id int64 173M 173M | flagged bool 1
class | index int64 1 98 | questionChoiceId null | marksheetId int64 6.49M 6.5M | timeTaken null | isAnswered bool 1
class | striked listlengths 0 0 | mark null | questionId int64 264 22.8k | question dict | __typename stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|
173,457,299 | false | 1 | null | 6,494,929 | null | false | [] | null | 6,351 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Anticoagulation is indicated if her CHA<sub>2</sub>DS<sub>2</sub>-VASc score is 2 or more. She only has a score of 1 for being female",
"id": "31755",
"label": "c",
... | MarksheetMark |
173,457,300 | false | 2 | null | 6,494,929 | null | false | [] | null | 6,352 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication of ST-elevation on this ECG. A STEMI will cause ST elevation acutely, but it is important to note that the ECG changes will evolve over time",
"id": "3175... | MarksheetMark |
173,457,301 | false | 3 | null | 6,494,929 | null | false | [] | null | 6,353 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Unstable angina does not produce ST elevation on an ECG. Much like NSTEMI, unstable angina can produce ECG changes such as ST-segment depression and T wave flattening or inversion. Un... | MarksheetMark |
173,457,302 | false | 4 | null | 6,494,929 | null | false | [] | null | 6,354 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Flecainide can be used to treat VT, but is not as effective as amiodarone",
"id": "31771",
"label": "d",
"name": "Flecainide",
"picture": null,
"votes": ... | MarksheetMark |
173,457,303 | false | 5 | null | 6,494,929 | null | false | [] | null | 6,355 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is the management for hyperkalaemia. There are no signs of hyperkalaemia on this ECG",
"id": "31774",
"label": "b",
"name": "Insulin and dextrose infusion",
... | MarksheetMark |
173,457,304 | false | 6 | null | 6,494,929 | null | false | [] | null | 6,356 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication that this patient has an arrhythmia, angina or hypertension which are the indications for verapamil. In fact, you should avoid calcium channel blockers in heart... | MarksheetMark |
173,457,305 | false | 7 | null | 6,494,929 | null | false | [] | null | 6,357 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "She is haemodynamically stable and apyrexial and therefore intravenous antibiotics are not indicated at this point",
"id": "31786",
"label": "d",
"name": "IV erythro... | MarksheetMark |
173,457,306 | false | 8 | null | 6,494,929 | null | false | [] | null | 6,358 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Trastuzumab (Herceptin) is only useful in HER2 positive breast cancers",
"id": "31791",
"label": "d",
"name": "Trastuzumab",
"picture": null,
"votes": 38... | MarksheetMark |
173,457,307 | false | 9 | null | 6,494,929 | null | false | [] | null | 6,359 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Hyperkalaemia is defined as serum potassium concentration >5.5mmol/L, and can be further categorised as mild (5.5-5.9 mmol/l), moderate (6.0-6.4 mmol/l) or severe (≥ 6.5 mmol/l).\n\nMo... | MarksheetMark |
173,457,308 | false | 10 | null | 6,494,929 | null | false | [] | null | 6,360 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Trimethoprim inhibits tubular creatinine secretion, leading to an increase in serum creatinine independent of the true glomerular filtration rate (GFR). This leads to a falsely low eGF... | MarksheetMark |
173,457,309 | false | 11 | null | 6,494,929 | null | false | [] | null | 6,361 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Patients with SIADH are usually euvolaemic or hypervolaemic. Clinical dehydration suggests other causes for hyponatraemia such as secondary to diuretics or acute kidney injury",
... | MarksheetMark |
173,457,310 | false | 12 | null | 6,494,929 | null | false | [] | null | 6,362 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is an autoimmune condition causing blistering urticarial lesions. This can sometimes have mucosal involvement. It is not drug induced, as this question is implying is the cause o... | MarksheetMark |
173,457,311 | false | 13 | null | 6,494,929 | null | false | [] | null | 6,363 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The glomerular basement membrane is the kidneys - there will be IgG/C3 deposition in glomerulonephritis (eg. post-infectious)",
"id": "31816",
"label": "d",
"name": ... | MarksheetMark |
173,457,312 | false | 14 | null | 6,494,929 | null | false | [] | null | 6,364 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a topical steroid and is not indicated in acne vulgaris",
"id": "31821",
"label": "d",
"name": "Topical hydrocortisone 1%",
"picture": null,
"vot... | MarksheetMark |
173,457,313 | false | 15 | null | 6,494,929 | null | false | [] | null | 6,365 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is not a cause of bilateral vestibular schwannomas",
"id": "31826",
"label": "d",
"name": "Benign paroxysmal positional vertigo (BPPV)",
"picture": null,
... | MarksheetMark |
173,457,314 | false | 16 | null | 6,494,929 | null | false | [] | null | 6,366 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "NICE guidelines suggest that ENT referral is only warranted if the signs of symptoms are atypical or do not resolve in 4 weeks, or there have been at least 3 periods during which the ... | MarksheetMark |
173,457,315 | false | 17 | null | 6,494,929 | null | false | [] | null | 6,367 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This is the next step in managing epistaxis if first aid measures have not worked and given that the appropriate expertise and facilities are available",
"id": "31833",
"la... | MarksheetMark |
173,457,316 | false | 18 | null | 6,494,929 | null | false | [] | null | 6,368 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a chelating agent used to reverse an overdose of iron",
"id": "31842",
"label": "e",
"name": "Desferrioxamine",
"picture": null,
"votes": 915
... | MarksheetMark |
173,457,317 | false | 19 | null | 6,494,929 | null | false | [] | null | 6,369 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "High flow oxygen is not indicated at this stage. He has normal saturations on room air and, in addition to this, it is not unreasonable to suspect that this patient might be oxygen se... | MarksheetMark |
173,457,318 | false | 20 | null | 6,494,929 | null | false | [] | null | 6,370 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "PEA is a non-shockable rhythm and therefore shocks are not indicated",
"id": "31850",
"label": "c",
"name": "Give 1 shock, immediately resume CPR and reassess rhythm... | MarksheetMark |
173,457,319 | false | 21 | null | 6,494,929 | null | false | [] | null | 6,372 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is the management for hyperkalaemia. This patient has a normal potassium level and likely has hyperosmolar hyperglycaemic state (HHS). There is evidence to suggest that patients ... | MarksheetMark |
173,457,320 | false | 22 | null | 6,494,929 | null | false | [] | null | 6,373 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Oral bicarbonate is not advisable as raising the pH of the gastrointestinal lumen can lead to remaining salicylate tablets in the gastrointestinal tract to dissolve and increase absor... | MarksheetMark |
173,457,321 | false | 23 | null | 6,494,929 | null | false | [] | null | 6,374 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Vitamin K may be used to reverse warfarin ovedose",
"id": "31869",
"label": "b",
"name": "Vitamin K",
"picture": null,
"votes": 102
},
{
"_... | MarksheetMark |
173,457,322 | false | 24 | null | 6,494,929 | null | false | [] | null | 6,375 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "HHS leads to a significantly elevated glucose and not such a significant acidosis",
"id": "31874",
"label": "b",
"name": "Hyperosmolar hyperglycaemic state (HHS)",
... | MarksheetMark |
173,457,323 | false | 25 | null | 6,494,929 | null | false | [] | null | 6,376 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Advanced osteoarthritis can, in fact, produce a higher than normal T-score on DEXA scan due to osteophytes and disc narrowing, making the bone appear denser than it is. This patient h... | MarksheetMark |
173,457,324 | false | 26 | null | 6,494,929 | null | false | [] | null | 6,377 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The histology above displays Kimmelstiel-Wilson nodules which are the spherical, eosinophilic, sclerotic nodules characteristic of nodular diabetic glomerulosclerosis",
"id": "31... | MarksheetMark |
173,457,325 | false | 27 | null | 6,494,929 | null | false | [] | null | 6,378 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a GLP-1 analogue. It is recommended that patients who are hyperglycaemic after commencing enteral feeding should be started on insulin",
"id": "31892",
"label": "e... | MarksheetMark |
173,457,326 | false | 28 | null | 6,494,929 | null | false | [] | null | 6,379 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Both section 2 and section 3 of the Mental Health Act can be used to treat a patient against their wishes",
"id": "31893",
"label": "a",
"name": "Section 2",
"p... | MarksheetMark |
173,457,327 | false | 29 | null | 6,494,929 | null | false | [] | null | 6,380 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is one of the few circumstances in which a doctor can break patient confidentiality. In this circumstance, the wider risk to the public is deemed more important than the patient'... | MarksheetMark |
173,457,328 | false | 30 | null | 6,494,929 | null | false | [] | null | 6,381 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is not necessary as there has been a clear formal discussion with the patient whilst she had capacity where she made her wishes clear.",
"id": "31907",
"label": "e",
... | MarksheetMark |
173,457,329 | false | 31 | null | 6,494,929 | null | false | [] | null | 6,382 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Consent is required for intimate examinations such as a rectal examination",
"id": "31912",
"label": "e",
"name": "No consent required",
"picture": null,
... | MarksheetMark |
173,457,330 | false | 32 | null | 6,494,929 | null | false | [] | null | 6,384 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Although this patient has normal inflammatory markers, she is on a monoclonal antibody which can hide an inflammatory response, and so she should be admitted for further investigations... | MarksheetMark |
173,457,331 | false | 33 | null | 6,494,929 | null | false | [] | null | 6,385 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is associated with type II AIH which only affects children",
"id": "31924",
"label": "b",
"name": "Anti-liver kidney microsomal type 1 (anti-LKM-1)",
"pic... | MarksheetMark |
173,457,332 | false | 34 | null | 6,494,929 | null | false | [] | null | 6,386 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Ascitic glucose is typically normal in SBP and low in secondary bacterial peritonitis. However, a normal glucose would not **confirm** a diagnosis of SBP",
"id": "31930",
... | MarksheetMark |
173,457,333 | false | 35 | null | 6,494,929 | null | false | [] | null | 6,387 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "According to the modified KCC, hepatic encephalopathy grade III or IV and serum creatinine concentration >300umol/L and prothrombin time >100 seconds meets the criteria for possible l... | MarksheetMark |
173,457,334 | false | 36 | null | 6,494,929 | null | false | [] | null | 6,388 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication that this patient would not, at present, be able to manage at home. Indications for referral to hospital would include stridor, clinical suspicion of acute epig... | MarksheetMark |
173,457,335 | false | 37 | null | 6,494,929 | null | false | [] | null | 6,389 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication for antibiotics at present at they are producing the same amount of sputum and it has not changed colour. NICE guidelines advise other indications for consideri... | MarksheetMark |
173,457,336 | false | 38 | null | 6,494,929 | null | false | [] | null | 6,390 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This is correct. All women aged 25 to 49 are invited for \"routine recall\" if a cervical sample is negative for high-risk HPV",
"id": "31948",
"label": "a",
"name": ... | MarksheetMark |
173,457,337 | false | 39 | null | 6,494,929 | null | false | [] | null | 6,391 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The only relative contraindication for an IUS in an active sexually transmitted infection (which this patient does not have) as this increases the risk of pelvic inflammatory disease.... | MarksheetMark |
173,457,338 | false | 40 | null | 6,494,929 | null | false | [] | null | 6,392 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "According to NICE guidelines, specialist assessment on the same day is only indicated if the patient has a blood pressure of more than 180/120mmHg and either signs of retinal haemorrh... | MarksheetMark |
173,457,339 | false | 41 | null | 6,494,929 | null | false | [] | null | 6,393 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Although this patient has COPD, there is no requirement for spirometry testing prior to initiation of Donepazil",
"id": "31966",
"label": "d",
"name": "Perform spiro... | MarksheetMark |
173,457,340 | false | 42 | null | 6,494,929 | null | false | [] | null | 6,394 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient appears to be having a flare of his ulcerative colitis, a barium enema would not be an appropriate investigation, and in fact may increase risk of bowel perforation",
... | MarksheetMark |
173,457,341 | false | 43 | null | 6,494,929 | null | false | [] | null | 6,395 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a sensible differential in a trauma patient with haemodynamic instability, although it would not explain the petechial rash and is unlikely to cause such significant respirato... | MarksheetMark |
173,457,342 | false | 44 | null | 6,494,929 | null | false | [] | null | 6,397 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may rarely present with bowel perforation, but is not as common a cause for bowel perforation as diverticulosis. Advanced colon cancer may more likely present with bowel obstruct... | MarksheetMark |
173,457,343 | false | 45 | null | 6,494,929 | null | false | [] | null | 6,399 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no link with hepatitis B and oesophageal candidiasis or dysphagia",
"id": "31996",
"label": "d",
"name": "Hepatitis B antigen",
"picture": null,
... | MarksheetMark |
173,457,344 | false | 46 | null | 6,494,929 | null | false | [] | null | 6,400 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication for an ultrasound of the kidneys at present",
"id": "32000",
"label": "c",
"name": "Ultrasound of kidneys",
"picture": null,
"vote... | MarksheetMark |
173,457,345 | false | 47 | null | 6,494,929 | null | false | [] | null | 6,401 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Postmenopausal bleeding raises a high suspicion for endometrial cancer. An urgent transvaginal ultrasound is the most useful first-line test to determine endometrial thickness and asse... | MarksheetMark |
173,457,346 | false | 48 | null | 6,494,929 | null | false | [] | null | 6,402 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Methotrexate is utilised for medical management of ectopic pregnancy under specific circumstances where the patient is haemodynamically stable. This patient is unstable and would ther... | MarksheetMark |
173,457,347 | false | 49 | null | 6,494,929 | null | false | [] | null | 6,404 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would be indicated if the patient has active bleeding",
"id": "32021",
"label": "d",
"name": "Stop warfarin, administer IV phytomenadione",
"picture": nul... | MarksheetMark |
173,457,348 | false | 50 | null | 6,494,929 | null | false | [] | null | 6,405 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a rare cause of anaemia in rheumatoid arthritis. This is unlikely as reticulocyte count is not raised",
"id": "32027",
"label": "e",
"name": "Autoimmune haem... | MarksheetMark |
173,457,349 | false | 51 | null | 6,494,929 | null | false | [] | null | 6,406 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Effective pain control is key in the management of acute chest crises. Opioid analgesia can be started and titrated according to the pain ladder",
"id": "32028",
"label": "... | MarksheetMark |
173,457,350 | false | 52 | null | 6,494,929 | null | false | [] | null | 6,408 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may be useful in evaluating for malignancy or metastatic lesions, which is less likely given the 2 week history of constitutional symptoms",
"id": "32042",
"label": "... | MarksheetMark |
173,457,351 | false | 53 | null | 6,494,929 | null | false | [] | null | 6,410 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The NNT is calculated by taking the reciprocal of the absolute risk reduction. In this case, it would be 1/(22.4% - 14%) = 1/(8.4%) = 12",
"id": "32052",
"label": "e",
... | MarksheetMark |
173,457,352 | false | 54 | null | 6,494,929 | null | false | [] | null | 6,411 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The diamond shows the pooled result of all the studies. The vertical line indicates the line of no effect, i.e. the point at which there is statistically no significant difference betw... | MarksheetMark |
173,457,353 | false | 55 | null | 6,494,929 | null | false | [] | null | 6,412 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This describes a prospective cohort study, a longitudinal study that observes participants over a period of time to see whether they develop the outcome in question. This would not be... | MarksheetMark |
173,457,354 | false | 56 | null | 6,494,929 | null | false | [] | null | 6,414 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may be indicated for primary prevention of cardiovascular disease, however his lipid panel is normal",
"id": "32069",
"label": "b",
"name": "Atorvastatin",
... | MarksheetMark |
173,457,355 | false | 57 | null | 6,494,929 | null | false | [] | null | 6,415 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is most likely to cause diabetic glomerulosclerosis, which shows Kimmelsteil-Wilson nodules (nodules of hyaline material) on biopsy",
"id": "32074",
"label": "b",
... | MarksheetMark |
173,457,356 | false | 58 | null | 6,494,929 | null | false | [] | null | 6,416 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a possible differential, as this may cause a bilateral facial palsy. However the progression of muscle weakness in myasthenia gravis is typically descending from the extraocul... | MarksheetMark |
173,457,357 | false | 59 | null | 6,494,929 | null | false | [] | null | 6,417 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The main priority is to initiate antiplatelet treatment with aspirin. The blood pressure is not dangerously high at this point and she does not have any serious concomitant medical is... | MarksheetMark |
173,457,358 | false | 60 | null | 6,494,929 | null | false | [] | null | 6,418 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has a history suggestive of multiple sclerosis, clinically isolated neurological deficits separated in time. The MRI confirmed several hyperintensities in the periventricu... | MarksheetMark |
173,457,359 | false | 61 | null | 6,494,929 | null | false | [] | null | 6,419 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would suggest an S1 radiculopathy, which would involve loss of plantarflexion, weakness of leg extension and knee flexion and loss of the ankle jerk reflex. Sensation would be re... | MarksheetMark |
173,457,360 | false | 62 | null | 6,494,929 | null | false | [] | null | 6,420 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Direct oral anticoagulants can be considered for longer-term prophylaxis of venous thromboembolism",
"id": "32102",
"label": "e",
"name": "Dabigatran",
"pictur... | MarksheetMark |
173,457,361 | false | 63 | null | 6,494,929 | null | false | [] | null | 6,421 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This usually occurs after 20 weeks gestation and would involve hypertension with proteinuria. Symptoms may include headache, visual disturbances, epigastric pain and marked oedema. Pr... | MarksheetMark |
173,457,362 | false | 64 | null | 6,494,929 | null | false | [] | null | 6,422 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is typical of glucose-6-phosphate dehydrogenase (G6PD) deficiency. In HELLP syndrome, the usual finding is schistocytes and burr cells, which are fragmented red blood cells indic... | MarksheetMark |
173,457,363 | false | 65 | null | 6,494,929 | null | false | [] | null | 6,423 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The most likely drug to be used here is acetazolamide, a carbonic anhydrase inhibitor. The patient has idiopathic intracranial hypertension, with the typical features of raised intracr... | MarksheetMark |
173,457,364 | false | 66 | null | 6,494,929 | null | false | [] | null | 6,424 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "HIV is one of the systemic causes of eye disease, including HIV retinopathy, cytomegalovirus (CMV) retinitis, herpes simplex virus (HSV) keratitis or retinitis and toxoplasmosis. CMV ... | MarksheetMark |
173,457,365 | false | 67 | null | 6,494,929 | null | false | [] | null | 6,425 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a beta-blocker that would be contraindicated in patients with asthma, COPD, heart block and severe heart failure, to name a few conditions. It may cause bronchoconstriction in... | MarksheetMark |
173,457,366 | false | 68 | null | 6,494,929 | null | false | [] | null | 6,426 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "If median nerve injury occurs more proximally at the elbow (most commonly due to a supracondylar fracture of the humerus), this may result in a hand of benediction (inability to flex ... | MarksheetMark |
173,457,367 | false | 69 | null | 6,494,929 | null | false | [] | null | 6,427 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is an early finding in compartment syndrome",
"id": "32136",
"label": "d",
"name": "Burning pain in the affected limb",
"picture": null,
"votes": 14... | MarksheetMark |
173,457,368 | false | 70 | null | 6,494,929 | null | false | [] | null | 6,428 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has presented with diabetic ketoacidosis, meeting the criteria of hyperglycaemia, acidosis and ketonaemia. A resuscitation fluid bolus of maximum 10-20ml/kg 0.9% normal sa... | MarksheetMark |
173,457,369 | false | 71 | null | 6,494,929 | null | false | [] | null | 6,429 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would only be considered in patients with life-threatening haemorrhage, persistent bleeding refractory to treatment or those requiring surgery. The patient is stable; hence this ... | MarksheetMark |
173,457,370 | false | 72 | null | 6,494,929 | null | false | [] | null | 6,430 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is the dose that should be given in anaphylaxis in adults or children >12 years old",
"id": "32149",
"label": "b",
"name": "IM Adrenaline (1:1000) 500 microgram... | MarksheetMark |
173,457,371 | false | 73 | null | 6,494,929 | null | false | [] | null | 6,431 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Nebulised adrenaline may be used in acute symptom relief of croup by reducing stridor and work of breathing, as it works by decreasing airway oedema and relieving airway obstruction. ... | MarksheetMark |
173,457,372 | false | 74 | null | 6,494,929 | null | false | [] | null | 6,433 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "In children whose asthma is not well controlled on salbutamol and a low dose inhaled corticosteroid and who cannot tolerate a MART regimen, it is recommended to start montelukast. ",
... | MarksheetMark |
173,457,373 | false | 75 | null | 6,494,929 | null | false | [] | null | 6,434 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The patient meets the diagnostic criteria for generalised anxiety disorder. CBT has been shown to be highly effective and should be trialled in all patients before moving on to pharmac... | MarksheetMark |
173,457,374 | false | 76 | null | 6,494,929 | null | false | [] | null | 6,435 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Antipsychotics are more likely to cause postural hypotension, likely secondary to alpha-adrenergic blockade; hence they should be used with caution in the elderly who are at higher ri... | MarksheetMark |
173,457,375 | false | 77 | null | 6,494,929 | null | false | [] | null | 6,436 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Another possible differential is peptic ulcer disease, which may have been caused by non-steroidal anti-inflammatory drugs such as ibuprofen. This is unlikely to cause elevated lipase... | MarksheetMark |
173,457,376 | false | 78 | null | 6,494,929 | null | false | [] | null | 6,437 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would occur with obstructive lung diseases such as asthma or chronic obstructive pulmonary disease. This is not likely given the clinical history and the fact she is a non-smoker... | MarksheetMark |
173,457,377 | false | 79 | null | 6,494,929 | null | false | [] | null | 6,438 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has a severe exacerbation of chronic obstructive pulmonary disease (COPD). BiPAP would be indicated in patients with acute respiratory acidosis and would be the most appro... | MarksheetMark |
173,457,378 | false | 80 | null | 6,494,929 | null | false | [] | null | 6,439 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The role of inhaled corticosteroids as an adjunct in asthma exacerbations has not been well established. As the patient has already received high dose IV steroids, this would not be o... | MarksheetMark |
173,457,379 | false | 81 | null | 6,494,929 | null | false | [] | null | 6,440 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would not be useful as Mycoplasma lacks a cell wall and would not be visible on Gram stain. Culture would be of low yield as it is a fastidious organism and would take weeks to g... | MarksheetMark |
173,457,380 | false | 82 | null | 6,494,929 | null | false | [] | null | 6,441 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Pulmonary embolism tends to cause a transudative pleural effusion, and this history here does not indicate PE",
"id": "32204",
"label": "b",
"name": "Pulmonary embol... | MarksheetMark |
173,457,381 | false | 83 | null | 6,494,929 | null | false | [] | null | 6,442 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may be considered if the patient has very poor renal function and is not able to take either non-steroidal anti-inflammatory drugs or colchicine. Blood glucose monitoring should ... | MarksheetMark |
173,457,382 | false | 84 | null | 6,494,929 | null | false | [] | null | 6,443 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would appear as Gram-negative intracellular diplococci. It is associated with young sexually active adults",
"id": "32216",
"label": "d",
"name": "Escherichia c... | MarksheetMark |
173,457,383 | false | 85 | null | 6,494,929 | null | false | [] | null | 6,444 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may be found in transient ischaemic attack (TIA) due to carotid thromboembolism, which may result in transient monocular visual loss or amaurosis fugax. A TIA would not explain t... | MarksheetMark |
173,457,384 | false | 86 | null | 6,494,929 | null | false | [] | null | 6,445 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may be useful in looking for metastases, but it would not be useful in diagnosing suspected renal or bladder cancer",
"id": "32225",
"label": "c",
"name": "CT a... | MarksheetMark |
173,457,385 | false | 87 | null | 6,494,929 | null | false | [] | null | 6,446 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would be most appropriate in patients with suspected prostate cancer after taking into account relevant risk factors including age, prostate specific antigen level, DRE findings ... | MarksheetMark |
173,457,386 | false | 88 | null | 6,494,929 | null | false | [] | null | 6,447 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may be considered as a second line to bisphosphonates. It works by increasing renal calcium excretion and reducing bone resorption by osteoclasts. It is useful in rapidly lowerin... | MarksheetMark |
173,457,387 | false | 89 | null | 6,494,929 | null | false | [] | null | 6,448 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This has the highest association with smoking amongst the lung cancers. It typically presents with centrally located lung masses and tends to be associated with Cushing's syndrome due... | MarksheetMark |
173,457,388 | false | 90 | null | 6,494,929 | null | false | [] | null | 6,450 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Syringe drivers are given as continuous subcutaneous infusions over 24 hours. The oral morphine dose needs to be halved for subcutaneous (SC) administration via the syringe driver. The... | MarksheetMark |
173,457,389 | false | 91 | null | 6,494,929 | null | false | [] | null | 6,403 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is an X-linked recessive disorder",
"id": "32014",
"label": "b",
"name": "Duchenne muscular dystrophy",
"picture": null,
"votes": 1894
},
{
... | MarksheetMark |
173,457,390 | false | 92 | null | 6,494,929 | null | false | [] | null | 6,407 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is not required",
"id": "32037",
"label": "e",
"name": "HIV testing",
"picture": null,
"votes": 560
},
{
"__typename": "QuestionChoice... | MarksheetMark |
173,457,391 | false | 93 | null | 6,494,929 | null | false | [] | null | 6,409 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Based on the evidence given, the sensitivity of PSA testing is only 20%, which is not high. This means that some men with low PSA levels might still have prostate cancer. However, low... | MarksheetMark |
173,457,392 | false | 94 | null | 6,494,929 | null | false | [] | null | 6,432 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would be part of initial management to maintain patency of the ductus arteriosus, allowing blood to travel from the left to the right side of the heart. However, in this case, th... | MarksheetMark |
173,457,393 | false | 1 | null | 6,494,930 | null | false | [] | null | 6,451 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Nebulised bronchodilators would be indicated in asthma. There are no features to suggest asthma such as shortness of breath, wheeze or a prior history of atopy",
"id": "32255",
... | MarksheetMark |
173,457,394 | false | 2 | null | 6,494,930 | null | false | [] | null | 6,452 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Coronary stenting is often used in the management of acute coronary syndrome (ACS); however, for three-vessel coronary disease, outcomes are better with the use of CABG",
"id": ... | MarksheetMark |
173,457,395 | false | 3 | null | 6,494,930 | null | false | [] | null | 6,453 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has obstructive shock due to pericardial fluid that is reducing ventricular filling and thereby causing reduced cardiac output. Fluid challenges are more useful in the in... | MarksheetMark |
173,457,396 | false | 4 | null | 6,494,930 | null | false | [] | null | 6,454 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would be a treatment option for a patient with native valve streptococcal endocarditis. Benzylpenicillin would not work for staphylococcal species",
"id": "32270",
"l... | MarksheetMark |
173,457,397 | false | 5 | null | 6,494,930 | null | false | [] | null | 6,455 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Pulmonary vein ablation (PVA) is a treatment for symptomatic atrial fibrillation (AF). The area where tissue from the atrium and pulmonary veins meet is the source of ectopic atrial d... | MarksheetMark |
173,457,398 | false | 6 | null | 6,494,930 | null | false | [] | null | 6,456 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Verapamil is a non-dihydropyridine calcium channel blocker that acts on the heart. It should not be combined with a beta-blocker due to the risk of heart block",
"id": "32279",
... | MarksheetMark |
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