6. Miss Price 22yrs has terrible headache from yesterday (constant) all over head. Throbbing. Nauseous. Emesis nil. Saw zigzags in eye periphery before onset. Stressed missing uni and workload piling. Mother suffers headaches. On pil. Dx?
BPPV
Tension headache
Meningitis
Migraine
Cluster headache
7. What is prochlorperazine indicated for?
Diarrhoea
Nausea and vomiting
Vertigo and tinnitus
Fatigue
8. Assessing Hx of presenting complaint, what does the mnemonic 'STREP throat' stand for? Which does not fit?
E = Exacerbating/Alleviating factors (What makes it better/worse? Triggers [intermittent symptoms]?)
S = Site (location - patient to point where the problem is)
P = Progression (What has happened since then? Progressed? Becoming better/getting worse? Remained the same?)
R = Recognition (First thing noticed?)
T = Timing (When did it get worse? How long? Particular time in the day that it is worse?)
9. Which of the following does not describe BPPV?
Stands for Bronchial Positional Paternal Vertigo
Most common cause of vertigo
BPPV causes brief episodes of mild to intense dizziness. It is usually triggered by specific changes in your head's position
Problem in the inner ear
10. Which of the following does not describe phaeochromocytoma
Results in the release of too much epinephrine and norepinephrine, hormones that control heart rate, metabolism, and blood pressure
A form of thyrotoxicosis that produces hormones that affect things such as your heart rate and body temperature
Symptoms include: Headaches, heavy sweating, tachycardia, anxiety, shakiness/tremor
Rare tumour of adrenal gland tissue
Usually benign, but can be malignant (1/10th of patients)
11. Miss Price 22yrs has terrible headache from yesterday (constant) all over head. Throbbing. Nauseous. Emesis nil. Saw zigzags in eye periphery before onset. Stressed missing uni and workload piling. Mother suffers headaches. On pil. Which not DDx?
Sinusitis
PE
Space occupying lesion
Cluster headache
Tension headache
Meningitis
Giant cell arteritis (rare at age)
Acute angle closure glaucoma
Trauma
12. What is not part of the management for myalgic encephalomyelitis?
CBT (develop coping strategies)
Weight management
Graded exercise
No medications have been proved effective
13. Man 69 yrs complain of coughing for 3 months (no sputum), but blood appeared last week. Unintentional weight loss (6kg) in 2 months. Cigarette smoker for 40 yrs, 1 pack per day. No other symptoms. Dx?
Bronchiogenic carcinoma
Pneumothorax
TB
Migraine
PE
14. Man 69 yrs complain of coughing for 3 months (no sputum), but blood appeared last week. Unintentional weight loss (6kg) in 2 months. Cigarette smoker for 40 yrs, 1 pack per day. No other symptoms. Which is not a DDx?
TB
Lung cancer
PE
15. 34yrs Mrs Perkins complains about dizziness, for 2 months. Each episode lasts an hour and she has roughly 2 episodes a week. No specific position makes it worse. Her ears feel full and has a buzzing sound in her ears. Her GP prescribed prochlorpetrazine.
Postural hypotension
BPPV
Meniere's disease
Vestibular neuritis
16. Which of the following points are not true, regarding an Intracranial haemorrhage?
Intracranial bleed that occurs within the brain tissue or ventricles
Type of stroke
Can be caused by a ruptured aneurysm, AVM (arteriovenous malformation), or head injury
Symptoms can include headache, one-sided weakness, vomiting, seizures, decreased level of consciousness, and neck stiffness
17. In the mnemonic 'SOCRATES', what is incorrect?
C = Character (Sharp/dull, burning/tingling, stabbing, crushing/tugging?)
S = Start (How did it begin?)
S = Severity (e.g. Scale 1-10, comparison to a previous pain like child birth)
T = Timing (Duration? Progression? Episodic [duration and frequency]? Continuous [changes to severity]?)
O = Onset (Gradual/sudden?)
A = Associations (Accompanying symptoms e.g. visual aura with migraines)
E = Exacerbating/Alleviating factors (What makes it better/worse?)
R = Radiation (Pain moving somewhere else? Where?)
18. Mrs Branning 39yrs complains of dizziness, which started a few weeks ago. She feels particularly dizzy when turning in bed and when shifting from a lying position to a standing position. Which is not a DDx?
Anaemia
Postural hypotension
Meniere's disease
Benign paroxysmal positional vertigo
Acoustic neuroma (schwanomma)
Trauma
Vestibular neuritis/labyrinthitis
19. Mrs Gomez, 25yrs is complaining of palpitations which started a few weeks ago, which she reported is getting worse. She has lost 4kg in the last 2 months despite a good appetite. What is likely Dx?
Cardiac arrhythmias
Anaemia
Hyperthyriodism
Phaeochromocytoma
Malignancy
20. Which of the following points are not true, regarding a subarachnoid haemorrhage?
One-third of patients will survive with good recovery; one-third will survive with a disability; and one-third will die
Intracranial bleed that occurs within the brain tissue or ventricles. Symptoms can include headache, one-sided weakness, vomiting, seizures, decreased level of consciousness, and neck stiffness
Can be caused by a ruptured aneurysm, AVM (arteriovenous malformation), or head injury.
Life-threatening type of stroke caused by bleeding into the space surrounding the brain