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Extra questions

A 35 year old man was born with transposition of the graet arteries but had a corrective operation when young.  His ECG is shown (RBBB, RVH, axis 240 degrees)  What is the correct interpretation of this ECG?

RBBBRVHAxis(degrees)

A.

YesYes60

B.

NoYes60

C.

YesYes240

D.

NoNo240

E.

YesNo140

What is the most important factor in predicting risk of oesophageal varices bleeding?

A.

Portal vein pressure

B.

Cherry red spots on varices

C.

Childs-Pugh classification

D.

Gastric versus oesphageal varices

A woman with breast cancer presents with leg weakness and bladder dysfunction.  A MRI of the lower thoracic spine is shown (mass, 4x1 cm, poserior to and compressing the spinal cord, within the thecal space)  What is the best treatment option?

A.

Radiotherapy

B.

Chemotherapy

C.

Surgery

D.

Anti-oestrogen therapy

A 40 year old man presents with vomiting.  He is diabetic and 5 years ago had a peptic ulcer at the gastric outlet.  A plain abdominal x-ray is shown (erect film, air-fluid levels in the stomach and duodenum, absence of distal gas)  What is the diagnosis?

A.

Diabetic gastroparesis

B.

Gastric outlet obstruction

C.

Small bowel obstruction

A 33 year old man presents with a testicular mass which is confirmed to be a nonseminomatous germ cell tumour.  He has a testicular excision.  CT (not shown) shows several paraaortic masses, largest 3 cm, as well as two 2cm mediastianl masses.  He undergoes 3 cycles of chemotherapy and a repeat CT (also not shown) now shows no paraaortic masses, however the medistinal masses have not changed in size.  What is the next management?

A.

One further cycle of chemotherapy

B.

Radiotherapy to the mediastinal masses

C.

Regular follow-up

D.

Open biopsy of the left mediastinal mass

What is the mechanism of gentamicin renal toxicity?

A.

Glomerulopathy

B.

Proximal collecting tubular cell toxicity

C.

Post renal obstruction by tubular epithelial cell swelling

D.

Papillary necrosis

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