17406590
Descripción
Test por Matthew Coulson, actualizado hace más de 1 año
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Creado por Matthew Coulson
hace alrededor de 5 años
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Pregunta 1
Pregunta
Prior to initiation of Lithium Carbonate treatment, it is important to assess the [blank_start]U&Es[blank_end] of a patient as lithium can cause [blank_start]renal[blank_end] damage
Respuesta
-
renal
-
liver
-
brain
-
U&Es
-
FBC
-
LFTs
-
Thyroid Function
-
thyroid
Pregunta 2
Pregunta
During pregnancy, blood pressure typically decreases during the [blank_start]2nd semester[blank_end] before returning to pre-pregnancy levels by the [blank_start]3rd trimester[blank_end].
Respuesta
-
2nd semester
-
1st semester
-
3rd semester
-
3rd trimester
-
2nd trimester
Pregunta 3
Pregunta
Spherocytes present on the blood film could indicate which two possible diseases?
Respuesta
-
Autoimmune Haemolytic Anaemia
-
Hereditary Spherocytosis
-
Pernicious Anaemia
-
Aplastic Anaemia
-
Sickle Cell Anaemia
-
Renal Anaemia
Pregunta 4
Pregunta
Spherocytes on blood film + a positive direct Coomb's test would lead you to which diagnosis?
[blank_start]Autoimmune Haemolytic Anaemia[blank_end]
Respuesta
-
Autoimmune Haemolytic Anaemia
Pregunta 5
Pregunta
Which hormone can be measured to determine whether or not a woman has ovulated?
Respuesta
-
Progesterone
-
Oestrogen
-
Beta hCG
-
Oxytocin
Pregunta 6
Pregunta
Which hormone is measured to assess the ovarian reserve in women?
Respuesta
-
Anti-Mullerian Hormone
-
Anti-Wolffian Hormone
-
Progesterone
-
Oestrogen
-
Beta hCG
Pregunta 7
Pregunta
Which of the following is the best diagnostic test for Sickle Cell Disease?
Respuesta
-
Haemoglobin High Performance Liquid Chromatography
-
Peripheral Blood Immunophenotyping
-
Serum Protein Electrophoresis
-
Bone Marrow Biopsy
Pregunta 8
Pregunta
Fill in the IQ ranges for the different levels of learning disability:
Borderline Learning Disability = IQ of [blank_start]70[blank_end] - [blank_start]84[blank_end]
Mild Learning Disability = IQ of [blank_start]50[blank_end] - [blank_start]69[blank_end]
Moderate Learning Disability = IQ of [blank_start]35[blank_end] - [blank_start]49[blank_end]
Severe Learning Disability = IQ of [blank_start]20[blank_end] - [blank_start]34[blank_end]
Profound Learning Disability = IQ of <[blank_start]20[blank_end]
Respuesta
-
20
-
34
-
49
-
69
-
84
-
70
-
50
-
35
-
20
Pregunta 9
Pregunta
Which hormone causes enlargement of the breast mammary glands and prepares them for lactation?
[blank_start]Prolactin[blank_end]
Which hormone then brings about lactation by causing muscle contraction?
[blank_start]Oxytocin[blank_end]
Respuesta
-
Prolactin
-
Oxytocin
Pregunta 10
Pregunta
Premature ovarian failure can be caused by previous chemotherapy/radiotherapy
Respuesta
- True
- False
Pregunta 11
Pregunta
A diagnosis of premature ovarian failure can be confirmed by a raised level of which hormone?
Respuesta
-
LH
-
FSH
-
Prolactin
-
Oestrogen
-
Progesterone
-
Beta hCG
Pregunta 12
Pregunta
A 40 year old patient, smoker of 25 years, presents to the GP with green nipple discharge from the right breast with a painless lump below her nipple. What is your immediate working diagnosis?
[blank_start]Duct ectasia[blank_end]
Respuesta
-
Duct ectasia
Pregunta 13
Pregunta
A 38 year old woman presents to her GP with a 2cm lump in the upper outer quadrant of her right breast. She was involved in a car accident 2 months ago however states that she was not injured during this.
What is your immediate working diagnosis?
Respuesta
-
Fat necrosis
-
Galactocele
-
Duct ectasia
-
Fibroadenoma
-
Inflammatory breast cancer
Pregunta 14
Pregunta
Chlamydia Trachomatis is an intracellular organism which produces which two of the following during its reproductive cycle?
Respuesta
-
Elementary bodies
-
Reticulate bodies
-
Lymphocytic bodies
-
Neutrophilic bodies
-
Reed Sternberg bodies
-
Ruffian bodies
Pregunta 15
Pregunta
Lesions which occur just anterior to the optic chiasma typically cause which type of scotoma bilaterally?
Respuesta
-
Junctional Scotoma
-
Arcuate Scotoma
-
Centrocaecal Scotoma
-
Pericentral Scotoma
Pregunta 16
Pregunta
Which three of the following are caused by Multiple Myeloma (cancer of the plasma cells)?
Respuesta
-
Renal Failure
-
Anaemia
-
Bone pain (typically spine)
-
Bone pain (typically upper limb)
-
Bone pain (typically lower limb)
-
Polycythaemia
-
Liver Failure
-
Heart Failure
-
Haemorrhagic Stroke
Pregunta 17
Pregunta
Anterior intercostal veins drain to the [blank_start]internal thoracic vein[blank_end]
Posterior intercostal veins drain to the [blank_start]azygous vein[blank_end]
Respuesta
-
azygous vein
-
internal thoracic vein
Pregunta 18
Pregunta
Treponema Pallidum is also known as [blank_start]Syphilis[blank_end] infection
Respuesta
-
Syphilis
Pregunta 19
Pregunta
Premalignant change with discoloured growth = [blank_start]Neoplasia[blank_end]
Change from one mature cell type to another = [blank_start]Metaplasia[blank_end]
Presence of cells of an abnormal type within a tissue = [blank_start]Dysplasia[blank_end]
Respuesta
-
Dysplasia
-
Metaplasia
-
Neoplasia
Pregunta 20
Pregunta
Before commencing a patient on the oral combined contraceptive pill, which two of the following must be measured?
Respuesta
-
BMI
-
Blood Pressure
-
Thrombophilia Screen
-
Blood Glucose
-
Cervical Smear
Pregunta 21
Pregunta
Lamotrigine is an anticonvulsant medication which work by inhibiting voltage gated [blank_start]sodium[blank_end] channels, thus lowering the levels of the excitatory neurotransmitter [blank_start]glutamate[blank_end]
Respuesta
-
glutamate
-
glutamine
-
GABA
-
sodium
-
chloride
-
potassium
-
calcium
Pregunta 22
Pregunta
What is the first area of the brain to be affected by Alzheimer's disease?
[blank_start]Nucleus Basalis of Meynert[blank_end]
Respuesta
-
Nucleus Basalis of Meynert
Pregunta 23
Pregunta
Obstructive Lung condition: FEV1/FVC ratio is [blank_start]Reduced[blank_end]
Restrictive Lung condition: FEV1/FVC ratio is [blank_start]Normal[blank_end]
Respuesta
-
Normal
-
Reduced
-
Reduced
-
Normal
Pregunta 24
Pregunta
An FEV1/FVC ratio of less than [blank_start]70%[blank_end] is required to diagnose [blank_start]an obstructive[blank_end] respiratory condition
Respuesta
-
70%
-
60%
-
50%
-
an obstructive
-
a restrictive
Pregunta 25
Pregunta
Pain across the posterior triangle of the neck is mediated by the [blank_start]Facial[blank_end] nerve
Respuesta
-
Facial
-
Trigeminal
-
Glossopharyngeal
-
Vagus
-
Spinal Accessory
Pregunta 26
Pregunta
Unfractioned Heparin is best monitored using the [blank_start]APTT[blank_end]
Respuesta
-
APTT
-
Prothrombin Time
Pregunta 27
Pregunta
Which of the following is one of the main treatments for endometriosis
Respuesta
-
Oral Combined Contraceptive Pill
-
Cyproterone Acetate
-
Clomiphene Citrate
-
Chorionic Gonadotrophin
Pregunta 28
Pregunta
In Schizophrenia there is excessive activation of [blank_start]Dopamine[blank_end] receptors
Respuesta
-
Dopamine
-
Serotonin
-
Noradrenaline
Pregunta 29
Pregunta
Which of the following suggest cardiovascular disease in a newborn infant?
Respuesta
-
Delay in femoral pulses
-
Early neonatal jaundice
-
Polycythaemia
-
Peripheral Cyanosis
-
Splitting of the second heart sound
Pregunta 30
Pregunta
Which of the following medications reduces the efficacy of the oral contraceptive pill?
Respuesta
-
Methyldopa
-
Phenytoin
-
Mefenamic Acid
-
Amoxicillin
-
Codeine
Pregunta 31
Pregunta
Which of the following drugs is contraindicated in breastfeeding?
Respuesta
-
Warfarin
-
Tetracycline
-
Labetalol
-
Amoxicillin
-
Amitriptyline
Pregunta 32
Pregunta
A woman has induction of labour at 42 weeks gestation via artificial rupture of membranes. After this, there is a prolonged foetal bradycardia of 50 BPM and some fresh vaginal bleeding. The uterus is soft and non-tender
What is your diagnosis?
Respuesta
-
Vasa Praevia
-
Placenta Praevia
-
Uterine Rupture
-
Cervical Tear
Pregunta 33
Pregunta
At which stage does the embryo implant into the uterus?
Respuesta
-
Pronuclear
-
8 cell stage
-
Blastocyst
-
Morula
-
Gastrula
Pregunta 34
Pregunta
An incontinence which is exacerbated by coughing or sneezing would be considered to be which type of incontinence?
[blank_start]Stress[blank_end] incontinence
Respuesta
-
Stress
Pregunta 35
Pregunta
A chronic outflow obstruction causing urine buildup in the bladder would lead to which type of incontinence?
[blank_start]Overflow[blank_end] incontinence
Respuesta
-
Overflow
Pregunta 36
Pregunta
Simple partial seizures are characterised by brief periods (1-2 mins) of an inability to speak + altered hearing + loss of spacial awareness.
Simple Partial Seizures are typically treated via which of the following medications
Respuesta
-
Sodium Valproate
-
Haloperidol
-
Carbemazepine
-
Amitriptyline
-
Olanzapine
Pregunta 37
Pregunta
The combined oral contraceptive pill is contraindicated in woman with a BMI of
Respuesta
-
> 30 kg/m2
-
> 35kg/m2
-
>39kg/m2
Pregunta 38
Pregunta
Wilson's Disease is inherited in a [blank_start]autosomal recessive[blank_end] pattern
Respuesta
-
autosomal recessive
-
autosomal dominant
-
x-linked dominant
-
x-linked recessive
-
mitochondrial
Pregunta 39
Pregunta
Becker's Muscular Dystrophy, like Duchenne's Muscular Dystrophy, is inherited in a [blank_start]x-linked recessive[blank_end] pattern
Respuesta
-
x-linked recessive
-
x-linked dominant
-
autosomal dominant
-
autosomal recessive
-
mitochondrial
Pregunta 40
Pregunta
Myoclonic Epilepsy with Ragged Red Fibres is inherited in a [blank_start]mitochondrial[blank_end] inheritance pattern
Respuesta
-
mitochondrial
-
autosomal dominant
-
autosomal recessive
-
x-linked dominant
-
x-linked recessive
Pregunta 41
Pregunta
If a woman has forgotten to take one of her oral contraceptive pills and remembers only the day after she was meant to take it, she should
Respuesta
-
Take the missed pill now and take the next one as usual
-
Take a double dose now and the next dose as usual
-
Take a double dose now and miss the next dose
-
Forget the missed pill and take the next pill as usual
Pregunta 42
Pregunta
A 23 year old woman from Nigeria presents with small volume lymphadenopathy, oral candidiasis and oral hair leukoplakia. What is her most likely diagnosis?
Respuesta
-
Hodgkin's Disease
-
HIV
-
Tuberculosis
-
Toxoplasmosis
-
Sarcoidosis
-
Non-Hodgkin's Lymphoma
Pregunta 43
Pregunta
A diabetic woman who presents to her GP at 8 week gestation should be started on which supplement regime?
Respuesta
-
400μg Folic Acid
-
5mg Folic Acid
-
400mg Folic Acid + 10μg Vitamin D
-
5mg Folic Acid + 10μg Vitamin D
Pregunta 44
Pregunta
Most patients on dialysis require [blank_start]erythropoietin[blank_end] supplementation in order to maintain normal Haemoglobin levels
Respuesta
-
erythropoietin
Pregunta 45
Pregunta
A brain lesion leaving the individual with an inability to recognise familiar objects (e.g. an apple) is known as [blank_start]nominal[blank_end] aphasia
Respuesta
-
nominal
Pregunta 46
Pregunta
Nominal aphasia occurs due to a lesion in which part of the brain?
The [blank_start]Angular Gyrus[blank_end]
Respuesta
-
Angular Gyrus
Pregunta 47
Pregunta
Polyuria is defined as greater than [blank_start]2.8 litres[blank_end] of urine passed within a 24 hour period.
Respuesta
-
2.8 litres
-
2.6 litres
-
2.5 litres
-
3.0 litres
Pregunta 48
Pregunta
Iron deficiency anaemia diagnosed during pregnancy warrants oral iron supplementation. Iron transfusion should not be given until the haemoglobin levels fall below [blank_start]8.8[blank_end] g/l
Respuesta
-
8.8
-
6.2
-
9.6
Pregunta 49
Pregunta
In Myasthenia Gravis, the autoantibodies are against [blank_start]postsynaptic[blank_end] acetylcholine receptors
Respuesta
-
postsynaptic
-
presynaptic
Pregunta 50
Pregunta
[blank_start]Trichomonas Vaginalis[blank_end] is a flagellated protozoan parasite which causes an STI of foul smelling discharge.
Respuesta
-
Trichomonas Vaginalis
Pregunta 51
Pregunta
Trichomonas Vaginalis is what type of organism?
Respuesta
-
Bacteria
-
Parasite
-
Virus
-
Fungus
-
Platyhelminthe
Pregunta 52
Pregunta
Clue Cells on microscopy indicates which condition?
[blank_start]Bacterial Vaginosis[blank_end]
Respuesta
-
Bacterial Vaginosis
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