Week 6

Question 1

Lady presents with hot, swollen, red, tender calfs, she has recently been on a long haul flight to thailand. Potential investigations? Diagnosis?

Answer 1

Ultrasound doppler scan
CT

DVT

Question 2

Young women on the contraceptive pill presents with a swollen, hot, render right calf. Diagnosis?

Answer 2

DVT

Question 3

What is the significance of a positive D-dimer test?

Answer 3

D-dimer is a byproduct of degradation of a blood clot

Question 4

What are the three components of virchows triad?

Answer 4

Abnormal blood flow (stasis)
Endothelial damage
Hypercoagulability

Question 5

Man presents with breathlessness inspiratory crackles throughout his lungs, investigation show impaired renal function and has a raised anti-GBM antibody level. Diagnosis?

Answer 5

Good pasture syndrome

Question 6

Treatment for pneumonia due to klebsiella?

Answer 6

Meropene

Question 7

What are some of the causes of transudates? 5 Fs

Answer 7

Cardiac failure
Renal failure
Liver failure
Endocrine failure (hypothyroidism)
Nutritional failure (hypoalbuminaemia)

Question 8

Which lung cancer subtype is associated with raised levels of ACTH?

Answer 8

Small cell

Question 9

What type of lung cancer is associated with increased calcium levels?

Answer 9

Squamous cell carcinoma