An ACTH stimulation test is commonly used to diagnose:

An ACTH stimulation test is commonly used to diagnose:
a. Grave’s disease
b. Adrenal insufficiency and Addison’s disease
c. Cystic fibrosis
d. Hashimoto’s disease

A 40 year old man presents with arthralgia. He also gives a history of steatorrhoea and abdominal pain. A biopsy of the small bowel reveals stunted villi with PAS positive macrophages. What is characteristic of this disease?

Bacilli within macrophages on electron microscopy
Positive faecal calprotectin
Raised ESR
Positive Rheumatoid Factor
ANA positive

What advice should be given to a patient following radioiodine therapy?

Avoid close contact with pregnant woman and children for several days
Avoid becoming pregnant for 1 to 3 months following treatment
Continue antithyroid treatment up until day of treatment
No blood monitoring required post radioiodine therapy

A 52 year old gentleman is 5 days post STEMI when he starts to develop chest pain. It is pleurtic in nature and worse on lying down. He is pyrexial and generally unwell. On examination he is tachycardic and there is evidence of a pericardial friction rub. On ECG there is widespread ST elevation. What is the most likely diagnosis?

STEMI
Pneumonia
Pulmonary embolism
Cardiac tamponade
Dresslers syndrome

What therapies are used as a bridge to definitive therapy in cyanotic congenital heart disease?
. . . . . a. Prostaglandin E1 infusion
. . . . . b. Mechanical ventilation
. . . . . c. Inotropic agents
. . . . . d. All of the above

A 52 year old female presents with joint pains but there is no evidence of active synovitis. She is also extremely lethargic and she also complains of a dry mouth and dry eyes. An autoimmune condition is suspected and bloods reveal positive ANA and anti-Ro antibodies. What is the most likely diagnosis?

SLE
SLE and Sjogrens Syndrome
Rheumatoid arthritis
Systemic Sclerosis
Sicca Syndrome

A 32 year old gentleman presents to A+E following a back injury. He is suffering from numbness, paraesthesia and weakness of the leg and has been unable to pass urine. On examination there is loss of peri anal sensation and it confirms reduced power and numbness in the left leg. What is your next course of action?

Urgent neurosurgical referral
Analgesia
Steroids
Bedrest
Lumbar Xray

A 54 year old gentleman has been renovating his home. He now presents with a painful elbow that radiates down the back of his forearm. He states the pain is worse on movement and he has been building DIY furniture but now finds it difficult to use a screwdriver or even hold a cup of coffee, due to the pain. On examination pain is worsened on resisted wrist extension. What is the most likely diagnosis?

Lateral Epicondylitis
Medial Epicondylitis
Cervical radiculopathy
Ulnar nerve palsy
De Quervain’s tendonitis