Questão 1
Questão
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
Responda
-
renal
-
liver
-
brain
-
U&Es
-
FBC
-
LFTs
-
Thyroid Function
-
thyroid
Questão 2
Questão
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].
Responda
-
2nd semester
-
1st semester
-
3rd semester
-
3rd trimester
-
2nd trimester
Questão 3
Questão
Spherocytes present on the blood film could indicate which two possible diseases?
Questão 4
Questão
Spherocytes on blood film + a positive direct Coomb's test would lead you to which diagnosis?
[blank_start]Autoimmune Haemolytic Anaemia[blank_end]
Questão 5
Questão
Which hormone can be measured to determine whether or not a woman has ovulated?
Responda
-
Progesterone
-
Oestrogen
-
Beta hCG
-
Oxytocin
Questão 6
Questão
Which hormone is measured to assess the ovarian reserve in women?
Responda
-
Anti-Mullerian Hormone
-
Anti-Wolffian Hormone
-
Progesterone
-
Oestrogen
-
Beta hCG
Questão 7
Questão
Which of the following is the best diagnostic test for Sickle Cell Disease?
Responda
-
Haemoglobin High Performance Liquid Chromatography
-
Peripheral Blood Immunophenotyping
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Serum Protein Electrophoresis
-
Bone Marrow Biopsy
Questão 8
Questão
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]
Responda
-
20
-
34
-
49
-
69
-
84
-
70
-
50
-
35
-
20
Questão 9
Questão
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]
Questão 10
Questão
Premature ovarian failure can be caused by previous chemotherapy/radiotherapy
Questão 11
Questão
A diagnosis of premature ovarian failure can be confirmed by a raised level of which hormone?
Responda
-
LH
-
FSH
-
Prolactin
-
Oestrogen
-
Progesterone
-
Beta hCG
Questão 12
Questão
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]
Questão 13
Questão
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?
Questão 14
Questão
Chlamydia Trachomatis is an intracellular organism which produces which two of the following during its reproductive cycle?
Responda
-
Elementary bodies
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Reticulate bodies
-
Lymphocytic bodies
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Neutrophilic bodies
-
Reed Sternberg bodies
-
Ruffian bodies
Questão 15
Questão
Lesions which occur just anterior to the optic chiasma typically cause which type of scotoma bilaterally?
Responda
-
Junctional Scotoma
-
Arcuate Scotoma
-
Centrocaecal Scotoma
-
Pericentral Scotoma
Questão 16
Questão
Which three of the following are caused by Multiple Myeloma (cancer of the plasma cells)?
Responda
-
Renal Failure
-
Anaemia
-
Bone pain (typically spine)
-
Bone pain (typically upper limb)
-
Bone pain (typically lower limb)
-
Polycythaemia
-
Liver Failure
-
Heart Failure
-
Haemorrhagic Stroke
Questão 17
Questão
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]
Responda
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azygous vein
-
internal thoracic vein
Questão 18
Questão
Treponema Pallidum is also known as [blank_start]Syphilis[blank_end] infection
Questão 19
Questão
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]
Responda
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Dysplasia
-
Metaplasia
-
Neoplasia
Questão 20
Questão
Before commencing a patient on the oral combined contraceptive pill, which two of the following must be measured?
Responda
-
BMI
-
Blood Pressure
-
Thrombophilia Screen
-
Blood Glucose
-
Cervical Smear
Questão 21
Questão
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]
Responda
-
glutamate
-
glutamine
-
GABA
-
sodium
-
chloride
-
potassium
-
calcium
Questão 22
Questão
What is the first area of the brain to be affected by Alzheimer's disease?
[blank_start]Nucleus Basalis of Meynert[blank_end]
Questão 23
Questão
Obstructive Lung condition: FEV1/FVC ratio is [blank_start]Reduced[blank_end]
Restrictive Lung condition: FEV1/FVC ratio is [blank_start]Normal[blank_end]
Responda
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Normal
-
Reduced
-
Reduced
-
Normal
Questão 24
Questão
An FEV1/FVC ratio of less than [blank_start]70%[blank_end] is required to diagnose [blank_start]an obstructive[blank_end] respiratory condition
Responda
-
70%
-
60%
-
50%
-
an obstructive
-
a restrictive
Questão 25
Questão
Pain across the posterior triangle of the neck is mediated by the [blank_start]Facial[blank_end] nerve
Responda
-
Facial
-
Trigeminal
-
Glossopharyngeal
-
Vagus
-
Spinal Accessory
Questão 26
Questão
Unfractioned Heparin is best monitored using the [blank_start]APTT[blank_end]
Questão 27
Questão
Which of the following is one of the main treatments for endometriosis
Questão 28
Questão
In Schizophrenia there is excessive activation of [blank_start]Dopamine[blank_end] receptors
Responda
-
Dopamine
-
Serotonin
-
Noradrenaline
Questão 29
Questão
Which of the following suggest cardiovascular disease in a newborn infant?
Questão 30
Questão
Which of the following medications reduces the efficacy of the oral contraceptive pill?
Responda
-
Methyldopa
-
Phenytoin
-
Mefenamic Acid
-
Amoxicillin
-
Codeine
Questão 31
Questão
Which of the following drugs is contraindicated in breastfeeding?
Responda
-
Warfarin
-
Tetracycline
-
Labetalol
-
Amoxicillin
-
Amitriptyline
Questão 32
Questão
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?
Responda
-
Vasa Praevia
-
Placenta Praevia
-
Uterine Rupture
-
Cervical Tear
Questão 33
Questão
At which stage does the embryo implant into the uterus?
Responda
-
Pronuclear
-
8 cell stage
-
Blastocyst
-
Morula
-
Gastrula
Questão 34
Questão
An incontinence which is exacerbated by coughing or sneezing would be considered to be which type of incontinence?
[blank_start]Stress[blank_end] incontinence
Questão 35
Questão
A chronic outflow obstruction causing urine buildup in the bladder would lead to which type of incontinence?
[blank_start]Overflow[blank_end] incontinence
Questão 36
Questão
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
Responda
-
Sodium Valproate
-
Haloperidol
-
Carbemazepine
-
Amitriptyline
-
Olanzapine
Questão 37
Questão
The combined oral contraceptive pill is contraindicated in woman with a BMI of
Responda
-
> 30 kg/m2
-
> 35kg/m2
-
>39kg/m2
Questão 38
Questão
Wilson's Disease is inherited in a [blank_start]autosomal recessive[blank_end] pattern
Responda
-
autosomal recessive
-
autosomal dominant
-
x-linked dominant
-
x-linked recessive
-
mitochondrial
Questão 39
Questão
Becker's Muscular Dystrophy, like Duchenne's Muscular Dystrophy, is inherited in a [blank_start]x-linked recessive[blank_end] pattern
Responda
-
x-linked recessive
-
x-linked dominant
-
autosomal dominant
-
autosomal recessive
-
mitochondrial
Questão 40
Questão
Myoclonic Epilepsy with Ragged Red Fibres is inherited in a [blank_start]mitochondrial[blank_end] inheritance pattern
Responda
-
mitochondrial
-
autosomal dominant
-
autosomal recessive
-
x-linked dominant
-
x-linked recessive
Questão 41
Questão
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
Responda
-
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
Questão 42
Questão
A 23 year old woman from Nigeria presents with small volume lymphadenopathy, oral candidiasis and oral hair leukoplakia. What is her most likely diagnosis?
Responda
-
Hodgkin's Disease
-
HIV
-
Tuberculosis
-
Toxoplasmosis
-
Sarcoidosis
-
Non-Hodgkin's Lymphoma
Questão 43
Questão
A diabetic woman who presents to her GP at 8 week gestation should be started on which supplement regime?
Questão 44
Questão
Most patients on dialysis require [blank_start]erythropoietin[blank_end] supplementation in order to maintain normal Haemoglobin levels
Questão 45
Questão
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
Questão 46
Questão
Nominal aphasia occurs due to a lesion in which part of the brain?
The [blank_start]Angular Gyrus[blank_end]
Questão 47
Questão
Polyuria is defined as greater than [blank_start]2.8 litres[blank_end] of urine passed within a 24 hour period.
Responda
-
2.8 litres
-
2.6 litres
-
2.5 litres
-
3.0 litres
Questão 48
Questão
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
Questão 49
Questão
In Myasthenia Gravis, the autoantibodies are against [blank_start]postsynaptic[blank_end] acetylcholine receptors
Questão 50
Questão
[blank_start]Trichomonas Vaginalis[blank_end] is a flagellated protozoan parasite which causes an STI of foul smelling discharge.
Questão 51
Questão
Trichomonas Vaginalis is what type of organism?
Responda
-
Bacteria
-
Parasite
-
Virus
-
Fungus
-
Platyhelminthe
Questão 52
Questão
Clue Cells on microscopy indicates which condition?
[blank_start]Bacterial Vaginosis[blank_end]