Back to quiz

6. Which of the following is incorrect regarding ectopic pregnancy?

  • Is a type of viable pregnancy that is considered a medical emergency, due to the high rate of premature labour
  • Use of methotrexate is indicated for unruptured conditions (<3cm, beta-HCG <5000)
  • Symptoms include: RIF abdominal pain, nausea, vaginal bleeding, shoulder tip pain
  • Risk factors: IUD, PID Hx, Hx of ectopic pregnancy, >35yrs, smoking, chronic salpingitis

7. Which of the following is not right about depression?

  • Treatments: CBT, Counselling, Antidepressants
  • May occur due to a recent traumatic event (e.g. death in the family, redundancy/work stress, low self-esteem/bullying)
  • Amphetamine (Adderall) can be used for management of depression under strict guidelines and prescription
  • Feel persistently sad for weeks or months, rather than just a few days
  • Symptoms: decreased or increased sleep compared to usual, decreased or increased appetite and/or weight, fatigue or loss of energy, agitation or slowing of movements, poor concentration or indecisiveness, feelings of worthlessness or excessive or inappropriate guilt, suicidal thoughts or acts

8. Which of the following changes are not a symptoms to look out for in depression?

  • Suicide
  • Appetite
  • Psychomotor retardation
  • Guilt
  • Faints
  • Sleep
  • Sexual drive/libido
  • Concentration
  • Energy
  • Anhedonia

9. What is untrue about a paracetamol nomogram?

  • Paracetamol levels below or on the treatment line requires acetylcysteine to be continued or administered if not already done
  • Plasma paracetamol concentrations are plotted against time
  • Detect paracetamol levels after 4hrs ingestion of pills
  • Paracetamol levels above or on the treatment line requires acetylcysteine administration

10. Mr Jones, 65yrs has pain in his legs (bilaterally) in the calf. It is cramping in nature and gets worse when he walks for 10m but relieved when rested for a few minutes. 7/10 severity. Smokes 1 pack per day for 45yrs and is hypertensive, which is controll

  • Osteoarthritis
  • Neurogenic claudication
  • Venous claudication
  • PE
  • Intermittent claudication secondary to chronic peripheral arterial disease
  • DVT
  • Cellulitis

11. What is the most important to do in the case of a patient assessed with a moderate to high risk of suicide?

  • CBT
  • Admit the patient to hospital
  • Referral to psychiatry
  • Medical management (i.e. antidepressants)

12. Why should epileptic patients be mindful of their alcohol consumption when on phenytoin?

  • The alcohol impacts cause an abnormal spur in brain nerve cell excitability action, causing/worsening seizures
  • None of the above
  • Drunkenness makes the brain less aware and therefore it is likely the patient will forget to take their phenytoin medication
  • There are no contraindications with this particular drug, however, it may be life threatening with Epilim

13. What are not helpful methods of trying to convince a patient to quit drinking alcohol?

  • Drugs for alcohol dependency
  • Guilt (life choices/marriage/employment)
  • Self help groups (AA)

14. Which of the following is untrue about cellulitis?

  • Symptoms: Red area of skin that tends to expand, swelling, tenderness, pain, warmth, fever, red spots, blisters, skin dimpling
  • An extreme allergic reaction
  • The affected area appears swollen and red and is typically painful and warm to the touch
  • skin infection that's treated with antibiotics. It can be serious if it's not treated quickly
  • Emergency: Have a red, swollen, tender rash or a rash that's changing rapidly, have a fever

15. Serotonin syndrome is an uncommon, but potentially serious, set of side effects linked to SSRIs. What are not part of the symptoms?

  • Muscle twitching
  • Seizures
  • High temperature of 38C or above
  • Agitation
  • Mydriasis
  • Sweating
  • Loss of consciousness
  • Shivering
  • Diarrhoea
  • Arrhythmias
  • Confusion

16. What is not a possible effect of medication for alcohol dependency?

  • Medication that causes an unpleasant physical reaction when alcohol is consumed
  • Medication that transforms the negative alcoholic effects into positive ones
  • Medication that reduces your cravings to alcohol
  • Nullifying the effects of alcohol (take away that 'buzz')

17. In paracetamol overdose, other than checking paracetamol levels at the appropriate times, which of the options in not part of the management plan?

  • LFTs
  • U&E's
  • Clotting profile
  • FBC
  • Urine dipstick
  • Blood sugar levels

18. Which of the following is not used in the management of clinical depression?

  • Escitalopram (Lexapro)
  • Amphetamine (Adderall)
  • Fluvoxamine (Luvox)
  • Citalopram (Celexa)
  • Fluoxetine (Prozac, Sarafem)
  • Paroxetine (Paxil, Pexeva, Brisdelle)
  • Sertraline (Zoloft)

19. Which of the following is inaccurate about anorexia nervosa?

  • Complications: Heart problems/vessel problems, fertility issues, loss of sex drive, osteoporosis, kidney and bowel problems, weakened immune system or anaemia
  • keep their weight as low as possible by not eating enough food or exercising too much, or both
  • Often have a distorted image of their bodies, thinking they are fat even when they are underweight
  • Restricting the amount of food they eat, making themselves vomit and exercising excessively as you have been doing.
  • Signs and symptoms: Unusually low BMI, missing meals/avoiding meals, abusing certain medication (laxatives, appetite suppressants, diuretics), periods stopping (under menopause age)/periods not starting (younger girls), lightheaded/dizzy, hair loss

20. Which of the following would make you think the patient is low at risk of suicide?

  • Came to the hospital by themselves for the problem at hand (e.g. taking an overdose)
  • Feel no remorse/guilt for suicide attempt or still feeling the same after suicide attempt
  • Planned beforehand their suicide attempt
  • Leaving a suicide note
  • Patient feels that the suicide attempt was not a big deal/Positive about the experience