🎃 OCTOBER 2020 PLAB THOUGHTS

Q: 25 year old man with difficulty of breathing. With history of operation of undescended testes in
childhood. CT scan was shown revealing multiple opacities (appearing to be metastases). What tumor
should be requested?
A. LDH (for seminoma)
B. HCG

Q: A man was billed for a surgery and patient anesthetized already when they realized the procedure on
the theatre list was different from the consent signed. Patient called and discussed the new procedure
with the surgeon and requested for a new one though the acutal consent has been signed for old
procedure. What do you do next?

A: Cancel procedure inform consultant

B. Persuade patient and go ahead with new procedure.

C. Do original procedure on list with consent.

D. Take Consent after surgery

E. Change procedure on consent form (EPIC)

Q: Patient on co careldopa. What will happen if you stop the medicine?

A: Akinesia?

Q: Similar to mock exam…. 25 year old male with 1 week history of URTI came to clinic with jaundice.
Liver function tests are shown with unconjugated bilirubin. Father had history of jaundice as well.

A: Gilbert syndrome

Q: Patient with breathlessness. She is on palliative care for bronchogenic cancer with few weeks left
already. Chest xray is shown revealing pleural effusion on the right.

What is the best management option?

A: pleural aspiration

B: subcutaneous morphine infusion

C. Oral morphine

D. Subcutaneous midazolam

Q: DM patient with BMI of 32. HBA1C 58%. Ambulance driver. Already taking 1gm METFORMIN twice
daily, MOST APPROPIATE NEXT STEP in management
A: revise life style advice

B. Gliptins

C SGLT 2

D.INCREASE METFORMIN

E: add sulphonylurea

Q: 45 yo Transgender female (male to female) with history of hypertension maintained spinolactone,

ramipril and other meds. Laboratories are shown revealing K 6.8 (there were others shown but only K was
deranged).

What is the next most appropriate step?

A: ECG

Q: Pregnant woman in at 30 weeks AOG with the following:

HGB 11.1

MCV 99 (upper limit of normal was 95)

A: No treatment

B: Give folic acid

C: Give Vitamin B 12 injection

D: Give Ferrous sulfate

Q: Pulmonary embolism, blood gas

A: Type 1 respiratory failure

Q: Patient on COCP with history of panic attack comes to A&E due to breathlessness. She has perioral
numbness. ABG was done (can’t recall the exact values but I know that it was respiratory alkalosis with
hypoxemia – PaO2 was low). Chest xray was normal. What is the diagnosis?

A: Pulmonary embolism

B: MI

C: Panic attack
Q: 2 year old child had first time seizure lasting for 2 minutes. Noted that temp was elevated. What should
be the investigation?

A: No investigation needed

B: Blood CS

C: EEG

D: LP

E: Urine toxicology (note that it was urine toxicology written and not urine microscopy or even culture)

Q: Young female patient came to clinic because of history of her finger turning blue when it’s cold. With
history of arthritis and oral ulcers. (classic SLE picture in other words)

What is the most diagnostic?

A: ANTI dsDNA

Q: Sudden unilateral loss of vision high BP. Flame shaped haemorrhages

A: CRVO

Q: 15 yo teenage girl with secondary sexual characteristics and Amenorrhoea but with cylic lower
abdominal pain and mass in abdomen.

A: Haematocolpos

Q: Woman with dry eyes, with history of dryness of her mouth. What is the best treatment for her dry
eyes?

A: Tear drops (hypromellose)

Q: First line treatment of Hypercalcemia in Breast Ca

A: IV fluids

Q: Diagnosis of prostate CA

A: Biopsy

B: PSA
Q: Treatment of trichomonas, yellow frothy discharge, itch, redness

A: Metronidazole

Q: RUQ pain in pregnancy, no jaundice

A: Cholestasis in pregnancy

B: cholecystitis.

Q: Pt with haemoptysis, haematuria and abnormal xray. (?ANCA negative) nose bridge destruction??

A: Wegner or Behçet’s

Q: RLQ pain in young female, best initial investigation -- Urine BHCG, abdominal xray, blood grp?

A: Urine BHCG

Q: Rt. iliac pain and 6 wk amenorhoea in a young female

A: Ectopic pregnancy

Q: Elderly woman pain in LLQ

A: Diverticular abscess

B: ovarian torsion

C: Ectopic pregnancy

Q: Prevention of renal stones

A: Increased water intake

Q: Young man with hx of LOC. No ECG shown but values given:

PR interval and QRS both within normal value. cQT is long. Underlying cause?

A: Ventricular tachyarrhythmia
B: sick sinus syndrome

C: Complete heart block

Q: Swelling of lips, patches, red eyes and generalised maculopapular rash 6 days of 39 degree fever,
started on penicillin by GP 6 days ago, cervical lymphadenopathy

A: Kawasaki

B. Infection mononucleosis

C: scarlet fever

D: Measles

Q: Panadol overdose, took 100 tablets. Paracetamol blood levels above treatment line, but refusing
treatment

A: assess capacity

Q: 43ys old paracetamol overdose, tried IV access but cant obtain serum levels, want to do femoral IV
access but patient refuses

A: do it anyway because it’s in the best interest (? Patient is awake)

B: assess mental capacity to refuse

C: treat for paracetamol toxicity without serum levels

Q: Acute pyelonephritis, next step

A: Admit and investigate

B.send urine for culture sensitivity

C: co amoxiclav and discharge

D.trimethoprim discharge

Q: 3 yr old child with nosebleeding. Blood count reveals normal Hgb and WBC but with platelet count of
10!!! What is the most appropriate management?

A: IVIG AND ADMIT TO PEADS

B. DISCHARGE ON STEROIDS with GP follow up

C. Admit to medical icu and platelets infusion

D: Reassure

Q: 5 months old baby parents brought X Ray to A/E, had it done were concerned about baby head shape,
X Ray report said

Plagiocephaly and cranial sutures haven't fused yet. What is the most appropriate step?
A. ORTHO helmet
B. Reassure
C. Repeat xray after 3 months and review

(Honestly torn between reassure and repeat xray. In my readings about plagiocephaly in the NICE
guidelines, it mentions that orthopedic helmet is controversial, and plagiocephaly can resolve on its own
but still unsure. Please read on this).

Q: Osteoporosis, already on CA AND VIT D

A: Aledronate

Q: Lyme disease treatment in pregnant LADY, camping with kids and rash on legs target sign

A: amoxicillin (this is the alternative for doxycycline in pregnancy)

B. Azithromycin,

C. Doxycycline

Q: 6 week baby UTI,frothy smelly urine, what next appropriate investigation with E. Coli on culture. What
test should be performed?

A: MCUG

B.Ultrasound

C.DMSA

Q: Kid has difficulty writing and laptop use was advised in school, who else can help this child with
learning

A: Occupational health

B. Speech and language Physiotherapist

C: Educational psychologist
Q: Short boy, 15yo with no pubic hair. His two brothers hit puberty on the usual age. Mother is concerned.
What is the most likely cause?

A: Constitutional delay

Q: 55 male with hypertension presents with breast enlargement. Breasts are symmetrical with no masses
(Gynaecomastia). Which of the following medicines could have caused this?

A: Spironolactone

Q: Patient for preop anaesthetic review for elective surgery. Pertinent history includes history of MI 6
weeks ago, hypertension and history of pulmonary embolism 1 year ago. What is the absolute
contraindication to the surgery?

A: Recent MI 6 weeks (is there a specific time on this? Yes, 6 months minimum)

B: Pulmo embo 1 year ago

C: hypertension

Q:bipolar patient started on lithium. Best time to check Lithium concentration

A: 12 hours after

Q: Nursing home 88 yrs old elderly lady linear scratch marks. (scabies treatment of choice)

A: Permethrin

*Other choices given for these were all steroids then one emollient)

Q: Long case of a girl previously given clindamycin due to red facial spots (it was a long description, but
basically it was acne). What is the target organism of the medications given?

A: Propionobacterium

B: S. aureus

C: Streptococcus

Q: HbA1C of 60 (patient was an ambulance driver? Careful with hypoglycemia risk)

A: Add second agent

Q: Patient on 10 mg morphine every 4 hours now for discharge. Whats’s the dose when converted to
sustained release morphine?

A: 30mg twice a day or 60mg once a day

Q: Best contraception while on sodium valproate

A: Barrier….

B. Mirena metabolism might be affected by valproates enzyme activity (double check)

Q: Unconscious and dehydrated child, IV access attempted several times unsuccessfully. What is the
next access?

A: Intraosseus

Q: Mother exclusively breastfeeding, 6 months of ammenorhea after pregnancy bhcg negative.

A: Reassure (mother was breastfeeding)

Q: After fracture in old lady, DEXA scan -2.7

A: Give bisphosphonates

Q: Diagnosis of prostate CA

A: Biopsy

Q: Old lady with weight loss and painless jaundice. liver problems, high GGT, high ALP. What is the
diagnosis?

A: Cancer of pancreatic head

Q: Patient came to A&E with hallucination, tremors and sweating which started 48 hours ago. He is a
chronic alcoholic who stopped drinking 3 days ago. What should be given?

A: Chlordiaxepoxide (lorazepam was not an option though might have been better suited, review both)

B. Citalopram
C: Acamprosate

D: Disulfiram

Q: Child brought in complaining of right ear pain and sore throat. On examination, right ear has red
bulging TM. Tonsils appear to be red. There is a submandibular LN. What is the diagnosis?

A: Acute otitis media

B. Acute tonsilitis (I think this is the most likely answer as it tonsillitis can cause AOM)

Q: 7 year old with Oedema,swollen legs, proteinuria. What is the Most definitive investigation

A: Renal biopsy

B: Albumin

C:Ultrasound

Q: Patient with Burkitt’s lymphoma underwent chemotherapy with the following lab tests:

Elevated potassium, elevated Creatinine. What test should be done to arrive at a diagnosis? A: Urate

B: PHOSPHATE

Q: 70 year old with history of persistent pneumonia in spite of treatment with broad spectrum antibiotics.
CBC was done revealing WBC 38 (Hgb and platelet were also mentioned but I forgot already). On
examination she has multiple cervical lymphadenopathies, with biopsy done showing sheets of small
lymphoid cells with 5% large. What is the diagnosis?

A: CLL

B: Non Hodgkin lymphoma

C: CML

D: AML

E: ALL

Q: Lower limb oedema, distended abdominal veins, history of RCC

A: IVC compression

B: lymphedema
Q: Elderly patient at care home has recent urinary incontinence and frequent falls appears to be
confused. GCS drops to 10/15. Patient is on warfarin. On examination, there are multiple bruises on arms
and legs. What is the most likely diagnosis?

A: Subarachnoid haemmorhage

B: subdural haematoma

C: stroke

D: Urinary Tract infection

E: Pneumonia

Q: 1 year old height (75th percentile) weight (3rd percentile), recurrent infections

A: Cystic fibrosis

Q: both parents carriers for cystic fibrosis, whats the chance of baby being affected?

A: 25%

B: 50%

C: 75%

Q: Binge eating and vomiting, no mirrors on the house, normal BMI

A: Bulimia nervosa

Q: Slits wrist, loss of sensation of palmar aspect of index middle and thumb

A: Median n.

Q: Patient with multiple cuts, does not want to live, attends GP

A: refer to psychiatry? A&E?

Q: Boy with sudden onset severe testicular pain (Testicular torsion). What is the best management?

A: Urgent exploration
Q: Patient with DKA already started on IV fluids for 8 hours has onset of headache. What is the next
step?

A: Reduce IV fluid infusion rate -- might be cerebral oedema?

B: Increase IV fluid infusion rate

C: Decrease insulin rate

D: Increase insulin rate

E: Observe

Q: Patient is postop for left hemicolectomy presenting with persistent vomiting after few days. No flatus,
with bloatedness. Abdomen is soft and distended with no bowel sounds. What is the most appropriate
management?

A: NG DECOMPRESSION

B: LAPAROTOMY

C: Glycerine Suppository

Q: Post op patient’s urine went from 40 to 0. What is the next most immediate step?

A: CHECK CATHETER FIRST

Q: 25yo male diagnosed with schizophrenia maintained on risperidone, now has cogwheel rigidity, what
medication to prescribe?

A: PROCYCLODINE

B: Selegiline

C: Levodopa

Q: Patient with history of depression and hypertension brought in for drug overdose. An ECG was shown
with Vtach. What is the most likely drug?

A: Amitriptyline

B: Aspirin

C: Paracetamol
Q: Meningitis TX IN A/E, WITH RASH

A: Ceftriaxione (this must have been in hospital them remember GP use benzyl)

Q: Saddle nose

A: Wegner’s

Q: Lady with hypothryroid symptoms 2 weeks after URTI. TSH low, T4 raised. Anti peroxidase antibodies
normal range. Another antibody normal (can’t remember)

A: Subacute thyroiditis (this was likely tender then)

Q: Classic glaucoma emergency

A: Check IOP

Q: 12 year old with urinary incontinence secondary to spina bifida. He has history of recurrent urinary tract
infection. Current urinalysis is normal. What is the most appropriate management?

A: Intermittent cathether

B: Prophylactic antibiotics

C: Suprapubic catheter insertion

Q: Gentleman with previous history of meningitis consulted for increased thirst and frequent urination.
What is the most appropriate diagnostic test? (yes this is most likely a case of central DI)

A: Fluid deprivation test

B: Dexamethasone challenge

C: 24h urine catecholamine

Q: Patient came to A&E after his nose was hit while playing football. His nose appear asymmetrical. What
is the next immediate step?

A: palpate for nasal septum

B: direct examination of choana

C: xray of the nasal bone

D: CT scan

E: MRI

Q: Case of hypertensive patient on following medications. Labs are shown with elevated Urea and
Creatinine. Which of his medications should be stopped?

A: LISINOPRIL (ACE INHIBITOR) DAMN DRUGS SICK DAY RULE

Q: PATIENT WITH FEMUR METS ON DEXA with no evidence of fracture, already on morphine, still in
pain. What should be added to his management?

A: Radiotherapy for secondary bone cancer

B: Bisphosphonates

Q: patient with bone met, pain localised on T8, what investigation?

A: MRI spine

B: radionuclide uptake

Q: Initial (or best?) tx of cluster headache

A: O2 or triptan

Q: Patient with intermenstrual bleeding on COCP. Cervical smear done 1 year ago was normal. On
examination, Cervix is irregular and bleeds on touch.

A: COLPOSCOPY

B: REPEAT SMEAR

C: HIGH VAGINAL SWAB

Q: 67 YRS OLD,LOSS OF APPETITE, with Left sided supraclavicular NODE, WEIGHT LOSS. What is
the most likely diagnosis?

A: Gastric Ca
Q: Multiple ulcers on endoscopy, what to investigate?

A: gastrin levels

B: serum H. pylori

Q: Pregnant female with history of Hepatitis B vaccination. What are the expected results of her lab tests?

A: Negative HBSAG, Negative Anti HBC, Positive AntiHBS

B: Negative HBSAG, Negative Anti HBC, Negative AntiHBS

**The rest of the options had positive HBSAG so easy to exclude these.

Q: 45 YRS OLD WITH INTERMENSTRUAL BLEEDING, ON COCP. EXAMINATION CERVIX NORMAL

ABDOMEN SOFT, NO TENDERNESS colposcopy question, woman had smear 6 months ago---- Based
on answer I guess HPV positive and normal colposcopy for repeat in 1 year

A: Repeat smear

B. COLPOSCOPY

C. HYSTEROSCOPY BIOPSY

D ABDOMINAL US

Q: Subjects divided into two groups, given different drugs and followed up afterwards

A: prospective cohort

B: randomized control (no placebo, dont think this is the answer)

Q: Secondary ammenorhoea in a 19 y/o with 37 BMI, irregular menstruation since 12YRS menarche, no
other symptoms

A: PCOS probably (confusion with it and hypothyroidism in discussion)

(NO BLOOD TEST NO OTHER SYMPTOMS GIVEN TO Differentiate)

Q: dilated pupils, raised temp, runny nose heightened senses of hearing, colour perceptions, of illicit
drugs

A: LSD
Q: Propanalol overdose, Brady cardiac 45BPM

A: glucagon

B: atropine

Q: Young lady, smoker on oral contraceptive pills. Presented with sudden SOB. TEMP 37.4 COUGH,
Initial investigation of choice

A: CTPA

B: d dimer

C: CHEST X RAY

Q: Preterm baby born at 36 weeks presents with grunting and intercostal recessions 30 minutes after
delivery. Mother had rupture of membrane for 48 hours before delivery. What is the best initial
investigation?

A: CXR-- remember mocks said there are many causes need an xray to find out and act quickly

B: Blood CS

Q: 23 year old patient comes to clinic asking for another fit note for panic attack. She already received
previous fit notes for panic attack which has been recurrent for 3 months. She is worried that she will lose
her job. A referral for cognitive behavioral therapy has been given. What is the next appropriate step?

A: reassure

B: Refer to occupational health

C: Refer for psychiatric review

Q: 77yo man with SEVERE depression, SUICIDAL thoughts, refusing to eat or take medications. What is
the next step?

A: ECT

B: Change medications

Q: 7 year old with history of URTI presenting with progressive weakness of distal extremities; with
areflexia. What is the most appropriate test to diagnose?

A: Nerve conduction studies

Q: Another case of patient with progressive weakness of distal extremities with areflexia. What is the
mechanism?

A: Demyelination

Q: Another case of progressive distal extremity weakness with areflexia, what is the diagnosis?

A: GBS

Q: Patient with claudication. On examination, femoral pulse on the left is felt but distal pulses of the leg is
not felt. Where is the occlusion?

A: Femoropopliteal

B: Tibial

C: External Iliac

D: Internal Iliac

E: Femoral

Q: Young man, emergency. Sharp sternal chest pain, breathing and relieved on leaning forward. alcohol
addict, MI ruled out. Cause?

A: Pericarditis

B: Oesophagitis

Q: Patient with allergic rhinitis, rhinorrhea, watery eyes has already taken xylometazoline for 1 month.
What is the next step?

A: medicine free interva

B: oral cetrizine

C. inhaled steroids

Q: 12 year old male with asthma having frequent attacks in spite of salbutamol inhaler. What medication
should be added?

A: Beclomethasone inhaler
B: Tiotropium

C: Salmeterol inhaler

Q: Patient with short term memory impairment and inability to calculate (??) Which lobe

A: Parietal

B: Temporal

C: Frontal lobe

Q: Patient with difficulty walking after playing football, felt a snap on his calf.

Thompson test Positive

A: achilles tendon rupture

Q: Case of adult patient with anaphylaxis, what is the preparation of adrenaline?

A: adrenaline 1:1000 IM

B: adrenaline 1:1000 IV

C: adrenaline 1:10000 IM

D: adrenaline 1:10000 IV

Q: vestibular neuritis treatment

A: prochlorperazine

Q: Palliative care patient with oesophageal cancer who is having difficulty swallowing. What is the best
management

A: Oesophageal stent

Q: Pregnant lady had history neonatal haemolytic disease wants to know the risk of her baby having it?

A: 0%

B: 25%
C: 50%

D: 100%

Q: Woman recently discharged from hospital after being treated for cellulitis develops vaginal discharge.
What is the most likely organism?

A: Candida

Q: endocarditis, best immediate investigation?

A: blood culture or echo

Q: 45yo patient came to A&E due to nasal bleeding for 30 minutes. He is on warfarin due to atrial
fibrillation, no INR shown. Pressing on bridge is unsuccessful. What is the next immediate step?

A: nasal tamponade

B: silver nitrate cautery

C: Vitamin K

D: FFP

Q: DM patient with microalbuminuria, BP 128/85

A: give ACEi

Q: 77yo female with tremor on rest for 20 years, no cognitive impairment, diagnosis?

A: essential tremor

B: parkinsons

Q: preeclampsia management

A: labetalol

Q: Patient with amenorrhoea for 6 weeks came to A&E because of right lower quadrant pain. Patient had
PID 1 year ago. What is the most likely diagnosis?
A: ectopic pregnancy

B: appendicitis

Q: Patient with hiccups for days, cant sleep, management?

A: ??? No metoclopramide on options

B Chlorpromazine

Q: Driver told by GP not to drive, who to inform

A: DVLA

Q: loss of ankle reflex

A: L5-S1

B: S2-S3

C: T11-T12

D: L3-L4

Q: Woman with painful loss of vision on one eye while at the movie theatre. Pain is worse when looking
on one side. On examination, vision on the left eye is dull. Optic examination is NORMAL. What is the
most likely diagnosis?

A: Iritis

B: Retinal vasculitis

C: Retinal neuritis

D: Retinal detachment

Q: Postpartum mother claims that baby has evil eyes. Diagnosis?

A: Postpartum psychosis

*LOL. I could not believe that this actually came out of the exam.

Q: Patient on theophylline 125mg BID. Theophylline levels show that his dose needs to be increased by
25%. What should be his dose?

A. 125 TID

B. 185 BID

C. 200 BID

** There was 175 BID and 250 BID but it was another brand of Theophylline.

Q: 3wks old baby with non blanching rash seen in surgery clinic. Fever 38 deg, no other symptoms.

a. refer to A&E

b Parcetamol and review the following day.

c. Refer for pediatrician urgent review

d. review by GP later

Q: Thin pt with sx suggestive of Graves opthalmopathy ( lid lag and can see sclera) but no mention of
other thyroid sx.

A. Anti TSH receptor Ab

Q: Elderly man with poor hygiene, diff getting up from bed, with poor eye contact.

a. Depression

b. Alzheimers

Q: Pregnant 40 weeks, presenting with abdominal pain and bleeding. Abdomen is hard. What is
diagnosis?

A Abruptio placenta

Q: Patient with progressive dysphagia with smoking history. What will give definitive diagnosis?

A: Endoscopy

Q: Pt on carbimazole x 10 days, develop sorethroat. Test to perform

A: FBC
Q: Baby with mongolian spot. Parents concerned - re assure

Q: Post op patient, drowsy, with depressed respiratory rate, normal BP and HR. What is the most likely
cause:

A: Morphine

Q: Pregnant patient with high bp.

A: labetalol

Q: Itching on flexure surfaces-

A: Emolient

Q: Pt with loss of sensation upper arm and gleno humeral joint area –

A: axillary n.

Q: Patient with knee injury, positive mcMurray. Diagnostic test to do:

A: MRI

B. Ct scan

Q: Lady with advanced Ca, has liver mets with non productive cough. Tried linctus something. Tx to
supress cough.

A. Nebulize with saline

B: nebulised with lignocaine

C: oral morphine

Q: Lady with noisy neighbor cant sleep, used ear plugs,has already informed her local council. same in
plabable.

a. Inform police

b. prescribe meds
Q: Patient with Vtach, in shock, respiratory rate of 4 breaths/min
A: Direct cardioversion

Q: Paediatric drug dosage calculation in mg/kg in a liquid drug formulation with 20mg/5mls. Child weighed
12kg
A:

Q: Parkinsonism patient with visual hallucinations

A: Lewy body dementia

Q: Patient with h/o urti, presenting with chest pain worsening on lying flat improving on leaning forward,
ECG showed widespread saddle ST elevation
A: Pericarditis

Q: Patient with Sickle cell disease comes with acute chest syndrome, already given IV fluids, next
appropriate thing to give
A: Morphine

Q: You learn that your colleague adds one of the inpatients on Facebook
A: Talk to him first
B. Inform your senior
C. Inform the GMC

Q: 4 months old baby with cough and a fever of 38°C feeds normally and has mild intercoastal recession,
widespread wheeze on auscultation.
A Oral paracetamol
B Reassure
C Chest X Ray
D Oral steroids

Q: Most likely structure to be traumatized during chest drain insertion

A Intercoastal artery
B Azygous vein

Q: Middle aged male patient with resistant hypertension despite being on antihypertensives
Labs showed low serum potassium, normal sodium levels. No postural hypotension either. What
investigation would aid in diagnosis
A 24 hours urine catecholamines
B 24 hours urine cortisol
C Renin angiotensin aldosterone ratio

Q: Patient with menorrhagia, tried tranexamic acid which didn't help, also needs contraception.
A: IUS

Q: Patient with depression develops delusions of guilt

A: Depression with psychosis

Q: Metabolic condition following severe vomiting

A: Metabolic alkalosis

Q: Mother ℅ blue spot on baby's bum that was present since birth, otherwise baby doing well.
A: Reassure

Other topics mentioned

Ruptured Achilles Tendon -- Thompson Test Positive
Baker’s Cyst
Sickle Cell and Cystic Fibrosis (genetics)
Acute Chest Syndrome
Epidemiology - advised to go through plabable gems
Constitutional growth delay
Know MCUG/USG in urinary infections in neonates
Lewy body dementia
Testicular torsion (2 questions) -- review Phren’s sign
Morphine conversion
Labyrinthitis
Bell’s palsy -- treatment?presented in 36 hours prednisone
Dexamethasone suppression test
Short synacthen test
Barret’s oesophagus
Dysphagia -- need to review indications for endoscopy
Carbimzole -- what will you test
Retrobulbar neuritis
Essential tremor vs parkisnonism -- review!
Lateral rectus palsy
Differential for CRVO -- review vitreous haemorrhage
Review what happens when you correct natremia too quickly
Lichen scleorsus
Korsakoff
Eczema\Bronciolitis -- rememberHer spa
Pseudomembraneous colitis management
Mongolian blue spot