Things To Remember...

Question 1

Antibiotic that causes C.diff and achilles tendonitis

Answer 1

Ciprofloxacin

Question 2

Zollinger-Ellison disease

Answer 2

Peptic ulcer dx
Islet cell tumour (pancreas)
Gastric acid hyper-secretion (on PPIs)

Question 3

Coffee ground vomit

Answer 3

Upper GI bleed from stomach or duodenum
> partially digested
> ulcer, gastritis

Question 4

Blood diarrhoea + LIF pain

Answer 4

UC

Question 5

Egypt + haematemesis =

Answer 5

Schistomosiasis
mature in mesenteric veins > hepatosplenomegaly > portal HTN > varices > haematemesis
(SCC bladder too & swimmers itch)

Question 6

Antibiotics H.Pylori

Answer 6

PAC500 - PPI, amoxicillin, clarithromycin

PMC250 - PPI, metronidazole, clarithromycin

Question 7

Lump jaw ugandan expresses EBV antigens

Answer 7

Burkitts lymphoma

Question 8

Christmas disease

Answer 8

Haemophilia B

Question 9

Flamingo pink tympanic membrane

Answer 9

Otosclerosis

Question 10

Feltys syndrome

Answer 10

Splenomegaly
RA
Neutropenia

Question 11

Boerhaave’s syndrome

Answer 11

Oesophageal perf with massive bleed

Question 12

Diuretic of choice cirrhosis

Answer 12

Spironolactone

Question 13

Polycythaemia rubra vera

Answer 13

Pruritis / plethora
Cyanosis
Ringing in ears
Visual disturbance

Question 14

JAK2

Answer 14

Polycythaemia rubra vera

Question 15

Low O2, normal CO2

Answer 15

T1RF

PE, pnrumonia

Question 16

Low O2, high CO2

Answer 16

T2RF

COPD, asthma, myasthenia gravis, opiate overdose

Question 17

Dizziness, loss of vision, headaches, HTN, cysts in liver, kidney

Answer 17

Von Hippel Lindau disease

Question 18

Whilst measuring BP, person’s fingers flex and draw together

Answer 18

Trosseau's sign
Low calcium (after neck surgery can have stunned parathyroids)

Question 19

Bud-chiari

Answer 19

Portal HTN

Haematemesis

Question 20

Wegeners

Answer 20

URTI + LRTI + kidney
c-ANCA
Dry cough

Question 21

Goodpastures

Answer 21

Anti-GBM

Lung + kidney

Question 22

Sheehans syndrome

Answer 22

Hypopituitarism due to post partum pituitary haemorrhage

Question 23

Waterhouse friedrichsen

Answer 23

Acute adrenal failure following meningococcal septicaemia (intra-adrenal haemorrhage)

Question 24

Only hepatitis which is DNA not RNA

Answer 24

Hep A

Question 25

Hormones in adrenal cortex

Answer 25

ACTH - cushings & addisons Aldosterone - Conns Testosterone - virilism

Question 26

3 days post RTI nephropathy

Answer 26

IgA nephropathy

Question 27

10-14 days post nephropathy

Answer 27

Post-strep nephropathy

Question 28

DMARD causing loss of taste

Answer 28

Penicillamine

Question 29

Curtain falling down in vision | Temporary loss of vision

Answer 29

Amourosis fugax

Question 30

RAPD | Pupil dilates

Answer 30

Marcus gunn pupil

Question 31

Absent knee jerk & dilated pupil

Answer 31

Holmes-Adie pupil

Question 32

Pupil accommodates but does not react to light

Answer 32

Argyll-Robertson

Question 33

Superior quadrantanopia

Answer 33

Temporal lobe lesion

Question 34

Inferior quadrantanopia

Answer 34

Parietal lobe lesion

Question 35

Legally blind acuity

Answer 35

6/60

Question 36

Redcurrant sputum

Answer 36

Klebsiella penumonia

Question 37

Redcurrant stool

Answer 37

Intusussception

Question 38

Non-necrotising granuloma

Answer 38

Sarcoidosis

Question 39

Necrotising granuloma

Answer 39

TB

Question 40

Leiomyoma

Answer 40

Fibroids African women INFERTILITY

Question 41

Vegetarians and Asians can be deficient in Vit d...putting them at risk of...

Answer 41

Osteomalacia

Question 42

Factor 8 deficiency

Answer 42

Haemophilia A

Question 43

Factor 9 deficiency

Answer 43

Haemophilia B

Question 44

Tall young adult, small testes, gynaecomastia

Answer 44

Klinefelters syndrome | 47XXY

Question 45

Tall young adult who can't smell

Answer 45

Kallmans syndrome

Question 46

Gram positive organism meningitis

Answer 46

Strep pneumonia

Question 47

Gram negative organism meningitis

Answer 47

Neisseria meningitidis

Question 48

Neonatal jaundice - Mediterranean parents

Answer 48

G6PD

Question 49

Neonatal jaundice - reducing substances in urine

Answer 49

Galactosaemia

Question 50

Neonatal jaundice - asian parents, raised direct & indirect bilirubin

Answer 50

Neonatal hepatitis

Question 51

Causes neonatal jaundice due to unconjugated (indirect) hyperbilirubinaemia

Answer 51

Crigler-Najaar Gilberts Hypothyroidism

Question 52

Mild jaundice pt fasting, LFTs normal

Answer 52

Gilberts

Question 53

Causes neonatal jaundice due to conjugated (direct) hyperbilirubinaemia

Answer 53

Hepatitis Galactosaemia Biliary atresia

Question 54

CLO test aka...

Answer 54

Rapid urease test for h.pylori

Question 55

Behçets

Answer 55

Uveitis Genital ulcers Oral ulcers No see, no pee, no spicy curry

Question 56

p-ANCA, alleryg, asthma, eosinophilia, granuloma

Answer 56

Churg strauss

Question 57

HTN refractory to medication & worsened by ACEi

Answer 57

Renal artery stenosis

Question 58

Indications for emergency haemodialysis

Answer 58

persistent pericarditis, acidosis, hyperkalaemia

Question 59

24 hour urinary HIAA raised

Answer 59

carcinoid syndrome

Question 60

management of carcinoid syndrome

Answer 60

somatostatin analogue (octeotride)

Question 61

pericardial rub, 3rd heart sound

Answer 61

pericarditis

Question 62

c-anca

Answer 62

granulomatosis with polyangitis (wegeners)

Question 63

anti-dsDNA + anti-nucler

Answer 63

SLE

Question 64

anticentromere

Answer 64

CREST

Question 65

anti-jo

Answer 65

dermatomyositis

Question 66

anti-nuclear + RF

Answer 66

Sjorgens

Question 67

Cystic bone lesions + precocious puberty + cafe au lait spots

Answer 67

Mccune-Albright

Question 68

Mx pericarditis

Answer 68

NSAIDs

Question 69

Dresslers

Answer 69

Pericarditis weeks - months post-MI | Tx: colchicine

Question 70

AED causing gingival hypertrophy

Answer 70

Phenytoin

Question 71

AED causing low IQ and autism of child

Answer 71

Sodium valproate

Question 72

Mx status epilepticus

Answer 72

1) Rectal diazepam x2 2) Buccal midazolam 3) IV lorazepam + their usual AED 4) IV phenytoin

Question 73

Acute alcohol withdrawal Mx

Answer 73

Diazepam or chlordiazepoxide

Question 74

Delirium tremens Mx

Answer 74

Oral lorazepam

Question 75

Antidote TCA overdose

Answer 75

Flumazenil

Question 76

Antidote calcium channel / beta blockers

Answer 76

Glucagon

Question 77

Presentation TCA overdose

Answer 77

Coma Cardiac arrhythmia Convulsions

Question 78

Digoxin overdose presentation

Answer 78

Yellow - green discolouration to vision & bradyarrythmia

Question 79

Which nerve is damaged by mid shaft humerus #

Answer 79

Radial nerve

Question 80

Post-op complication THR is damage to which nerve...?

Answer 80

Sciatic nerve

Question 81

Which nerve extends arm back to normal anatomical position?

Answer 81

Triceps

Question 82

Non-motile bacteria causing diarrhoea

Answer 82

Shigella

Question 83

Motile bacteria causing diarrhoea

Answer 83

Salmonella

Question 84

Bloody diarrhoea aka...

Answer 84

Dysentery

Question 85

Chest pain on swallowing caused by...

Answer 85

Oesophageal spasm

Question 86

Conus medullaris

Answer 86

Sudden onset Symmetrical Back pain Bilateral

Question 87

Solar lentigines

Answer 87

Sun spots / age spots | Flat & brown

Question 88

Actinic keratosis

Answer 88

Thick scaly crusty

Question 89

Seborrheic keratosis

Answer 89

Senile wart | Palpable

Question 90

Hip pain 4-10 y/o

Answer 90

Perthes (AVN femoral head with subchondral sclerosis & flattening femoral head)

Question 91

Hip pain 10-16 y/o

Answer 91

SUFE

Question 92

Onion skin / moth eaten hip on Xray

Answer 92

Ewings sarcoma

Question 93

Anti-topoisomerase

Answer 93

Systemic sclerosis

Question 94

Aurimime stain acid fast bacili

Answer 94

TB

Question 95

Query fever

Answer 95

Farm workers | C.burnetti

Question 96

Stokes-Adams attack

Answer 96

Sudden collapse due to bradyarrythmia

Question 97

1 aplha adrenoceptor blocker (prostate)

Answer 97

Tamsulosin

Question 98

High calcium

Answer 98

1' hyperparathyroidism

Question 99

Low calcium, high PTH

Answer 99

2' hyperparathyroidism

Question 100

High calcium, high PTH

Answer 100

3' hyperparathyroidism