Practice Slide Test

Lydia Burland FY1

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The Plan
Practice Slide Test
10 images 30 marks 30 seconds per mark

Review of images with answers

Time for questions

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Image 1
a. What is the diagnosis? b. Initial management? c. Two main causes in adults?

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Image 2
81 year old with prostate Ca presents with palpitations

a. What is the diagnosis? b. Three treatment options?

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Image 3
a. What is the diagnosis? b. Initial management?

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Image 4
This 24 year old woman presents with dizziness on standing.

a. What is the diagnosis? b. Give one associated condition?

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Image 5
A 45 year old male presents with purple lesions on his face, oral mucosa and lower limbs a. What is the diagnosis?

b. What disease is this associated with?

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Image 6
A 15 year old girl presents with fever, malaise & a sore throat. She is treated by her GP. a. What is the diagnosis?

b. What caused the rash?

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Image 7
a. Identify three signs present? b. What is the diagnosis? c. Give its genetic associations.

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Image 8
I

This man presents with sudden onset facial asymmetry, otherwise asymptomatic. a. Whats the most likely diagnosis?

II

b. Which nerve is implicated?

c.

What is the diagnosis if he also presents with image II?

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Image 9
a. Whats the diagnosis? b. Give two first-line treatment options.

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Image 10
A 72 year old presents with cough & confusion. RR 24, HR 105, BP 116/75 a. Whats the diagnosis? b. What score is used to assess severity?

c. Suggest an appropriate treatment

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Answers

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Image 1: Answers
a. What is the diagnosis? Small bowel obstruction b. Initial management? Drip and suck c. Two main causes in adults? Adhesions and hernias

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Image 2: Answers
81 year old with prostate Ca presents with palpitations

a. What is the diagnosis? Hyperkalaemia b. Three treatment options? Salbutamol nebs, 10 units of actrapid in 50mls of 50% dextrose and 10mls calcium gluconate 10%
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Image 3: Answers
a. What is the diagnosis? Tension pneumothorax (Rt)

b. Initial management? Large bore cannulae, 2nd intercostal space, mid-axillary line

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Image 4: Answers
a. What is the diagnosis? Addisons disease

b. Give one associated condition? Type 1 diabetes, thyroid disease & vitiligo

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Image 5: Answers
A 45 year old male presents with purple lesions on his face, oral mucosa and lower limbs

a. What is the diagnosis? Kaposis sarcoma b. What condition is this associated with? AIDS (not HIV)
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Image 6: Answers
A 15 year old girl presents with fever, malaise & a sore throat. She is treated by her GP.

a. What is the diagnosis? Infectious mononucleosis or glandular fever b. What caused the rash? Amoxicillin
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Image 7: Answers
a. Identify three signs present? Z deformity of the thumbs, ulnar deviation & swan neck deformity b. What is the diagnosis? RA

c. Genetic associations. HLA DR 1 & DR4

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Image 8: Answers
I

This man presents with sudden onset facial asymmetry, otherwise asymptomatic.

a. Whats the diagnosis? Bells Palsy b. Which nerve is implicated? Rt CN VII c. What is the diagnosis if he also presents with image II? Ramsay Hunt Syndrome II
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Image 9: Answers
a. Whats the diagnosis? Psoriasis b. Give two treatment options. Corticosteroids, vitamin D analogues, dithranol and tar

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Image 10: Answers

A 72 year old presents with cough & confusion. RR 24, HR 105, T 38.7

a. Whats the diagnosis? Community acquired pneumonia b. What score is used to assess severity? CURB65

c.

Suggest an appropriate treatment IV Amoxicillin & clarithrocmycin

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Any questions?

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