Random

Question 1

middle age man with knee arthritis

Answer 1

more likely gonococcal sepsis

older ppl: staph

Question 2

sarcoidosis, erythema nodosum, arthropathy

Answer 2

Loffgrens syndrome

• benign, no treatment needed

Question 3

Diagnosis of renal artery stenosis?

Answer 3

MR angiogram

• RAS clue: different kidney sizes

Question 4

Causes of loss of vision secondary to temporal arteritis?

Answer 4

90% ischaemic neuropathy, 10% retinal artery occlusion

Question 5

Diagnosis of insulinoma?

Answer 5

24 hour supervised fasting hypoglycaemia

Question 6

albumin normal, total protein high?

Answer 6

think of multiple myeloma

Question 7

Ix of tumour compressing respiratory tract?

Answer 7

flow volume loop

Question 8

Guillain barre syndrome: what to monitor in terms of respiratory function?

Answer 8

check vital capacity

Question 9

What is Parinaud’s syndrome?

Answer 9

dorsal midbrain syndrome

Question 10

features of Parinaud’s syndrome?

Answer 10

• impaired upward gaze
• Eyelid retraction (Collier’s sign)
• convergence retraction nystagmus
• Damage in midbrain and superior colliculus

Question 11

Causes of Parinaud’s syndrome?

Answer 11

MS, stroke, hydrocephalus, pineal tumour

Question 12

investigation of paradoxical embolus?

Answer 12

TOE

Question 13

Addisonian crisis with low TFTs?

Answer 13

TFTs typically abnormal in this setting, don’t give thyroxine!
give hydrocortisone

Question 14

Diagnosis of CLL?

Answer 14

immunophenotyping

Question 15

commonest finding in G6PD haemolysis?

Answer 15

haemoglobinuria

Question 16

how to convert hydrocortisone dose to prednisolone

Answer 16

prednisolone is 4 x strong. so divide by 4

Question 17

Waterlow score?

Answer 17

• risk of development of a pressure sore
• Body weight
• nutritional status
• continence
• skin type
• mobility
• age and sex

Question 18

Primary biliary cirrhosis: what subtype of Ig is raised?
vs
Autoimmune hepatitis?

Answer 18

Autoimmune hepatitis: IgG high

Primary biliary cirrhosis: IgM high