Which of the following is a feature of Vancomycin-resistant enterococci?
Answer: may be found in healthy community volunteers not recently hospitalized
A 35 year old woman with alcoholic cirrhosis is admitted with deteriorating encephalopathy and abdominal discomfort. An ascitic tap revealed a polymorphonuclear cell count of 350 cells per mm3. Which of the following is the most appropriate therapy?
Answer: Intravenous cefotaxime
With which of the following is hyperprolactinaemia associated?
Answer: Fluoxetine therapy
Cannabinoids. Which is the incorrect statement?
Answer: Bioavailability after oral administration is about 16%
A previously fit, 30-year-old female presents with a four day history of intractable pruritus and urticaria. What is the most appropriate initial management?
A 74-year-old man with a thirty year history of psoriasis presented with generalised erythroderma of 3 days duration. Examination reveals him to be shivering but otherwise is well. He was treated as an inpatient with emollients and attention to fluid replacement and temperature control but failed to improve after five days. What is the most appropriate next treatment?
Answer: Oral methotrexate
A young woman has acne and is taking oral medication. She develops polyarthritis and raised liver enzyme tests. Investigations show AST 95 413 ALT 170 bilirubin 16
antinuclear antibodies strongly positive at 1/640, negative at 1/20
Which of the following drugs is she most likely to have been prescribed?
Which of the following is a true of cutaneous anthrax?
Answer: lesions are associated with marked oedema
75 year old man was admitted after been found collapsed in a garden shed surrounded by a number of empty containers. On clinical examination the patient had small pupils, a heart rate of 50 beats per minute, and was frothing at the mouth. What is the most likely diagnosis?
Answer: Organophosphorus poisoning.
A 2 week old male child is brought to casualty by his concerned parents with diarrhoea and vomiting. He is the first child of a young couple. Examination reveals few features besides obvious dehydration. He is noted to have a penile length of 3.5cms. Which of the following is the most appropriate inital treatment for this patient?
Answer: Requires urgent treatment with IV normal saline
Which of the following is true regarding the action of Clopidogrel?
Answer: It is an ADP receptor antagonist
You are an occupational health physician and have been asked by an anxious employee about contraindications to pertussis immunisation. Which of the following is a contraindication?
Answer: Fever to 39.5°C following the first dose.
A 68-year-old lady with mitral valve disease and atrial fibrillation is taking warfarin. Lately her INR has fallen and the dose of warfarin has had to be increased. Which of the following new treatments may account for this change?
A 25 year old male homosexual is admitted with dyspnoea and weight loss of 2 months duration. He is diagnosed with Pneumocystis pneumoniae due to AIDS. Which of the following concerning Pneumocystis pneumonia is true?
Answer: May have an extra pulmonary presentation
A 44 year old male with Child's grade C cirrhosis presented with haematemesis. Which one of the following drugs, administered intravenously, would be the most appropriate, immediate, treatment?
Which of the following is true concerning oral hypoglycaemic agents?
Answer: reference and output
In which of the following cases would the level of the second drug (or its effect) become elevated by adding the first?
Answer: Erythromycin : theophylline
Which of the following is a contraindication to immunisation?
Answer: Oral poliomyelitis vaccine to a child on oral steroids.
A 30-year-old man presents to the Accident and Emergency Department with a history of drug overdose. He is known to be repeatedly admitted with similar episodes of self-harm. On this occaision he is drowsy and has prominent hypersalivation. Which of the following agents, found on his person, is the likely cause?
A 43 year old woman with atopic dermatitis (atopic eczema) presented with an acute generalized exacerbation of her disease. She was admitted to hospital but failed to improve with emollients, topical betamethasone-17-valerate and oral antihistamine. Which one of the following drugs is the most appropriate treatment?