(please feel free to contact us for answers)

Concerning Sibutramine, which of the following two statements is correct:

    1. Should only be continued if weight loss is at least 10% after 3 months 
    2. A known side effect is miosis         
    3. Patient’s should have BP and Heart rate monitored closely          
    4. Psychiatric illness is a contraindication               
    5. Can only be started if BMI is greater than 30     

Free Prescriptions are available to patients with which one of the following conditions

1. Post MI
2. Permanent fistula                                
3. Optic neuritis
4. Crohn’s disease
5. Parkinson’s disease

Sick notes.

 Choose the current sick note for following situations. Each may be used more than once

1. Med 3
2. Med 4
3. Med 5
4. Med 6
5. Rm7
6. Mat B1
7. Sc1
8. Sc2

1. Form for those who can claim statutory sick pay        
2. Completed after 28 weeks off work                            
3. Should not cover more than a month                          
4. Can be used if putting a diagnosis would be harmful 
5. Can be written on the basis of a report from another doctor 

All HIV positive patients can receive which of the following vaccinations? Select ONE answer only

A         BCG
B          MMR
C         Yellow fever
D         Oral cholera                       
E          Varicella zoster

Dematological conditions:

A         Pityriasis Rosea
B          Pityriasis Versicolor
C         Tinea Corporis
D         Psoriasis
E          Lichen Planus
F          Lichen Sclerosus
G         Scabies
H         Contact dermatitis
                                     
For each patient described below, select the single most likely diagnosis from the list above.  Each option may be used once, more than once or not at all.

A 45 year old lady with porcelain-white plaques in her genital region and pruritus that is worse at night.             
A 15 year old girl with a erythematous scaly lesions affecting her scalp and knees.            
A 15 year old girl with a widespread generalised rash, linear burrows on her fingers and pruritus that is worse at night.               
A 45 year old lady with non – pruritic macular lesions on her trunk, that are hyperpigmented and scaly in areas.
A 15 year old girl with pruritic generalized oval scaly patches on her body and a large well-demarcated lesion on her trunk                         

An 18-year-old man presents with auditory hallucinations and some thoughts of deliberate self-harm with no plans.  Which is the single most appropriate management step

A         Arrange for an urgent urine screen for substance misuse and review the patient in one week with the results
B          Arrange for a series of blood tests to exclude medical causes.
C         Arrange for emergency admission under the Mental Health Act
D         Arrange for urgent assessment by the Community Mental Health Team and provide emergency advice if things worsen.                                   
E          Start Olanzapine 10mg, increased to 20mg after 3 weeks.

Statistics:

A         333
B         167
C         33
D         67
E         20
F         30
G         50
H         60
I          3.3

300 patients were treated with Influenza Vaccine A and 200 patients were treated with Influenza Vaccine B.  60 people given Vaccine A and 100 people given Vaccine B developed influenza respectively.

For each description below, select the single most likely option from the list above.  Each option may be used once, more than once or not at all.

1. Relative Risk for Influenza Vaccine A                           
2. Relative Risk for Influenza Vaccine B                           

ii)  Absolute Risk Reduction                                                           
iii) Relative Risk Reduction                                                 
iv)  Number Needed to Treat with Vaccine A to prevent an extra case of influenza 

THEME: Diagnosis of Heart Failure:

For each numbered question, select the CORRECT option to complete the algorithm form the list below.  Each answer may be used once, more than once or not at all.

A         Echocardiogram                                              H        Urinalysis
B          Exercise ECG                                                 I         Angiogram
C         24 hour Blood Pressure                                   J         Chest X-ray
D         Atrial Natriuretic Peptide                                  K         Likely                          
E          B-type  Natriuretic Peptide                              L         Unlikely
F          Creatine Kinase                                              M        Refer
G         Troponin                                                       N         12 lead ECG