer 3

false

Question 4

if someone is on citalopram, can you add amitriptyline/pregabalin/gabapentin

Answer 4

no

Question 5

what is the first line analgesia for joint pain due to OA

Answer 5

paracetamol and topical ibuprofen

Question 6

cautions of NSAIDs

Answer 6

PUD
kidney damage
CVS - hypertension, fluid retention

Question 7

what is a sister mary joseph node

Answer 7

periumbilical node

Question 8

asbestos causes upper/lower zone fibrosis

Answer 8

lower zone

Question 9

SSRI discontinuation symptoms

Answer 9

diarrhoea 
vomiting 
abdo pain 
restlessness 
sweating

Question 10

major SSRI side effect

Answer 10

GI bleeding

therefore do not prescribe with NSAIDs

Question 11

best imaging for adenomyosis

Answer 11

MRI

Question 12

labyrinthitis vs vestibular neuronitis

Answer 12

labyrinthitis = hearing loss, dizzy, tinnitus (L for loss)

vestibular neuronitis = dizziness only

Question 13

dix hallpike is diagnostic/therapeutic for BPPV

Answer 13

diagnostic

Question 14

why is citalopram not the first line SSRI for depression

Answer 14

Cardiotoxicity
QT prolongation
drug interactions

Question 15

what are the first line SSRIs for depression

Answer 15

sertraline

fluoxetine

Question 16

added benefit of sertraline

Answer 16

anxiolytic

Question 17

systems implicated in retrosternal pain

Answer 17

cardiac
oesophageal
mass

Question 18

tennis elbow is lateral/medial epicondylitis

Answer 18

lateral

Question 19

tests for urinary frequency / nocturia

Answer 19

fasting glucose - DM
UTI dipstick
constipation

Question 20

in children with respiratory symptoms such as cough, wheeze and general irritability, what should you always also check

Answer 20

check the ears for otitis media

Question 21

What additional examination should you do in patients presenting with resp symtpoms

Answer 21

oxygen saturation probe

Question 22

in someone with joint pain, why must you check of they are diabetic

Answer 22

in case of osteomyelitis

Question 23

what is given first line for those who can’t sleep

Answer 23

zopiclone (BZD related drug)

Question 24

what is vasomotor rhinitis

Answer 24

commonly seen in older patients
continuously runny nose, other causes have been excluded
treat with ipratroprium spray

Question 25

D.Dx for someone who presents with fatigue and tiredness who has PR bleeding

Answer 25

CRC!!! | Causing anaemia

Question 26

in someone (older patient) with SOB, what sort of questions should you ask

Answer 26

SOCRATES of SOB associated symptoms of the following systems: resp - cough, pain CVS - palpitations, ankle oedema, orthopnoea GI - reflux Haem - anaemia ID - fever RED FLAGS!!! weight loss, night sweats, PR bleeding...

Question 27

Inheritance of NF1

Answer 27

AD

Question 28

what is croup and how is it managed

Answer 28

laryngotracheobronchitis caused by parainfluenza virus | dexamethasone

Question 29

Features of pyelonephritis

Answer 29

renal angle tenderness rigors and shivers LUT symptoms - dysuria, haematuria, cloudy, offensive smell Systemically unwell

Question 30

features of cavernous venous sinus thrombosis

Answer 30

``` sharp severe headache around the eye swelling and bulging of the eye severe eye pain double vision (check for clotting disorders) ```

Question 31

management of hyperhidrosis

Answer 31

aluminium salt powder

Question 32

what is a ganglion cyst

Answer 32

fluid filled swelling over a joint or tendon | usually occurring with OA

Question 33

management of mucoid cyst

Answer 33

draining with a needle | removal with surgery

Question 34

Management of a ganglion cyst

Answer 34

conservative | surgical removal if symptomatic

Question 35

describe a ganglion cyst

Answer 35

firm lump | found on wrist

Question 36

what is Pagets disease of the bone and how is it managed

Answer 36

abnormal osteoclastic activity followed by abnormal osteoblastic activity - ie accelerated rate of bone turnover ^ ALP isolated bisphosphonates

Question 37

pain at CMC differential

Answer 37

OA!!!! tendonitis carpal tunnel syndrome

Question 38

describe OA pain

Answer 38

burning, throbbing pain at joint | worse with movement

Question 39

if someone presents with a problem in their hand, what should you ask

Answer 39

L vs R handed

Question 40

if someone has dry skin and hair loss, what blood test should you do

Answer 40

TFT

Question 41

what is important to do for a child that has epilepsy

Answer 41

safety net about showering alone, climbing trees etc...

Question 42

what is baby colic

Answer 42

baby cries and brings their legs up in an otherwise healthy baby can be normal

Question 43

what is GOR in a baby

Answer 43

normal in healthy babies effortless passage of gastric contents in oesophagus ± regurgitation common, self limiting

Question 44

what is GORD in a baby

Answer 44

GOR that causes troublesome symptoms

Question 45

what is CMA

Answer 45

cows milk protein allergy adverse reaction to cows milk can be IgE or non-IgE mediated