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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
173,457,399 | false | 7 | null | 6,494,930 | null | false | [] | null | 6,457 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Although this is likely a fibroadenoma, the patient should be referred for further investigations",
"id": "32284",
"label": "b",
"name": "Reassure the patient that t... | MarksheetMark |
173,457,400 | false | 8 | null | 6,494,930 | null | false | [] | null | 6,458 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication for fundoscopy before starting neoadjuvant therapy in a patient with breast cancer",
"id": "32292",
"label": "e",
"name": "Fundoscopy",
... | MarksheetMark |
173,457,401 | false | 9 | null | 6,494,930 | null | false | [] | null | 6,459 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has no risk factors for heart failure. It would be reasonable to check BNP levels as it has a high negative predictive value for heart failure, but, in this context, test... | MarksheetMark |
173,457,402 | false | 10 | null | 6,494,930 | null | false | [] | null | 6,460 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Mild hypercalcaemia is a feature of primary adrenal insufficiency of all causes. Infiltrative diseases such as sarcoidosis can cause primary adrenal insufficiency but this is rare",
... | MarksheetMark |
173,457,403 | false | 11 | null | 6,494,930 | null | false | [] | null | 6,461 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Hypomagnesaemia can lead to hypocalcaemia, and it is important to check magnesium levels after urgent treatment has been started",
"id": "32307",
"label": "e",
"name... | MarksheetMark |
173,457,404 | false | 12 | null | 6,494,930 | null | false | [] | null | 6,462 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "IBD is associated with erythema nodosum. The normal blood tests and absence of gastrointestinal or systemic symptoms would make this unlikely in this case",
"id": "32312",
... | MarksheetMark |
173,457,405 | false | 13 | null | 6,494,930 | null | false | [] | null | 6,463 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Meningococcal septicaemia can present with a purpuric rash, similar to that seen in small vessel vasculitis. However, the absence of any infective symptoms, normal observations and ch... | MarksheetMark |
173,457,406 | false | 14 | null | 6,494,930 | null | false | [] | null | 6,464 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Haematological malignancies can cause erythroderma; however, the lack of systemic symptoms, largely normal blood tests and absence of lymphadenopathy would go against this",
"id... | MarksheetMark |
173,457,407 | false | 15 | null | 6,494,930 | null | false | [] | null | 6,465 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would not be appropriate as hoarseness could be a sign of underlying malignancy",
"id": "32326",
"label": "d",
"name": "Reassure and discharge",
"picture"... | MarksheetMark |
173,457,408 | false | 16 | null | 6,494,930 | null | false | [] | null | 6,466 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Acetic acid can be used in the very early stages of infection. In this case, the inflammation, discharge and pain favour using a combination antibiotic/steroid ear drop",
"id": ... | MarksheetMark |
173,457,409 | false | 17 | null | 6,494,930 | null | false | [] | null | 6,467 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Cerumen (ear wax) in the ear canal is one of the most common causes of conductive hearing loss. It would not lead to a change in the appearance of the tympanic membrane",
"id": ... | MarksheetMark |
173,457,410 | false | 18 | null | 6,494,930 | null | false | [] | null | 6,468 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A pulmonary embolism of the size needed to cause respiratory accessory muscle usage would be expected to cause a decrease in oxygen saturation and arterial oxygen levels",
"id":... | MarksheetMark |
173,457,411 | false | 19 | null | 6,494,930 | null | false | [] | null | 6,469 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Given his underlying COPD and age, this patient has high risk characteristics associated with his pneumothorax. As it is greater than 2cm (i.e. amenable to drainage), guidelines sugges... | MarksheetMark |
173,457,412 | false | 20 | null | 6,494,930 | null | false | [] | null | 6,470 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "300mg of amiodarone is used in cardiac arrest secondary to VF or VT. However, it is only given after the 3rd shock",
"id": "32351",
"label": "d",
"name": "Administer... | MarksheetMark |
173,457,413 | false | 21 | null | 6,494,930 | null | false | [] | null | 6,471 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "TMA is characterised by the formation of thrombi in the small vasculature and associated microangiopathic haemolytic anaemia (MAHA) due to fragmentation of red blood cells. TMA alone ... | MarksheetMark |
173,457,414 | false | 22 | null | 6,494,930 | null | false | [] | null | 6,472 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no indication to restart a VRII if the patient's blood glucose is well controlled following conversion to their usual subcutaneous insulin regime",
"id": "32360",
... | MarksheetMark |
173,457,415 | false | 23 | null | 6,494,930 | null | false | [] | null | 6,473 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Cerebral amyloid angiopathy is the most common cause of lobar intracerebral haemorrhage in older adults. A thalamic stroke is more likely to be due to hypertensive vasculopathy",
... | MarksheetMark |
173,457,416 | false | 24 | null | 6,494,930 | null | false | [] | null | 6,474 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Unsynchronised DC cardioversion (defibrillation) is used in cases of cardiac arrest in the presence of a shockable rhythm. The shock is delivered at any point in the cardiac cycle",
... | MarksheetMark |
173,457,417 | false | 25 | null | 6,494,930 | null | false | [] | null | 6,475 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Insulin can be used for steroid-induced diabetes; however, NovoRapid is a fast-acting insulin and would not help maintain normal glucose levels throughout the day. Intermediate-acting... | MarksheetMark |
173,457,418 | false | 26 | null | 6,494,930 | null | false | [] | null | 6,476 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A thyroglossal cyst would be expected to move upwards on protrusion of the tongue. It would also usually not present with pain",
"id": "32379",
"label": "b",
"name":... | MarksheetMark |
173,457,419 | false | 27 | null | 6,494,930 | null | false | [] | null | 6,477 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Cushing's syndrome can be caused by an adrenal lesion such as an adenoma or carcinoma, and imaging may help confirm this diagnosis. However, this would usually be done once a diagnosi... | MarksheetMark |
173,457,420 | false | 28 | null | 6,494,930 | null | false | [] | null | 6,478 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Low strength capsaicin cream can be used for the treatment of localised neuropathic pain. This patient's pain is more widespread and so topical treatment is unlikely to be beneficial.... | MarksheetMark |
173,457,421 | false | 29 | null | 6,494,930 | null | false | [] | null | 6,479 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The patient has capacity and can communicate his decision. There's no indication of psychiatric illness here so a referral to psychiatry is not indicated or appropriate",
"id": ... | MarksheetMark |
173,457,422 | false | 30 | null | 6,494,930 | null | false | [] | null | 6,480 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Drivers have a legal duty to inform the Driver and Vehicle Licensing Agency (DVLA) if they have a condition that impairs their ability to drive. A doctor should inform the patient of ... | MarksheetMark |
173,457,423 | false | 31 | null | 6,494,930 | null | false | [] | null | 6,481 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "CPR should be discussed with the patient prior to making a decision on whether they should be for it or not.",
"id": "32407",
"label": "e",
"name": "Proceed with ful... | MarksheetMark |
173,457,424 | false | 32 | null | 6,494,930 | null | false | [] | null | 6,482 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Shared decision refers to a process where both the doctor and the patient contribute towards making a personalised decision on management",
"id": "32412",
"label": "e",
... | MarksheetMark |
173,457,425 | false | 33 | null | 6,494,930 | null | false | [] | null | 6,483 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Haemochromatosis is a disorder of iron overload and can either be primary (an autosomal recessive disorder that results in an inability to regulate iron absorption) or secondary (due ... | MarksheetMark |
173,457,426 | false | 34 | null | 6,494,930 | null | false | [] | null | 6,484 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has symptoms suggestive of severe colitis, which has the potential to deteriorate significantly. He should be admitted to hospital for investigation and management",
... | MarksheetMark |
173,457,427 | false | 35 | null | 6,494,930 | null | false | [] | null | 6,485 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no role for oesophagectomy in Barrett's. Oesophagectomy is a treatment option for oesophageal carcinoma",
"id": "32426",
"label": "d",
"name": "Referral to ... | MarksheetMark |
173,457,428 | false | 36 | null | 6,494,930 | null | false | [] | null | 6,486 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Pancreatic pseudocysts are a common complication of acute or chronic pancreatitis. They occur due to damage to the pancreatic ducts, which leads to cystic accumulation of pancreatic ju... | MarksheetMark |
173,457,429 | false | 37 | null | 6,494,930 | null | false | [] | null | 6,487 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Faecal calprotectin is a measure of intestinal inflammation. It may be raised in coeliac disease and conditions such as inflammatory bowel disease, colorectal cancer and infectious co... | MarksheetMark |
173,457,430 | false | 38 | null | 6,494,930 | null | false | [] | null | 6,488 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "RSV can cause croup; however, parainfluenza is more common. RSV is the most common causative organism in bronchiolitis",
"id": "32439",
"label": "b",
"name": "Respir... | MarksheetMark |
173,457,431 | false | 39 | null | 6,494,930 | null | false | [] | null | 6,489 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Urgent breast clinic referral would be warranted if there are signs of a breast abscess. A breast abscess would present with a painful swollen lump in the breast, often with a history... | MarksheetMark |
173,457,432 | false | 40 | null | 6,494,930 | null | false | [] | null | 6,491 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "As this patient has symptoms of an untreated sexually transmitted infection, the IUD is contraindicated",
"id": "32454",
"label": "b",
"name": "Offer the copper intr... | MarksheetMark |
173,457,433 | false | 41 | null | 6,494,930 | null | false | [] | null | 6,492 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Home blood pressure monitoring (HBPM) is an alternative to ambulatory blood pressure monitoring. HBPM is not indicated if a diagnosis of hypertension has been confirmed with ambulator... | MarksheetMark |
173,457,434 | false | 42 | null | 6,494,930 | null | false | [] | null | 6,493 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A CT head would be indicated if a central cause of vertigo (e.g. stroke) was suspected. Signs of central vertigo on a HINTS exam are a negative head impulse test, bidirectional nystag... | MarksheetMark |
173,457,435 | false | 43 | null | 6,494,930 | null | false | [] | null | 6,494 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Warfarin is not used in acute limb ischaemia. Commencement of warfarin would delay any surgical intervention that may be necessary due to its long half-life",
"id": "32471",
... | MarksheetMark |
173,457,436 | false | 44 | null | 6,494,930 | null | false | [] | null | 6,495 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Endovascular intervention, including thrombolysis, may be indicated in this patient; however, a diagnosis of acute mesenteric ischaemia should first be confirmed by CT angiography",
... | MarksheetMark |
173,457,437 | false | 45 | null | 6,494,930 | null | false | [] | null | 6,496 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A peak flow measurement would not be possible in a patient who is intubated and ventilated",
"id": "32480",
"label": "c",
"name": "Peak flow",
"picture": null,... | MarksheetMark |
173,457,438 | false | 46 | null | 6,494,930 | null | false | [] | null | 6,497 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Hypocalcemia is an important complication of thyroid surgery due to disruption of parathyroid gland function. However, there are no symptoms of hypocalcemia described",
"id": "3... | MarksheetMark |
173,457,439 | false | 47 | null | 6,494,930 | null | false | [] | null | 6,498 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "In low-risk patients, clopidogrel should be stopped for at least 7 days before surgery",
"id": "32490",
"label": "c",
"name": "24 hours",
"picture": null,
... | MarksheetMark |
173,457,440 | false | 48 | null | 6,494,930 | null | false | [] | null | 6,499 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "IM ceftriaxone is the first-line treatment for uncomplicated anogenital gonorrhoea infections in the community. The white discharge and absence of any other genito-urinary symptoms ma... | MarksheetMark |
173,457,441 | false | 49 | null | 6,494,930 | null | false | [] | null | 6,500 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Conservative management would be the first-line treatment for genital herpes. Genital herpes would present with painful genital ulceration and it is not associated with buboes",
... | MarksheetMark |
173,457,442 | false | 50 | null | 6,494,930 | null | false | [] | null | 6,501 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "TVUS is an invasive examination and would therefore not be the initial investigation of choice. A TVUS may be indicated where the pregnancy test is negative and polycystic ovary syndr... | MarksheetMark |
173,457,443 | false | 51 | null | 6,494,930 | null | false | [] | null | 6,502 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Depending on the level of abdominal distention some patients may experience breathlessness due to their inability to take deep breaths. In this case, this would not explain her unilat... | MarksheetMark |
173,457,444 | false | 52 | null | 6,494,930 | null | false | [] | null | 6,504 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A knee x-ray may be helpful in showing a large effusion but the history is not suggestive of a bony injury therefore x-ray will not give you a definitive diagnosis in this case",
... | MarksheetMark |
173,457,445 | false | 53 | null | 6,494,930 | null | false | [] | null | 6,505 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has failed anticoagulation with a direct oral anticoagulant (DOAC). The National Institute for Health Care Excellence (NICE) guidance therefore suggests confirming her adh... | MarksheetMark |
173,457,446 | false | 54 | null | 6,494,930 | null | false | [] | null | 6,507 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Given the chronicity of this infection and the relative immunosuppression of a patient with poorly controlled diabetes, it is important to rule out osteomyelitis which would require ex... | MarksheetMark |
173,457,447 | false | 55 | null | 6,494,930 | null | false | [] | null | 6,508 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A quinsey is another term for a peritonsillar abscess. This is a more common complication of under-treated bacterial throat infections and often requires incision and drainage. A quin... | MarksheetMark |
173,457,448 | false | 56 | null | 6,494,930 | null | false | [] | null | 6,509 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Sensitivity of a test is the ability of a test to correctly identify those with a disease.\n\nSensitivity = true positives / (true positives + false negatives)\n\nSo in this case 80/(8... | MarksheetMark |
173,457,449 | false | 57 | null | 6,494,930 | null | false | [] | null | 6,510 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is incorrect as this is the risk of developing diabetes in the placebo group",
"id": "32551",
"label": "d",
"name": "0.72",
"picture": null,
"votes"... | MarksheetMark |
173,457,450 | false | 58 | null | 6,494,930 | null | false | [] | null | 6,513 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Whilst a CT of his abdomen and pelvis would be useful in aiding diagnosis, at the moment his renal function is poor and contrast is best avoided",
"id": "32564",
"label": ... | MarksheetMark |
173,457,451 | false | 59 | null | 6,494,930 | null | false | [] | null | 6,514 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Whilst hypertension requires aggressive treatment in IgA nephropathy, 5mg is a high starting dose as patients are usually started at 1.25-2.5mg and then gradually increased at two wee... | MarksheetMark |
173,457,452 | false | 60 | null | 6,494,930 | null | false | [] | null | 6,515 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Whilst vascular dementia may be the precipitating factor for his cognitive decline; it would not account for the changes in his blood tests",
"id": "32574",
"label": "b",
... | MarksheetMark |
173,457,453 | false | 61 | null | 6,494,930 | null | false | [] | null | 6,516 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is the next step if two doses of benzodiazepines do not work and the patient continues to be in status epilepticus. Be aware that phenytoin infusions are likely to cause a drop i... | MarksheetMark |
173,457,454 | false | 62 | null | 6,494,930 | null | false | [] | null | 6,517 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is less likely to be the case here as the movements described are not typical of a tonic-clonic seizure where the movements are more synchronous jerking of the limbs, with the he... | MarksheetMark |
173,457,455 | false | 63 | null | 6,494,930 | null | false | [] | null | 6,518 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A lumbar puncture in Guillain-Barré Syndrome typically shows an elevated cerebrospinal fluid (CSF) protein with a normal cell count. LP findings do not correlate with severity of ill... | MarksheetMark |
173,457,456 | false | 64 | null | 6,494,930 | null | false | [] | null | 6,519 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Infection is a common cause of falls in the elderly. Common sources are urine and chest; however, there is nothing in the history suggestive of infection; therefore, whilst this is al... | MarksheetMark |
173,457,457 | false | 65 | null | 6,494,930 | null | false | [] | null | 6,520 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Multiple Sclerosis is a definite cause of a medical third nerve palsy. However, the normal MRI Head, lack of any previous neurological history and significant vascular risk factors in... | MarksheetMark |
173,457,458 | false | 66 | null | 6,494,930 | null | false | [] | null | 6,521 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Whilst liver function tests would help confirm whether this was true jaundice, they would not help diagnose the underlying cause",
"id": "32605",
"label": "c",
"name... | MarksheetMark |
173,457,459 | false | 67 | null | 6,494,930 | null | false | [] | null | 6,522 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Asking the mother to lie in the left lateral position can shift weight off the maternal vessels and correct cord compression, however as the foetal blood sampling is abnormal, the foe... | MarksheetMark |
173,457,460 | false | 68 | null | 6,494,930 | null | false | [] | null | 6,523 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a reasonable differential diagnosis; however, as he has never suffered with this before, this would need to be a diagnosis of exclusion given the patient's age and comorbiditi... | MarksheetMark |
173,457,461 | false | 69 | null | 6,494,930 | null | false | [] | null | 6,524 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has untreated hyperthyroidism and has symptoms suggestive of thyroid eye disease that has gone untreated, and her symptoms suggest optic nerve compression. It is important... | MarksheetMark |
173,457,462 | false | 70 | null | 6,494,930 | null | false | [] | null | 6,525 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A foreign body may cause irritation and lead to inflammation of the eye; however, this history does not suggest trauma to the eye",
"id": "32626",
"label": "d",
"nam... | MarksheetMark |
173,457,463 | false | 71 | null | 6,494,930 | null | false | [] | null | 6,527 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient remains unwell despite broad-spectrum antibiotics. As a prosthesis is involved, he will likely need a surgical washout of the joint in theatres and may even need removal o... | MarksheetMark |
173,457,464 | false | 72 | null | 6,494,930 | null | false | [] | null | 6,528 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would indicate hypoxaemia, commonly seen respiratory failure in conditions such as chronic obstructive pulmonary disease (COPD). Hypoxaemia is not a common finding in DKA",
... | MarksheetMark |
173,457,465 | false | 73 | null | 6,494,930 | null | false | [] | null | 6,529 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Levetiracetam is an antiepileptic medication that can be used in the treatment of childhood epilepsy. However, this child has only had one self-limiting episode and does not yet have ... | MarksheetMark |
173,457,466 | false | 74 | null | 6,494,930 | null | false | [] | null | 6,530 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has clearly stated that she is already having intercourse with her boyfriend and is requesting contraception. Refusing to provide her with treatment is unsafe and not in ... | MarksheetMark |
173,457,467 | false | 75 | null | 6,494,930 | null | false | [] | null | 6,531 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This newborn has a positive Ortolani and therefore investigation and prompt treatment are indicated",
"id": "32657",
"label": "e",
"name": "Reassure and discharge",
... | MarksheetMark |
173,457,468 | false | 76 | null | 6,494,930 | null | false | [] | null | 6,532 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A single dose of oral corticosteroid (such as prednisolone or dexamethasone) may be given in the initial treatment of croup. If the child is too unwell to take the steroid orally, it ... | MarksheetMark |
173,457,469 | false | 77 | null | 6,494,930 | null | false | [] | null | 6,533 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This is a case of bronchiolitis, the most common respiratory presentation in children under the age of two years old, peaking between the ages of three and six months. It is usually co... | MarksheetMark |
173,457,470 | false | 78 | null | 6,494,930 | null | false | [] | null | 6,534 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Benzodiazepines such as lorazepam are used in the treatment of serotonin syndrome, which occurs as a result of high levels of serotonin in the body. It is an uncommon but serious side... | MarksheetMark |
173,457,471 | false | 79 | null | 6,494,930 | null | false | [] | null | 6,535 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Patients started on risperidone should be monitored for prolactin concentration at the start of therapy, at six months, and then yearly. Clozapine can cause agranulocytosis and theref... | MarksheetMark |
173,457,472 | false | 80 | null | 6,494,930 | null | false | [] | null | 6,536 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a reasonable differential as the signs and symptoms of alcohol and opiate withdrawal are very similar, however, dilated pupils are more commonly associated with opiate withdra... | MarksheetMark |
173,457,473 | false | 81 | null | 6,494,930 | null | false | [] | null | 6,537 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no evidence to suggest that this patient has an advanced directive or care plan in place stating that they do not want active treatment. Therefore, you should initiate treatm... | MarksheetMark |
173,457,474 | false | 82 | null | 6,494,930 | null | false | [] | null | 6,538 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "An ABG would help determine if this patient has type one or type two respiratory failure; however, it would not provide an underlying diagnosis",
"id": "32690",
"label": "... | MarksheetMark |
173,457,475 | false | 83 | null | 6,494,930 | null | false | [] | null | 6,539 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The criteria for LTOT in COPD are patients either a PaO2 <7.3 when stable or PaO2 7.3–8 kPa when stable and also have either secondary polycythaemia, peripheral oedema, or evidence of ... | MarksheetMark |
173,457,476 | false | 84 | null | 6,494,930 | null | false | [] | null | 6,540 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Oral steroids are reasonable in symptomatic sarcoid; however, intravenous pulsed steroids are rarely indicated in sarcoidosis",
"id": "32699",
"label": "b",
"name": ... | MarksheetMark |
173,457,477 | false | 85 | null | 6,494,930 | null | false | [] | null | 6,541 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The National Institute for Health and Care Excellence (NICE) recommends that nicotine replacement therapy (NRT) with varenicline OR bupropion, as appropriate, to people planning to st... | MarksheetMark |
173,457,478 | false | 86 | null | 6,494,930 | null | false | [] | null | 6,542 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Warfarin is an anticoagulant that is sometimes used in patients who are pro-coagulant or who have venous thrombosis, particularly if they have failed treatment with a direct oral anti... | MarksheetMark |
173,457,479 | false | 87 | null | 6,494,930 | null | false | [] | null | 6,543 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Steroid injections may be of benefit in reducing her symptoms but are not always effective and carry risks, including that of introducing infection; as she has diabetes, this risk is ... | MarksheetMark |
173,457,480 | false | 88 | null | 6,494,930 | null | false | [] | null | 6,544 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "300mg of aspirin would be the treatment of choice if this patient were suspected of having a transient ischaemic attack (TIA); however, whilst TIAs can present with blindness, they do... | MarksheetMark |
173,457,481 | false | 89 | null | 6,494,930 | null | false | [] | null | 6,545 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is infection/inflammation of the testis and epididymis. It is often caused by sexually transmitted infections such as chlamydia but also caused by viral causes such as mumps. Pat... | MarksheetMark |
173,457,482 | false | 90 | null | 6,494,930 | null | false | [] | null | 6,546 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Whilst the stone is 6mm and therefore unlikely to pass spontaneously, the main issue here is the infected obstructed system that requires urgent intervention. If she was not septic, t... | MarksheetMark |
173,457,483 | false | 91 | null | 6,494,930 | null | false | [] | null | 6,547 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Hyponatreamia can be a sign of paraneoplastic syndromes such as syndrome of inappropriate ADH. It is not in keeping with tumour lysis syndrome",
"id": "32736",
"label": "d... | MarksheetMark |
173,457,484 | false | 92 | null | 6,494,930 | null | false | [] | null | 6,548 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Pleural effusions can be associated with malignancy, and these are usually exudative. Pleural effusions are usually associated with reduced air entry and dull percussion notes as oppo... | MarksheetMark |
173,457,485 | false | 93 | null | 6,494,930 | null | false | [] | null | 6,549 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "She is ambulatory and capable of all self-care but unable to carry out any work activities. She is up and about more than 50% of the day",
"id": "32743",
"label": "a",
... | MarksheetMark |
173,457,486 | false | 94 | null | 6,494,930 | null | false | [] | null | 6,550 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Nebulised salbutamol is used in the treatment of airway inflammation. As this patient does not currently have symptoms of airway inflammation, this is not currently indicated, and the... | MarksheetMark |
173,457,487 | false | 95 | null | 6,494,930 | null | false | [] | null | 6,511 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is incorrect as the horizontal line on a forest plot indicates the confidence intervals as opposed to the range of the data sets. A wide confidence interval indicates instability... | MarksheetMark |
173,457,630 | false | 1 | null | 6,494,934 | null | false | [] | null | 6,551 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Ropinirole is a dopamine agonist used to treat Parkinson's. Side effects include postural hypotension, hallucinations and movement disorders. It is unlikely to lead to third degree he... | MarksheetMark |
173,457,631 | false | 2 | null | 6,494,934 | null | false | [] | null | 6,552 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Hypotension and raised jugular venous pressure may occur in pneumothorax, especially a tension pneumothorax. However, this is likely to be accompanied by sudden onset pleuritic chest ... | MarksheetMark |
173,457,634 | false | 3 | null | 6,494,934 | null | false | [] | null | 6,553 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The left anterior descending artery supplies the anterior section of the heart. An anterior STEMI would usually show ST elevation in V1, V2, V3 and V4. Anterior infarcts have the poor... | MarksheetMark |
173,457,638 | false | 4 | null | 6,494,934 | null | false | [] | null | 6,554 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Indapamide is a thiazide-type diuretic, it inhibits sodium reabsorption in the distal convoluted tubules. It is more likely to lead to hypokalaemia than hyperkalaemia",
"id": "3... | MarksheetMark |
173,457,641 | false | 5 | null | 6,494,934 | null | false | [] | null | 6,555 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Anticoagulation should be avoided in Dressler's syndrome due to the risk of haemorrhage into the pericardium and cardiac tamponade",
"id": "32775",
"label": "c",
"na... | MarksheetMark |
173,457,645 | false | 6 | null | 6,494,934 | null | false | [] | null | 6,556 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "First degree atrioventricular heart block involves a prolongation of the PR interval of more than 200ms. In this case, the ECG shows a PR interval of greater than 300ms. The ECG also s... | MarksheetMark |
173,457,648 | false | 7 | null | 6,494,934 | null | false | [] | null | 6,557 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Metformin is the first line treatment for type 2 diabetes mellitus. Common side effects include nausea, diarrhoea and abdominal pain. An important, rare side effect is lactic acidosis... | MarksheetMark |
173,457,650 | false | 8 | null | 6,494,934 | null | false | [] | null | 6,558 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Chemotherapy may be recommended if the tumour was malignant",
"id": "32791",
"label": "d",
"name": "Chemotherapy",
"picture": null,
"votes": 92
},
... | MarksheetMark |
173,457,654 | false | 9 | null | 6,494,934 | null | false | [] | null | 6,559 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Be careful to multiply the sodium concentration by two rather than square it",
"id": "32796",
"label": "d",
"name": "13933.5 mOsmo/kg",
"picture": null,
... | MarksheetMark |
173,457,656 | false | 10 | null | 6,494,934 | null | false | [] | null | 6,560 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is highly unlikely given nothing in the history is mentioned about possible overdose or suicidal ideation. Furthermore, ethylene glycol poisoning would result in a high anion gap... | MarksheetMark |
173,457,659 | false | 11 | null | 6,494,934 | null | false | [] | null | 6,561 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The white cell count is slightly raised. However, it is not raised above the levels required to score a point in the Glasgow score. The Glasgow score is used to assess whether a patie... | MarksheetMark |
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