Post-it notes

Question 1

SCC of the ear symptoms

Answer 1

Discharge (may be bleeding)
Hearing loss
Progressive otalgia

Question 2

Why do you give life-long thyroxine in follicular thyroid cancer?

Answer 2

Follicular thyroid cancer is sensitive to TSH which may stimulate regrowth of tumour

Give life long thyroxine as this will suppress the production of TSH

Question 3

Histology of tonsils

Answer 3

Squamous
Deep cysts
Lymphoid follicles

Question 4

Adenoid histology

Answer 4

Collumnar

Deep folds

Question 5

Columnar and deep folds, what am I? Hint Rory bradshaw

Answer 5

Adenoids

Question 6

Centor Criteria

Answer 6

Fever
Absence of cough
Lymphadenopathy (anterior cervical)
Pus

2+ points –> antibiotics

Question 7

Hammans sign?

Answer 7

Crunching rasping sound, hear over precordium
“Mediastinal crunch” = air in the mediastinum
Oseophageal rupture, cardiac surgery, alveolar rupture

Most often seen in young women

Question 8

MEN 1

Answer 8

Parathyroid

Pituitary

Question 9

MEN 2A

Answer 9

Medullary thyroid carcinoma
Adrenal (phaeochromocytoma)
Parathyroid

Question 10

MEN 2B

Answer 10

Medullary thyroid carcinoma
Adrenal

Typical phenotype: slim body habitus, neuromas of lips, tongue and GI tract

Question 11

Toxic megacolon

Answer 11

Transverse >5.5cm

Caecum >9 cm

Question 12

Unilateral red eye with photophobia, pain and mild reduction in visual acuity
SMALL PUPIL

Answer 12

Iritis

• pupil is smaller than unaffected side
• hypopyon may be seen

Question 13

Hypo-osmolality
Hyponatremia
Increase in urine osmolality

Answer 13

SIADH

Question 14

Targets of the children’s diabetes team?

Answer 14

Routine screening (microvascular disease, BP, retinal, urine-creatinine ratio)

Registration on SCI

HbA1C < 58 mmol/mol
(if had for less than 1 year = <48 mmol/l)

Question 15

Ramsay Hunt Syndrome

Answer 15

When shingles affects your facial nerve

Question 16

Which organ tends to be spared in PAN?

Answer 16

The lungs

Question 17

Waldeyers ring

Answer 17

Adenoids (pharyngeal)
(Palatine) tonsils
Lingual

Question 18

Rheumatoid arthritis and the eyes

Answer 18

Dry eyes (keratoconjunctivitis sicca)
Scleritis
Corneal melt (peripheral ulcers)

Question 19

Branch vein occlusion

Answer 19

Painless disturbance in vision
May be asymptomatic
May be aware of loss of part of field

Question 20

Tympanometry

Answer 20

Assess the mobility of the tympanic membrane

-might use this and audiometry in OME

Question 21

Two beta blockers which reduce mortality in any grade of heart failure

Answer 21

Carvedilol

Bisoprolol

Question 22

PAPILLARY DERMAL MICROABSCESSES

Answer 22

Dermatitis herpetiformis

Question 23

Treatment for undifferentiated thyroid cancer

Answer 23

Cervical radiotherapy
(or radio. in combo with chemo)
Undifferentiated will not respond to radioiodine

Question 24

Corneal ulcer symptoms

Answer 24

Pain + + +
Photophobia
Profuse lacriamtion
Vision may be reduced
Red eye - circumcorneal

Question 25

ACEi contraidndications

Answer 25

Renal artery stenosis Pregnancy Previous angioedema

Question 26

Severe hypotension and dehydration precipitated by intercurrent illness, accident or operatino

Answer 26

Addisonian crisis

Question 27

Menetriers Disease

Answer 27

Giant gastric folds | Hyperplasia of gastric outs, atrophy of glands and increase in mucosal thickness

Question 28

Unilateral throat pain and odynophagoa TRISMUS (locking jaw) 3-7 days of preceding acute tonsilitis

Answer 28

Peritonsillar abscess | Treatment = aspiration and Abx

Question 29

``` Maculopapular rash Stomatitis Conjunctivitis Symblepharon (when eye fuses to eye lid) Occlusion of lacrimal glands Corneal ulcers ```

Answer 29

Stevens-Johnson syndrome

Question 30

Patella dislocation managment

Answer 30

``` Reduction with extension X-ray Aspiration Brace Physio ```

Question 31

Drugs to use in BP management for gestational diabetes

Answer 31

Labetalol Nifedipine Methyldopa Give folic acid 5mg Avoid ACEi, statin

Question 32

Side effect of chloramphenicol

Answer 32

Aplastic anaemia

Question 33

Conditions with trendelenberg gait?

Answer 33

``` CDH DDH SUFE Muscular dystrophy Cerebral palsy ```