SC2 Sample Written Paper Questions With Answers 1
SC2 Sample Written Paper Questions With Answers 1
SC2 Sample Written Paper Questions With Answers 1
Q2 How would you investigate this patient and indicate what abnormalities you
would expect to find? (7)
Q5 What other additional clinical signs would you expect to find in this patient? (3)
1 mark each to a maximum of 3 for any of:
Tremor
Skin is warm
Onycholysis
Hyperpigmentation can occur in severe cases
Pruritus and scratch marks especially in graves
Pretibial mxyoedema
Signs recent weight loss – temporalis wasting, wasting SMoH
Goitre
Hyperreflexia
Proximal myopathy
Hypertension
Stridor
Pemberton’s sign
1: What abnormality on this U&E requires the most urgent attention? (2 marks)
Hyperkalaemia
2: What are the likely causes of this abnormality in this patient? (6 marks)
2 marks each for any of following, to a maximum of 6:
Flat p waves
Peaked T waves,
Prolonged PR interval
Widening of QRS complex
Left axis strain
1. What is the classic description for this rash? (2 marks). What is the name
for this rash? (2 marks)
One mark each for any of the following
a. Well circumscribed lesions
b. Erythematous
c. Palpable
d. Tender
e. Paniculitis / nodular vasculitis
f. Confined to the shins predominantly
Two marks for correct name (erythema nodosum)
Q3, List the features you would expect to find on clinical examination (2marks)
Any 2 of:
Sinus tachycardia
Tachypnoea
Increased tactile fremitus LLZ
Incrased vocal resonance LLZ
Unilateral left-sided decreased chest expansion (must give
full description)
Stony dullness to percussion LLZ
Decreased breath sounds LLZ
Bronchial breathing LLZ
Any other appropriate climical feature
Q4. Write the appropriate prescription for treatment of the underlying condition
(several options applicable – only one regimen is required) (6 marks)
RF for MDR
1 of:
Cefepime (2 g intravenously every eight hours) , ceftriaxone 1-2 gr o.d. or b.d.
or ceftazidime (2 g intravenously every 8 hours)
Imipenem (500 mg intravenously every six hours) or meropenem (1 g
intravenously every eight hours
Piperacillin-tazobactam (4.5 g intravenously tds)
And
1 of:
Antipseudomonal fluoroquinolone, such as ciprofloxacin (400 mg
intravenously every eight hours) or levofloxacin (750 mg intravenously daily).
Aminoglycoside such as gentamicin (3-5 mg/kg b.d.)
Q5. List prognostic indicators for determining the severity of his condition. (3
marks)
Any 3 of:
Confusion
Urea> 7 mmol/L
Respiratory rate > 30/min
BP < 90mmHg systolic or 60mmHg diastolic
Age > 65
A 76 year old male presents to the accident and emergency department with low back pain.
He undergoes the following blood tests.
1. What abnormalities are present on the above blood results? (Arrows indicating elevated/low
levels not acceptable) (5 marks)
-Normochromic/Normocytic Anaemia - 1 mark for each
-Renal Failure – 1 mark
-Hypercalcaemia – 1 mark
What three processes could contribute to renal failure in a patient with Multiple Myeloma? (3 marks)
Amyloid deposition
Light chain deposition
Plasma cell infiltration
Recurrent pyelonephritis secondary to immune paresis
Hypercalcaemia/stone formation
Hyperuricaemia
Renal vein thrombosis secondary to hyperviscosity