Session 1

Question 1

What are the typical X-ray findings associated with psoriatic arthritis?

Answer 1

• Periostitis
• Erosions and new bone formation
• ‘Pencil-in-cup deformity’

Question 2

What are the first-line investigations to diagnose asthma?

Answer 2

• Eosinophil count (↑ reference range)
• FeNO testing (>50ppb)

Question 3

What are the initial investigations for acute limb ischaemia?

Answer 3

• Pulse measurement with handheld Doppler (first)
• ABPI

Question 4

What are the 3 most common causes of lung collapse (actelectasis)?

Answer 4

• Lung cancer
• Asthma
• Foreign body

Question 5

What are the CXR signs associated with lung collapse (actelectasis)?

Answer 5

• Tracheal deviation towards collapse
• Mediastinal shift towards collapse
• Elevation of hemidiaphragm

Question 6

Discuss the medical management of hypertension.

Answer 6

1. ACEi/ARB or CCB
2. ACEi/ARB + CCB or thiazide-like diuretic OR CCB + ACEi/ARB or thiazide-like diuretic
3. ACEi/ARB + CCB + thiazide-like diuretic
4. Consider spirinolactone or alpha/beta blocker

Question 7

What factors are associated with a poor prognosis in Hodgkin’s lymphoma?

Answer 7

• B symptoms (fever, weight loss, night sweats)
• Male sex
• Stage IV disease
• Low haemoglobin, lymphocytes or albumin
• High WCC

Question 8

What medications should be given to pregnant patients with anti-phospholipid syndrome?

Answer 8

Aspirin and LMWH

Question 9

What reversal agents are available for DOACs?

Answer 9

• Idarucizimab → dapigatran
• Adexanet alpha → apixaban, rivaroxaban
• No reversal agent for edoxaban

Question 10

What investigation findings are associated with hypothermia?

Answer 10

• ECG findings → Acute ST elevation, J waves (Osborn waves)
• Bloods → Raised Hb, low platelets, low WCC

Question 11

How can you differentiate between granulomatosis with polyangiitis and eosinophilic granulomatosis with polyangiitis by autoimmune testing?

Answer 11

• C-ANCA ++ more likely in granulomatosis with polyangiitis
• P-ANCA ++ more likely in eosinophilic granulomatosis with polyangiitis

Question 12

What are the 5 main causes of Dupuytren’s contracture?

Answer 12

• Manual labour
• Phenytoin medication
• Alcoholic liver disease
• Diabetes mellitus
• Trauma

Question 13

What are the side effects of dihydroprodine calcium channel blockers?

Answer 13

• Headache
• Flushing
• Ankle swelling