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(DR. SAIFEE ) 1) Treatment of Intermittent Psychosis in Dementia 2

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(DR. SAIFEE ) 1) Treatment of Intermittent Psychosis in Dementia 2 *MRCP 2. Paper. Qs .biopsy 27 oct 2020 * (DR. SAIFEE ) ​ 1) Treatment of intermittent psychosis in dementia 2) Treatment of alcoholic fatty liver disease other than vit and diazepoxide 3) Viral thyroiditis 4) Isotope scan thyroid thyroid adenoma (nodule) 5) Phenytoin toxicity although (normal phenytoin level) 6) methHB----- dapsone 7) Treatment for dermatitis herpetiformis other than gluetin free diet dapsone 8) Treatment of polymorphic v tach 9) Treatment of v.tach in unstable pt 10) Treatment IIH other than acetazolamide - wt loss 11) Treatment of heart failure... add Eplerenone 12) Infliximab reaction vitally stable pt what to do 13) Gentamicin pre dose high what to do next 14) Liver abscess echinococcosis investigation 15) HUS what investigations to do Blood film 16) OA takes paracetamol what next treatment 17) Hep C 18) Radiation fibrosis 19) Most common complications of TIPSS 20) ECG pt with pacemaker problems in atrial 21) Female pt with CA breast receiving radio chemotherapy 10 years ago presents again with CA what’s the cause 22) Many questions in dermatology pictures (melanoma, squamous cell CA, reactive arthritis, I think cutaneous anthrax, lichen planus? 23) DKA although not so high blood sugar pt on gliflozin 24) Question on ischemic colitis 25) Autoimmune hepatitis 26) Cholestasis of pregnancy 27) Poor prognosis in CLL--- p53 deletion 28)I think hepatocellular CA due to haemochromatosis 29) Investigations in jaundice pt with stone in gallbladder and CBC NORMAL 30) Asbestosis 31) ABPA 32) Cholesterol Embolism --- post angiography procedure 33) Turner’s syndrome primary Amenorrhea 34) Secondary amenorrhea 35) pt with proteinuria improved after ACE inhibitors what’s cause he’s diabetic and hypertensive 36) Investigations for severe left iliac fossa pain pt has ulcerative colitis 37) Picture CA lung adenocarcinoma 38) X-ray very wide mediastinum 38) takayasu arteritis different in BP in both arm 39)I think RA 40) Systemic sclerosis 41) Picture SAH 42) TB constrictive pericarditis 43) Scenario of Mitral Stenosis 44) Acute hepatitis D 45) Neutropenic sepsis treatment 46) Typhoid fever 47) OSA syndrome 48) Next treatment for autoimmune hepatitis after steroid 49) Carotid artery dissection 50) Immediate treatment scenario of acute glaucoma I think acetazolamide iv ------------------- 1) Acromegaly+ microprolactinoma - Tran sphenoidal surgery 2) Dysphagia, anti Scl70 - systemic sclerosis 3) AF and heart failure - Digoxin 4) AF and RAD - Mitral stenosis 5) Amenorrhea - Hypothyroidism vs premature ovarian failure 6) CT chest - bronchiectasis 7) Ig A vasculitis case scenario 8. Skin rash? Fungal? Sarcoid - treatment 9) INR 4.7 on warfarin, impending rupture aortic aneurysm- needs Emergency laprotomy - prothrombin concentrate PCC 10) Ba swallows - ? ca esophagus 11) CXR looks clear? Pectus excavatum 12) BiPaP settings - ABG improved on the given setting- further action 13) Deterioration after extubation, Type 1 respiratory failure - CXR opacity in whole lungs bilaterally- ?pulmonary haemorrhage 14) CXR - right mid zone opacification, left lower zone opacification - ? Pul adeno Ca 15) Myocarditis clinical scenario 16) Pregnant, post-viral, tender thyroid, high T3- ? Riedel’s / ? Post-partum 17) HF treatment - Ivabradine 18) Pemphigus vulgaris - biopsy features 19) Anaphylaxis shock - IM adrenaline 20) Ischemic hepatitis scenario 21) Anterior spinal artery occlusion scenario 22) Myasthenia gravis scenario- pyridostigmine 23) Autoimmune hepatitis Scenario 24) ABPA scenario 25) Radiation fibrosis CXR 26) Acute tubular necrosis / acute tubulointerstitial nephritis 27) Hepatorenal syndrome scenario 28) Leg swelling after hip surgery, more pain in thigh, swab positive for MRSA - ? Remove hip screw /? Vancomycin 29) After trip to Singapore, Bloody diarrhea, tender LIF after 4 days of amoxicillin and clarithro- ? Shigella/? Entamoeba 30) Most priority for negative pressure isolation- MRSA cavitating pneumonia 31) Study to minimize the bias - double blind 32) TEN Scenario 33) Hereditary angioedema treatment- immunoglobulin 34) Mental capacity 35) Berthel’s index 36) Low glucose, low cortisol - SST 37) UC flare up - next investigation- XRay abdomen 38) Gonococcal arthritis (necrotic rash on toe) 39) Echo- myxoma - myomectomy 40) Bilateral hydronephrosis in T2 DM, urinary incontinence -?chronic reflux nephropathy 41) Acute brachial neuritis 42) Ongoing dialysis, dark red vomiting, normal endo/colonoscopy - ? Angiodysplasia/?Dieufloy’s leision 43) high PT, high APTT, normal fibrinogen, very high ALT, in patient with advanced CA -? pcm od 44) Chest pain, followed by paraplegia - CT aortography 45) Lower normal Ca, high PTH, high ALP osteomalacia vs Paget 46) Neuroleptic malignant vs serotonin 47) Multiple embolic stroke in MRI, IE scenario- investigation -? Blood cultures 48) Eye - macular leision- ? Visual field defect -? Central 49) Depressive psychosis 50) PTSD 51) Heparin induced TCP - argatroban 52) Cholesterol embolism 53) Ketosis, high lactate, acidosis, recently started empagliflozin, normal BM - DKA 54) Screening before rituximab- Hep B (No TB in answer) 55) Methanol poisoning 56) Restless leg syndrome 57) Bile acid diarrhea- treatment 58) Asymptotic hypercalcemia- next treatment 59) HHS - IV 0.9% saline 60) Primary biliary cholangitis 61) Hereditary angioedema allergic reaction to infliximab 62) Maltoma.. Pylori eradication Raised hb - renal ultrasound vs jak 2 mutation Anaphylaxis shock- hydrocortisone Question about tender hepatomegaly - budd Chiari syndrome Question on lung ca with neurological features - Anti Hu antibodies Question with auer rods and DIC - Promyelocytic leukemia CT scan with vertebral lesion- brucella Thyroid uptakes scan picture- toxic adenoma CT with dilated ventricles- Normal pressure hydrocephalus, do LP CT head with intracranial bleed Skin lesions pictures, lichen planus Foot ulcer picture with ABPA readings- venous ulcer, compression bandaging Fundus picture- ? Central scotoma Malignant melanoma picture Radiation induced fibrosis on chest x ray CT scan with mets from renal CA ?spinal canal stenosis Poor prog factor for CLL Do pleaural fluid aspiration for empyemma first Coxiella infection/Q fever Add LAMA in copd therapy Torsades de pointes ecg - iv mgso4 Bechet’s Reactive arthritis Polymyalgia rheumatica Hepatorebal syndrome Hemochromatosis Stop erythropoetin for hypertension TCA poisoning- iv fluids HHG- 0.45 percent saline Distal RTA Cardiac amyloidosis with RA Calcium and vitamin D supplementation Ectopic cause of cushings ABPA E coli Autoimmune hepatitis Livedo reticularis Tubulointerstitial nephritis Do peripheral film Anti VG calcium channel Ab for Lambert eaton syndrome Botulinum toxicity Post prosthetic hip join gram positive cocci infection ? Strept species vs staph? HPOA on bone scan vs mets? Methemoglonemia Reduce EPAPand increase IPAP Reduce oxygen in CO2 retention Female patient with breast carcinoma. Treated with surgery and radiotherapy.and tamoxifen for 5 yrs.developed lung carcinoma. Cause?? 1.radiotherapy 2.tamoxifen 3.chemotherapy 4.BRCA germ line Patient is on maintenance dialysis. Was on erythropoietin. Developed increase BP. Mild leg edema. what to do 1. Amlodipine 2. Frusemide 3. Stop erythropoietin 4. Increase fluid removal by dialysis A young man developed Jerking movement of his limbs associated with tongue biting and urinary incontinence. There was post ictal confusion and headache. He describes occasional Jerking movement of his hand and body.Dx? 1. Juvenile myoclonic epilepsy 2. Non epileptiform attack ???? 75 yrs old lady with proximal femur fracture. She gave power of attorney for her health and welfare to her son. Does not wants to be treated. What you will do? 1.let her go home 2.assess her mental capacity 3.ask family members 4.solicitor opinion shouted A case of COPD.chronic sputum production.patient is on SABA ,LAMA+ICS .no oedema or raised jvp.cbc-no polycythemia.po2-8kpa ph-7.39 Further treatment?? 1.carbocysteine 2.azithromycin 3.O2 therapy Patient developed renal impairment and lower limb rash 48 hrs after LAD stenting.no eosinophilia was mentioned. Cause?? 1.cholesterol embolism 2.contrast nephropathy Systemic sclerosis patient developed breathlessness.ECHO demonstrated pulmonary arterial pressure of 54mm Lung clear.what further investigation?? 1. Right heart catheter 2.cardiopulmonary exercise test 3.transoesophageal echo Old man with right upper quadrant pain.usg showed gall stone common bile duct was not dilated.alk phos 340,ALT-85 Invest to confirm the diagnosis?? 1.MRCP 2.ERCP 3.LIVER BIOPSY A CT scan showed rt sided hypodense lesion with surrounding hyperdense area in the parietal lobe.Lesion was lense like adjacent to bony skull 1.abscess 2.hge in infarction 3.EDH Ongoing dialysis. Developed dark red vomiting. Cause? 1.dieulafoy lesion 2.small bowel angiodysplasia Most priority of negative pressure room 1.MRSA 2.PVL producing cavitating pneumonia 3.chicken pox 4.herpes zoster ophthalmicus Patient was on OCP.developed abdominal pain ,hepatomegaly.which investigation to be done? 1.abdominal doppler USG 2.CT scan etc Low normal calcium Increase PTH Increase ALP 1.osteomalacia 2.primary hyperparathyroidism 3.pagets Patient was taking phenytoin.developed nystagmus, coarse tremor Phenytoin level was normal. Cause? A patient with HIV developed cardio myopathy. Cause? 1.CMV 2.HIV 3.HTLV 4.EBV 34 weeks pregnant Increase alkphos No symptoms i think Dx-normal pregnancy Cholestasis of pregnancy?? Developed rash after infliximab.BP-100/70,tachycardia No chest
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