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Question 1

Describe dermatitis herpetiformis and a disease it may indicate?

Answer 1

puritic, vesicular and papular rash on extensors.

Indicates celiacs

Question 2

Serious causes of a non blanching rash?

Answer 2

NAI
meningococcal septicaemia
leukaemia
haemolytic ureamic syndrome

Question 3

Non-serious causes of a non blanching rash?

Answer 3

Henoch Schonlein Purpur
Idiopathic (immune) thrombocytopenic purport
viral exanthema
Mechanical

Question 4

What features/ Hx does Haemolytic uraemia syndrome have?

Answer 4

Raised anaemia, low platelets, AKI after gastroenteritis

Question 5

Is erythema nodosum tender?

Answer 5

Yes - Tender, shiny patches

Question 6

Causes for erthema nodosum?

Answer 6

Non hodgkins lymphoma 
O
Drug - NSAIDS, sulphonamides, amoxicillin
Oestrogen (OCP, pregnancy) 
Sarcoidosis 
UC and thrones 
Microbiology

Question 7

Target lesions on hand and body.. MLD?

Answer 7

Erthyema multiform

Question 8

Causes of erythema multiform?

Answer 8

Durgs (90%) and infection (10%)

Question 9

what are causes for pyoderma gangrenosum?

Answer 9

Unknown - Associated with UC and Crohns

Question 10

For SBA, what indicates pyloric stenosis in child?

Answer 10

Projectile vomiting

Olive shaped mass

Question 11

For SBA, what indicates intersuspection in child?

Answer 11

intermittent crying
Knees up to tummy
red-current jelly stools

Question 12

For SBA, what indicates hirshprungs disease in child?

Answer 12

Explosive faces/ gas on DRE.

48hr of failure to pass meconium

Question 13

For SBA, what indicates meconium in child?

Answer 13

Associated with CF

48hr of failure to pass meconium

Question 14

What symptoms/ signs are there of multiple myeloma?

Answer 14

CRABS 
Calcium raised 
Renal failure 
Aneamia 
Bone pain

Question 15

what screening test are there for multiple myeloma?

Answer 15

Bence-jones proteins in urine
Serum free light chain essay
Serum immunoglobulins
serum protein electrophoresis

Question 16

What key myeloproliferative disorders are there?

Answer 16

Primary myeloproliferative (heamotopeotic cell)
Polycythemia (erythrocytes)
Essential thrombocytopenia

Question 17

What complication are there of myeloproliferative disorders?

Answer 17

Myselosclerosis (due to localised inflammation)

AML

Question 18

How is polycythemia vera treated?

Answer 18

vesection
Aspirin
ChT

Question 19

How is essential thrombocytopenia treated?

Answer 19

Aspirin

ChT

Question 20

How is primary myeloproliferative disorders treated?

Answer 20

Allogenic stem cell transplant
ChT
Supportive

Question 21

What redflags are there for GI tract?

Answer 21

ALARMS

Aneamia (unexplained) 
Loss of weight 
Anorexia 
Recent onset/progressive symptoms 
Maleana and haemoptysis 
Swallowing difficulties 
>55 years

Question 22

MLD for dysphagia to solids and liquids from the start?

Answer 22

Achalasia

Question 23

Definition of AKI stage 1

Answer 23

creatinine raise 150% of baseline

Question 24

What are the complications of DM?

Answer 24

Macrovascular - CVD, PVD, HTN, Stroke

Microvascular - renal, eye, peripheral neuropathy

Question 25

Does biliary colic pain every disappear?

Answer 25

Wax and wanes but never disappears

Question 26

What is the cremaster reflex? What can it help indicate?

Answer 26

Stroke thigh and the testies contract... Absent in testicular torsion

Question 27

What is the diagnostic criteria for DKA?

Answer 27

Acidosis <7.3 Ketones in urine Glucose >11mmol

Question 28

What is PND and what disease can it indicate?

Answer 28

Paroxysmal nocturnal dyspnoea - breathlessness at night not relieved by sitting upright. Can indicate CCF

Question 29

How is the severity of IBD assessed?

Answer 29

True love witts criteria

Question 30

2ww criteria for heamaturia?

Answer 30

45 yo with unexplained frank heamturia or after UTI 60 yo and microscopic heamaturia Raised PSA testicual or penile mass