Random question bank mix 3

Question 1

what is the management of a recurrent episode of c.diff within 12 weeks of symptom resolution?

Answer 1

oral fidaxomin

Question 2

symptoms suggestive of cauda equina, what is next step?

Answer 2

urgent MRI

Question 3

what condition is occasionally associated with a bisferins pulse

Answer 3

hypertrophic cardiomyopathy

Question 4

painful bleeding gums with halitosis and punched out ulcers in the gums?

Answer 4

acute necrotising ulcerative gingivitis

Question 5

what is the management of acute necrotising ulcerative gingivitis?

Answer 5

paracetamol + oral metronidazole + chlorhexidine mouthwash

Question 6

what can happen if you give insulin in HHS?

Answer 6

central pontine myelinolysis

Question 7

what are the contraindications to inserting a chest drain?

Answer 7

• INR >1.3

- platelets <75

Question 8

what drug class when coupled with NSAIDs increase the GI bleeding risk?

Answer 8

SSRIs

Question 9

what is the most approproate initial imaging in acute pancreatitis?

Answer 9

USS

Question 10

what drugs cause ototoxicity?

Answer 10

gentamicin, furosemide, aspirin

Question 11

what side effects are seen in SSRI discontinuation syndrome?

Answer 11

GI symptoms

Question 12

which TB drug causes drug induced lupus?

Answer 12

isonizid

Question 13

what is the first and second line treatments for endometriosis in someone who does not want to be pregnant?

Answer 13

1. paracetamol + NSAIDs

2. COC

Question 14

what is the most common place where you get bone mets? (within the MSK system)

Answer 14

spine

Question 15

what is ischemic hepatitis

Answer 15

hepatic ischemia following hypoperfusion such as in spetic shock. Causes elevated liver enzymes (AST 50x normal) and is associated with AKI or other end organ disease

Question 16

what bacteria is associated with spontaneous bacterial peritonitis?

Answer 16

ecoli

Question 17

what is the management of mobitz type 1 heart block in an athlete?

Answer 17

reassure and safety net

Question 18

what electrolyte imbalances can prolong the QT?

Answer 18

hypocalcaemia

hypokalaemia

Question 19

when would a chronic UC be considered severe? and what is the management?

Answer 19

If get a severe relapse or 2 or more exacerbations in a year then its severe UC and needs oral azathioprine

Question 20

what can be used to treat the symptoms of carcinoid syndrome?

Answer 20

octrectide

Question 21

abdo pain + early satiety + bilateral flank masses

Answer 21

ADPKD

Question 22

what is the management of cellulitis which presents near the nose or eye

Answer 22

co-amoxiclav

Question 23

what drug is required in the management of hyperemesis gravida with neurological signs

Answer 23

pabrinex

Question 24

what is the management of acute prostatitis

Answer 24

ciprofloxacin

Question 25

what should you think if you see an x linked recessive condition in a girl

Answer 25

turners syndrome (due to only one X)

Question 26

what could you use in AF rate control in an asthmatic patient

Answer 26

calcium channel blockers

Question 27

what is mesenteric adenitis

Answer 27

inflamed mesenteric lymph nodes often proceeding a viral infection (abdo pain post viral illness)

Question 28

what is the management of acute cholecystitis?

Answer 28

IV antibiotics + early laparoscopic cholecystectomy within 1 week of diagnosis

Question 29

what is a common cause of vena cava syndrome

Answer 29

malignancy

Question 30

where is brocas area

Answer 30

left inferior frontal gyrus (frontal lobe)

Question 31

where is wernickes area

Answer 31

superior temporal gyrus (temporal lobe)

Question 32

what is an alternative management to symptomatic brady when atropine is contraindicated (ie in allergy)

Answer 32

adrenaline infusion

Question 33

what is the most approproate non pharmacological intervention for schizophrenia? ( to be used alongside pharmacological)

Answer 33

CBT

Question 34

what is the first and second line treatments for endometriosis in someone who wants to be pregnant?

Answer 34

1. NSAIDs + paracetamol 2. GnRH analogues (gosarelin acetate) 3. Surgery (laparoscopic excision)