year 3 passmed again

Question 1

DIC typical blood picture

Answer 1

-low platelets
-low fibrinogen
-raised APTT
-raised PT
-raised D-dimer

Question 2

first line for reducing relapses in MS

Answer 2

natalizumab (monoclonal antibody)

Question 3

investigation of choice for raised ICP

Answer 3

non-contrast CT

Question 4

can a LP be performed in raised ICP

Answer 4

NO

Question 5

if an anorexic patient comes in with confusion and dizziness what is the most important investigation

Answer 5

blood glucose

Question 6

mechanism of action of antithrombin III

Answer 6

binds to heparin to deactivate factor Xa

Question 7

most common side effect of memantine

Answer 7

constipation

Question 8

where does vulvar cancer most commonly present

Answer 8

labia majora

Question 9

how do 50% of cord prolapses happen

Answer 9

artificial rupture of membranes

Question 10

what is cryoprecipitate mainly made of

Answer 10

factor VIII

Question 11

first line for infertility in PCOS

Answer 11

clomifene

Question 12

what drugs can cause aplastic anaemia

Answer 12

cytotoxics, chloramphenicol, sulphonamides, phenytoin, gold

Question 13

most common type of Hodgkins lymphoma

Answer 13

nodular sclerosing

Question 14

what is imatinib used for

Answer 14

chronic myeloid leukaemia

Question 15

what is given to patients with polycythaemia rubra vera to reduce risk of blood clots

Answer 15

aspirin

Question 16

rivaroxaban mechanism of action

Answer 16

direct factor Xa inhibitor

-its a DOAC

Question 17

what does decrease in haptoglobin indicate

Answer 17

intravascular haemolysis

Question 18

if a pregnant woman is vomiting and has a large for dates uterus what is likely

Answer 18

hydratidiform mole

Question 19

first line treatment for ITP

Answer 19

oral prednisolone

Question 20

how do you test for agranulocytosis

Answer 20

FBC

Question 21

which cranial nerves can an acoustic shwannoma affect

Answer 21

cranial nerve VIII: vertigo, unilateral sensorineural hearing loss, unilateral tinnitus
cranial nerve V: absent corneal reflex
cranial nerve VII: facial palsy

Question 22

ipsilateral CN III palsy and contralateral hemiparesis

Answer 22

weber’s syndrome
-PCA stroke

Question 23

tear drop poikilocytes on film

Answer 23

myelofibrosis

Question 24

premature ovarian insufficiency FSH levels

Answer 24

high

Question 25

migraine prophylaxis for asthmatics

Answer 25

topiramate

Question 26

can you give patients with myasthenia gravis beta blockers

Answer 26

they should be avoided -causes worsening of the condition

Question 27

do benzodiazepines inhibit or enhance GABA

Answer 27

enhance GABA

Question 28

whats it called when someone takes ages to get to their answer of a question

Answer 28

circumstantiality

Question 29

whats it called when someone answers the question and then keeps talking for ages

Answer 29

tangectality

Question 30

what are the somatic symptoms for depression

Answer 30

early morning waking and changes in weight/appetite

Question 31

what type of urinary incontinence can tricyclic antidepressants cause

Answer 31

overflow incontinence

Question 32

how do you monitor LMWH

Answer 32

anti-Xa assay

Question 33

monitoring for direct thrombin inhibitors (dabigatran) (new anticoagulants)

Answer 33

no monitoring required

Question 34

what hormone is tested to test ovarian reserve prior to in vitro fertilisation

Answer 34

AMH

Question 35

what causes receptive aphasia

Answer 35

wenicke's -can't rly receive the info

Question 36

what causes expressive

Answer 36

brocs's -can express what you want to say

Question 37

what visual field defect would a lesion in the right optic tract cause

Answer 37

left homonymous hemianopia

Question 38

what is delay in femoral pulse suggestive of in a newborn

Answer 38

coarctation of the aorta

Question 39

mode of inheritance for beckers muscular dystrophy

Answer 39

X linked recessive

Question 40

which hormone in pregnancy causes enlargement of the mammary glands of the breasts and prepares for lactation

Answer 40

prolactin

Question 41

which STD on microscopy would show flagellated protozoa

Answer 41

trichomonas vaginalis

Question 42

what cranial nerve can be injured by a pituitary adenoma

Answer 42

CN II

Question 43

what drug for delirium secondary to a UTI

Answer 43

haloperidol

Question 44

what nerve root for ankle reflex

Answer 44

S1

Question 45

myasthenia gravis is antibodies against what?

Answer 45

POSTsynaptic Ach receptors

Question 46

what hepatitis is spread via faecal oral route

Answer 46

A a=anal

Question 47

first line investigation for sickle cell

Answer 47

HPLC