SBA paper 5

Question 1

where does a hodgkins lymphoma present?

Answer 1

in the anterior triangle of the neck

Question 2

what are the typical symptoms of a lymphoma?

Answer 2

progressive neck swelling
B symptoms : night sweats, fever, malaise, systemic itching

Question 3

which virus can cause cervical lymphadenopathy as well as splenomegaly?

Answer 3

epstein barr virus

Question 4

what is the corrective treatment for warfarin overdose

Answer 4

iv prothrombin and iv vitamin K

Question 5

how would an adrenal crisis present?

Answer 5

collapse after a flu like illness, in patients with a history (personal or family) of autoimmune disease.

Question 6

which treatment for DMT2 can cause hypoglycaemia?

Answer 6

Glicazide
Insulin but rarely used in T2

Question 7

which treatment for BPD can cause Diabetes insipidus?

Answer 7

LITHIUM

Question 8

how would addisons disease present?

Answer 8

history of vague abdo pain, weakness and tiredness, w/o V+/d+

Question 9

would addisons disease be positive for postural hypotension?

Answer 9

yes.

Question 10

which drug is used in acute pain relief eg. RTA?

Answer 10

IV morphine

Question 11

why is the use of diamorphine in acute pain eg RTA avoided?

Answer 11

greater chance of resp depression

Question 12

what is the most common cause of pneumonia in adults?

Answer 12

strep. pneumonia

Question 13

would cholecystitis present with haematuria

Answer 13

yes

Question 14

what is the most common viral infection in nursing/care settings?

Answer 14

NOROVIRUS

Question 15

what are the risk factors for gallstones

Answer 15

F’s
Female, Fat, Forty, Fertile

Question 16

explain the swiss cheese model

Answer 16

multiple mistakes (holes) can align which causes a big mistake.

Question 17

what is a likely cause of SAH

Answer 17

rupture of saccular aneurysm affecting anterior communicating artery

Question 18

which area of the brain initiates and controls voluntary movements?

Answer 18

Basal Ganglia!

Question 19

does syncope or epileptic seizure have a prodrome (feeling prior) and a precipitant (behavioural cause)

Answer 19

syncope has both of these

Question 20

which nerve innervates the muscles of the hand, sensation of the palmar surface of the thumb, index and middle fingers?

Answer 20

MEDIAN

Question 21

does mild aortic stenosis or aortic regurgitation radiate to the neck

Answer 21

mild aortic stenosis radiates to the neck.
CRITICAL AS would not have a normal carpotid pulse or second heart sound

Question 22

what is the first line Tx for cardiac failure

Answer 22

ACEi

Question 23

which drug can cause hypokalaemia with hypertension, plus headache and muscle weakness

Answer 23

thiazide diuretics

Question 24

does increasing the dose of thiazide diuretic increase the reduction in hypertension?

Answer 24

no, flat response curve

Question 25

what drug would be used in the treatment of irregulary irregular pulse, AFIB when a patient is at risk of thrombus formation?

Answer 25

warfarin sodium

Question 26

which antibiotic is bacteriostatic? (does not kill bacteria)

Answer 26

clindamycin

Question 27

which type of bacteria is vancomycin effective against?

Answer 27

gram positive used in MRSA treatment!

Question 28

which serological result will have the poorest prognosis of RA?

Answer 28

Anti CCP!

Question 29

25-hydroxycholecalciferol is converted to 1, 25-dihydroxycholecalciferol in which of the following tissues?

Answer 29

kidney

Question 30

which is the most common organism that infects prosthetic joints?

Answer 30

coagulase negative staphylococcus

Question 31

what type of cell is an APC?

Answer 31

dendritic cell in the skin, a monocyte or a macrophage.

Question 32

which antibodies are present in SLE?

Answer 32

anti-DNA a type of anti nuclear antibody!

Question 33

what is the predominant cell of acute inflammation?

Answer 33

neutrophil polymorph

Question 34

which cells are involved in allergic reactions?

Answer 34

basophils and mast cells

Question 35

which cells are involved in chronic inflammation

Answer 35

lymphocytes and macrophages.