Practice Slide Test 2

Lydia Burland FY1

Countdown 2 Finals 2013

The Plan
Practice Slide Test
17 images 42 marks 30 seconds per mark Based on last years slide test

Review of images with answers Time for questions

Countdown 2 Finals 2013

Image 1
This woman presents with persistent hypertension despite treatment. a. Whats the most likely diagnosis?

Countdown 2 Finals 2013

Image 2
81 year old presents to A+E resus with hypotension.

a. What is the diagnosis?

Countdown 2 Finals 2013

Image 3
73 year old man presents with swallowing difficulties and weight loss over the last 2 months.

a. What investigation is shown?

b. What is the diagnosis?

Countdown 2 Finals 2013

Image 4
This 24 year old woman presents with drowsiness & confusion. a. What is the diagnosis? b. Give 3 priorities after ABCDE and cannulation?
Countdown 2 Finals 2013

Image 5
A 78 year old woman presents with lower back pain. a. What is the diagnosis? b. What two treatments would you prescribe?
Countdown 2 Finals 2013

Image 6
a. What is the diagnosis?

Countdown 2 Finals 2013

Image 7
A elderly woman comes in with confusion following a fall. She is currently taking warfarin, INR 6.3. a. What is the diagnosis? b. What two drugs could you give her?

Countdown 2 Finals 2013

Image 8
64 year old presents with muscle pain and tenderness. PMH includes IHD and HTN. a. What is shown? b. What is the cause of the muscle pain? c. What is the underlying diagnosis?
Countdown 2 Finals 2013

Image 9

48 year old man presents with chest pain. a. Whats does the ECG show? b. Whats the diagnosis? c. What one investigation would you do?
Countdown 2 Finals 2013

Image 10
58 year old women presents with acute SOB and a K+ of 7.2. She admits to 3 days of D&V prior to admission. a. Give the diagnosis? b. Whats the cause? c. Give two treatment options for her chest.
Countdown 2 Finals 2013

Image 11
A woman presents with HR, temp 39.3oC and confusion. On arrival in resus she begins to seize. a. Whats the diagnosis?

b. Give two precipitants.

Countdown 2 Finals 2013

Image 12

35 year old presents with a painful rash that appeared 4 days ago.

a.
b.

Whats the diagnosis?

What treatment is required?
Countdown 2 Finals 2013

Image 13

a. Whats the diagnosis?

Countdown 2 Finals 2013

Image 14
Patient presents with severe abdominal pain and haematuria. a. Whats the diagnosis in the picture? b. Whats the likely cause of the abdo pain?
Countdown 2 Finals 2013

Image 15

a. What is the diagnosis? b. What 2 symptoms would you expect in a flare?

Countdown 2 Finals 2013

Image 16

Patient presents with this intensely itchy rash. a. b. Whats the diagnosis? Whats condition is it associated with?
Countdown 2 Finals 2013

Image 17
Patient presents with SOB and a productive cough. On examination he is wheezy with course crackles at the left base. a. Whats the diagnosis on the ABG? b. Give a differential diagnosis. c. Give 3 initial treatments.
Countdown 2 Finals 2013

Answers

Countdown 2 Finals 2013

Image 1: Answers
This woman presents with persistent hypertension despite treatment. a. Whats the most likely diagnosis? Cushing's syndrome

Countdown 2 Finals 2013

Image 2: Answers
81 year old presents to A+E resus with hypotension.

a. What is the diagnosis? VT

Countdown 2 Finals 2013

Image 3: Answers
73 year old man presents with swallowing difficulties and weight loss over the last 2 months.

a. What investigation is shown? Barium swallow b. What is the diagnosis? Oesophageal carcinoma
Countdown 2 Finals 2013

Image 4: Answers
This 24 year old woman presents with drowsiness & confusion. a. What is the diagnosis? Meningococcal septicaemia b. Give 3 priorities after ABCDE and cannulation? Fluid resuscitation, blood cultures & IV abx

Countdown 2 Finals 2013

Image 5: Answers
A 78 year old woman presents with lower back pain. a. What is the diagnosis? Vertebral compression fracture a. Give two treatments? Calcium/vitamin B supplements and bisphosphonates
Countdown 2 Finals 2013

Image 6: Answers
a. What is the diagnosis? Basal cell carcinoma

Countdown 2 Finals 2013

Image 7: Answers
A elderly woman comes in with confusion following a fall. She is currently taking warfarin, INR 6.3. a. What is the diagnosis? Extradural haematoma b. What two drugs could you give if her? Vitamin K or Octaplex (clotting factor concentrate)
Countdown 2 Finals 2013

Image 8: Answers
64 year old presents with muscle pain and tenderness. PMH includes IHD and HTN. a. What is shown? Tendon xanthoma b. What is the cause of the muscle pain? Statins

c.

What is the underlying diagnosis? Hyperlipidaemia

Countdown 2 Finals 2013

Image 9: Answers

48 year old man presents with chest pain. a. Whats does the ECG show? b. Whats the diagnosis? c. What one investigation would you do?

LBBB Acute coronary syndrome 12 hour troponin

Countdown 2 Finals 2013

Image 10: Answers

58 year old women presents with acute SOB and a K+ of 7.2. She admits to 3 days of D&V prior to admission.

a.

Give the diagnosis? Acute pulmonary oedema Whats the cause? AKI 2o to pre-renal failure Give two treatment options for her chest. Oxygen, IV furosemide, morphine, GTN infusion

b.

c.

Countdown 2 Finals 2013

Image 11: Answers

A woman presents with HR, temp 39.3oC and confusion. On arrival in resus she begins to seize. a. Whats the diagnosis? Thyrotoxic storm/crisis b. Give two precipitants. Infection, non-compliance with meds, radio-iodine therapy
Countdown 2 Finals 2013

Image 12: Answers

35 year old presents with a painful rash that appeared 4 days ago.

a.
b.

Whats the diagnosis?

What treatment is required?

Shingles Analgesia

Countdown 2 Finals 2013

Image 13: Anwers

a. Whats the diagnosis? Non-proliferative diabetic retinopathy

Countdown 2 Finals 2013

Image 14: Answers

Patient presents with severe abdominal pain. a. Whats the diagnosis in the picture? Gouty tophi b. Whats the likely cause of the abdo pain? Renal stones
Countdown 2 Finals 2013

Image 15: Answers

a.
b.

What is the diagnosis? Diverticular disease What symptoms would you expect in a flare? LIF pain and diarrhoea
Countdown 2 Finals 2013

Image 16: Answers

Patient presents with this intensely itchy rash. a. Whats the diagnosis? Dermatitis herpetiformis Whats condition is it associated with? Coeliac disease
Countdown 2 Finals 2013

b.

Image 17: Answers

Patient presents with SOB and a productive cough. On examination he is wheezy with course crackles at the left base.

a. Whats the diagnosis on the ABG? Type 2 respiratory failure b. Give a differential diagnosis. IECOPD c. Give 3 initial treatments. Oxygen, nebs, steroids, abx
Countdown 2 Finals 2013

Any questions?

Countdown 2 Finals 2013