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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
173,457,661 | false | 12 | null | 6,494,934 | null | false | [] | null | 6,562 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Cannabis sativa extract should not be prescribed in a non-specialist setting",
"id": "32812",
"label": "e",
"name": "Cannabis sativa extract",
"picture": null,... | MarksheetMark |
173,457,664 | false | 13 | null | 6,494,934 | null | false | [] | null | 6,563 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Metformin is the first line treatment of type II diabetes mellitus. The patient is displaying unilateral paraesthesia symptoms, which are less likely to be due to a peripheral nephrop... | MarksheetMark |
173,457,667 | false | 14 | null | 6,494,934 | null | false | [] | null | 6,564 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Ink burrow testing is performed to diagnose scabies. This is more commonly associated with fine, silvery lines usually seen in the interdigital spaces",
"id": "32822",
"la... | MarksheetMark |
173,457,670 | false | 15 | null | 6,494,934 | null | false | [] | null | 6,565 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Vertigo, tinnitus and fluctuating hearing loss are classic Ménière's disease symptoms. The hallmark of the disease is that these symptoms are episodic and fluctuating in nature",
... | MarksheetMark |
173,457,674 | false | 16 | null | 6,494,934 | null | false | [] | null | 6,566 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Pleomorphic adenoma is the most common tumour of the parotid gland. It is a benign tumour, but in a very small minority of cases can become malignant. Signs of malignant tumours in the... | MarksheetMark |
173,457,675 | false | 17 | null | 6,494,934 | null | false | [] | null | 6,567 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "There is no evidence to support the use of antihistamines in acute otitis media",
"id": "32836",
"label": "d",
"name": "Regular analgesia and an antihistamine",
... | MarksheetMark |
173,457,676 | false | 18 | null | 6,494,934 | null | false | [] | null | 6,568 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Tolvaptan is a V2 receptor agonist. It can be used as a second line treatment for patients with SIADH, it should be prescribed after specialist consultation",
"id": "32841",
... | MarksheetMark |
173,457,679 | false | 19 | null | 6,494,934 | null | false | [] | null | 6,569 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This is the correct answer. The patient is experiencing anaphylaxis and therefore, requires IM adrenaline urgently. Note that the correct concentration for IM adrenaline is (1:1000) co... | MarksheetMark |
173,457,682 | false | 20 | null | 6,494,934 | null | false | [] | null | 6,570 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is the correct total score, but incorrect in the constituent parts. The patient's eyes only open to pain, therefore, this scores a 2. She is able to articulate words, rather than... | MarksheetMark |
173,457,687 | false | 21 | null | 6,494,934 | null | false | [] | null | 6,571 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "CSF examination in Mycobacterium Tuberculosis will most likely have a cloudy appearance; elevated protein; low glucose; white cell count of roughly 20 cells/ mL; and an elevated openi... | MarksheetMark |
173,457,694 | false | 22 | null | 6,494,934 | null | false | [] | null | 6,572 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Lung function tests are unlikely to be useful in this acute scenario",
"id": "32861",
"label": "d",
"name": "Lung function tests",
"picture": null,
"vote... | MarksheetMark |
173,457,702 | false | 23 | null | 6,494,934 | null | false | [] | null | 6,573 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Linagliptin is a dipeptidylpeptidase-4 inhibitor. Liver damage is not a known side effect",
"id": "32866",
"label": "d",
"name": "Linagliptin, 5mg, oral, once a day"... | MarksheetMark |
173,457,704 | false | 24 | null | 6,494,934 | null | false | [] | null | 6,574 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has presented with signs and symptoms of hypothermia. J waves can be seen in hypothermic patients, often at a temperature of less than 30 degrees. The height of the J wave... | MarksheetMark |
173,457,708 | false | 25 | null | 6,494,934 | null | false | [] | null | 6,575 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has pancytopenia on their blood film and is displaying signs and symptoms of bone marrow depression. Bone marrow depression occurs in roughly 1 in 1000 patients who take c... | MarksheetMark |
173,457,711 | false | 26 | null | 6,494,934 | null | false | [] | null | 6,576 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient requires immediate glucose replacement. However, they are more likely to require potassium replacement rather than sodium. This is due to the effect that insulin has on i... | MarksheetMark |
173,457,713 | false | 27 | null | 6,494,934 | null | false | [] | null | 6,577 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This is a difficult question. This patient has developed chylothorax, which is leaking through his chest drain. Traumatic chylothoraces are the most common type, and they can occur in ... | MarksheetMark |
173,457,718 | false | 28 | null | 6,494,934 | null | false | [] | null | 6,578 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "It is important to first restore circulatory volume and start a fixed-rate IV insulin infusion",
"id": "32891",
"label": "d",
"name": "IV IV 0.9% sodium chloride 1L ... | MarksheetMark |
173,457,720 | false | 29 | null | 6,494,934 | null | false | [] | null | 6,579 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This is a poor choice, even if the doctor has mitigated the scenario slightly by looking up the details of the surgery. This consent requires a complex understanding of the operation ... | MarksheetMark |
173,457,723 | false | 30 | null | 6,494,934 | null | false | [] | null | 6,580 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The first part of this choice is correct: the patient's capacity should be assessed in keeping with Principle 1 of the Mental Capacity Act (2005). However, there is nothing in the ste... | MarksheetMark |
173,457,725 | false | 31 | null | 6,494,934 | null | false | [] | null | 6,581 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Although the mother is upset about the lack of information that she has received it is still not acceptable to break patient-doctor confidentiality",
"id": "32907",
"label... | MarksheetMark |
173,457,730 | false | 32 | null | 6,494,934 | null | false | [] | null | 6,583 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The history, combined with the ascitic tap results, point towards a diagnosis of spontaneous bacterial peritonitis. Ascitic fluid is likely to appear cloudy in spontaneous bacterial pe... | MarksheetMark |
173,457,732 | false | 33 | null | 6,494,934 | null | false | [] | null | 6,584 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Irritable bowel syndrome may present with similar symptoms, which can become worse in periods of stress. However, the histology findings point towards an inflammatory cause",
"i... | MarksheetMark |
173,457,736 | false | 34 | null | 6,494,934 | null | false | [] | null | 6,585 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Shigellosis is associated with foreign travel. It usually leads to watery diarrhoea, however, blood and mucus can also be seen in the stool. It is a self-limiting disease that usually... | MarksheetMark |
173,457,738 | false | 35 | null | 6,494,934 | null | false | [] | null | 6,586 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Pancreatic cancer classically presents as painless jaundice. There can be some accompanying generalised, nonspecific signs of epigastric or back pain. Painless obstructive jaundice is ... | MarksheetMark |
173,457,740 | false | 36 | null | 6,494,934 | null | false | [] | null | 6,587 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Anticentromere antibodies are found to be positive in approximately 80% of patients with CREST syndrome. (CREST syndrome stands for calcinosis, Raynaud's phenomenon, (o)esophageal dys... | MarksheetMark |
173,457,742 | false | 37 | null | 6,494,934 | null | false | [] | null | 6,588 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Opiates should be avoided in migraine headache",
"id": "32942",
"label": "e",
"name": "Co-codamol 30/500mg",
"picture": null,
"votes": 448
},
{
... | MarksheetMark |
173,457,744 | false | 38 | null | 6,494,934 | null | false | [] | null | 6,589 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Fenofibrate is prescribed for patients with hyperlipidaemia or hypertriglyceridaemia",
"id": "32947",
"label": "e",
"name": "Fenofibrate",
"picture": null,
... | MarksheetMark |
173,457,746 | false | 39 | null | 6,494,934 | null | false | [] | null | 6,590 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Ovarian cancer comes under category 1 in the UK Medical Eligibility criteria (UKMEC), therefore, they recommend unrestricted use",
"id": "32951",
"label": "d",
"name... | MarksheetMark |
173,457,748 | false | 40 | null | 6,494,934 | null | false | [] | null | 6,591 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This is the correct answer. Guidelines for progesterone only pills differ, depending on the pill. For the traditional POP you are not protected against pregnancy if it is more than 3 h... | MarksheetMark |
173,457,751 | false | 41 | null | 6,494,934 | null | false | [] | null | 6,592 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Guttate psoriasis also presents with salmon pink plaques, most commonly on the torso. It is usually preceded by a respiratory infection 2-3 weeks previously. However, there is not usu... | MarksheetMark |
173,457,754 | false | 42 | null | 6,494,934 | null | false | [] | null | 6,593 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Although there are signs of consolidation on the chest X-ray, there is concern that this could be due to an underlying malignancy rather than a persistent infection, therefore, the pa... | MarksheetMark |
173,457,755 | false | 43 | null | 6,494,934 | null | false | [] | null | 6,594 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Proctalgia fugax leads to intermittent severe pain localised to the rectum. It will usually completely resolve within seconds to minutes. The cause is unknown. Proctalgia fugax would ... | MarksheetMark |
173,457,757 | false | 44 | null | 6,494,934 | null | false | [] | null | 6,595 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "IV gentamicin is commonly used for perioperative prophylaxis in urological surgeries",
"id": "32976",
"label": "d",
"name": "IV gentamicin",
"picture": null,
... | MarksheetMark |
173,457,759 | false | 45 | null | 6,494,934 | null | false | [] | null | 6,596 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "NICE guidelines states that any patient with suspected acute cholecystitis should be urgently admitted to hospital. This patient has signs and symptoms highly suspicious of acute chole... | MarksheetMark |
173,457,761 | false | 46 | null | 6,494,934 | null | false | [] | null | 6,597 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "After an operation, a patient should continue with an insulin-glucose infusion until they can tolerate at least 50% of their usual diet",
"id": "32983",
"label": "a",
... | MarksheetMark |
173,457,763 | false | 47 | null | 6,494,934 | null | false | [] | null | 6,598 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Whilst many patients are treated with decompression via sigmoidoscopy, the first priority is to ensure the patient is nil by mouth and is given appropriate IV fluid replacement",
... | MarksheetMark |
173,457,764 | false | 48 | null | 6,494,934 | null | false | [] | null | 6,599 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Although paracetamol may be helpful as an antipyretic and analgesia, it would not help treat the underlying infective cause",
"id": "32997",
"label": "e",
"name": "P... | MarksheetMark |
173,457,766 | false | 49 | null | 6,494,934 | null | false | [] | null | 6,600 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Penile discharge is common in trichomoniasis. However, it is caused by a protozoan rather than a bacterium",
"id": "33001",
"label": "d",
"name": "Trichomoniasis",
... | MarksheetMark |
173,457,768 | false | 50 | null | 6,494,934 | null | false | [] | null | 6,601 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Any woman (especially if 50 or over) presenting with persistent abdominal distention (or \"bloating\"), early satiety/loss of appetite, pelvic/abdominal pain, or increased urinary urge... | MarksheetMark |
173,457,770 | false | 51 | null | 6,494,934 | null | false | [] | null | 6,602 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This may help in confirming the aetiology of the anaemia, although the clinical information provides enough information to reasonably assume the anaemia was caused either by menorrhag... | MarksheetMark |
173,457,773 | false | 52 | null | 6,494,934 | null | false | [] | null | 6,603 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient is rightly concerned about her risk of endometrial cancer - having PCOS and having two family members who developed endometrial cancer places her at high risk. It would b... | MarksheetMark |
173,457,775 | false | 53 | null | 6,494,934 | null | false | [] | null | 6,604 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Acute hepatitis would present with grossly deranged liver enzymes and raised bilirubin. A raised bilirubin with anaemia and normal liver enzymes is more typical for haemolytic anaemia... | MarksheetMark |
173,457,778 | false | 54 | null | 6,494,934 | null | false | [] | null | 6,606 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "While aCL antibodies can be found in Behçet's syndrome, there would likely also be a history of recurrent aphthous ulcers and uveitis. With positive LA antibodies, this points to anti... | MarksheetMark |
173,457,780 | false | 55 | null | 6,494,934 | null | false | [] | null | 6,607 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Splenectomy causes an increased risk of infection from encapsulated organisms with a 10-20 times greater risk of acquiring sepsis. P. jirovecii is a yeast-like fungus, and it does not... | MarksheetMark |
173,457,783 | false | 56 | null | 6,494,934 | null | false | [] | null | 6,608 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would present with positive anti-HBc but negative HBsAg, anti-HBs, and IgM anti-HBc. These results could also indicate \"low-level\" chronic infection or resolved infection",
... | MarksheetMark |
173,457,784 | false | 57 | null | 6,494,934 | null | false | [] | null | 6,609 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The specificity is the proportion of patients without the condition with a negative test result. This is calculated as the true negative/(true negative + false positive) = 640/(640+70... | MarksheetMark |
173,457,785 | false | 58 | null | 6,494,934 | null | false | [] | null | 6,610 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "8% corresponds to the absolute relative risk, calculated as 20%-12%. This means that if you treated 100 people with this drug, 8 would be prevented from having a colitic flare in the ... | MarksheetMark |
173,457,786 | false | 59 | null | 6,494,934 | null | false | [] | null | 6,611 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "The summary measure of the meta-analysis is portrayed as a diamond, with the vertical points lying on the mean effect and the horizontal points measuring the confidence intervals",
... | MarksheetMark |
173,457,787 | false | 60 | null | 6,494,934 | null | false | [] | null | 6,612 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Positive predictive value is the chance that the patient has the condition if the test is positive. This corresponds to true positive/(true positive + false positive) = 600/(600+60) =... | MarksheetMark |
173,457,788 | false | 61 | null | 6,494,934 | null | false | [] | null | 6,613 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "As functioning nephrons decline in CKD, acid secretion is initially compensated by ammonium excretion (up to 40-50mL/min glomerular filtration rate). Beyond this, CKD leads to the rete... | MarksheetMark |
173,457,789 | false | 62 | null | 6,494,934 | null | false | [] | null | 6,614 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Post-infectious glomerulonephritis can occur after almost any infection, but typically occurs 1-4 weeks following infection. Classically it presents following pharyngeal infection wit... | MarksheetMark |
173,457,790 | false | 63 | null | 6,494,934 | null | false | [] | null | 6,615 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Cinacalcet is a treatment used to treat secondary hyperparathyroidism, although it is reserved for patients on dialysis. It mimics the action of calcium on the tissues (calcimimetic) ... | MarksheetMark |
173,457,791 | false | 64 | null | 6,494,934 | null | false | [] | null | 6,616 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "While duloxetine is used in other forms of neuropathic pain, there is no evidence for its use in trigeminal neuralgia",
"id": "33079",
"label": "b",
"name": "Duloxet... | MarksheetMark |
173,457,792 | false | 65 | null | 6,494,934 | null | false | [] | null | 6,617 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient is experiencing progressive facial weakness, bilateral ptosis, and diplopia - worse on progressive use, suggestive of myasthenia gravis. The first-line investigation is se... | MarksheetMark |
173,457,793 | false | 66 | null | 6,494,934 | null | false | [] | null | 6,618 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Guillain-Barré Syndrome (GBS) presents with progressive ascending weakness of all limbs. Reflexes are reduced or absent and, if paraesthesia is present, it is often mild",
"id"... | MarksheetMark |
173,457,794 | false | 67 | null | 6,494,934 | null | false | [] | null | 6,619 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Multiple sclerosis typically presents with temporary visual or sensory loss with gradual progression. It can cause spastic weakness, ataxia, and tremor, but wouldn't present with sudd... | MarksheetMark |
173,457,795 | false | 68 | null | 6,494,934 | null | false | [] | null | 6,620 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Lacunary infarcts present with relatively distinct symptoms based on the location within the internal capsule. 1) contralateral hemiparesis with dysarthria and dysphagia 2) ipsilatera... | MarksheetMark |
173,457,796 | false | 69 | null | 6,494,934 | null | false | [] | null | 6,621 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "An indirect Coombs test can be used to determine whether there are antibodies to the Rhesus factor in the mother's blood and therefore whether she has been \"sensitised\". A positive ... | MarksheetMark |
173,457,797 | false | 70 | null | 6,494,934 | null | false | [] | null | 6,622 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Recombinant factor VIIa is increasingly used in the treatment and control of acute bleeding. While it can be a useful adjunct in achieving haemostasis, simple measures first with IV s... | MarksheetMark |
173,457,798 | false | 71 | null | 6,494,934 | null | false | [] | null | 6,623 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Tympanosclerosis is a cause of bilateral conductive hearing loss, and usually shows signs of scarring of the tympanic membrane with whitish discolouration",
"id": "33114",
... | MarksheetMark |
173,457,799 | false | 72 | null | 6,494,934 | null | false | [] | null | 6,624 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Vertebral artery dissection presents as a severe occipital headache as well as posterior fossa ischaemic symptoms manifesting as ataxia, dysarthria, lateral medullary syndrome, and vi... | MarksheetMark |
173,457,800 | false | 73 | null | 6,494,934 | null | false | [] | null | 6,625 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Thermal laser photocoagulation used to be the first-line treatment for wet AMD with extrafoveal choroidal neovascular membranes, although this has now largely been replaced by anti-VE... | MarksheetMark |
173,457,801 | false | 74 | null | 6,494,934 | null | false | [] | null | 6,626 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "The x-ray shows reduced joint space, osteophytes at the joint margin, and subchondral sclerosis. There is severe joint narrowing at the superior aspect of the acetabulum, although the... | MarksheetMark |
173,457,802 | false | 75 | null | 6,494,934 | null | false | [] | null | 6,627 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has presented with an acute, hot, tender, swollen joint with suspicion of septic arthritis. This can destroy joints quickly with irreversible loss of joint function, and ... | MarksheetMark |
173,457,803 | false | 76 | null | 6,494,934 | null | false | [] | null | 6,629 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Due to the association of aspirin with Reye's syndrome in children, it is very rarely given",
"id": "33144",
"label": "b",
"name": "Stat dose of aspirin",
"pic... | MarksheetMark |
173,457,804 | false | 77 | null | 6,494,934 | null | false | [] | null | 6,630 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This child has acute otitis media, which would be managed with reassurance and analgesia in the well child. As they are on immunosuppressants, they should be prescribed oral antibioti... | MarksheetMark |
173,457,805 | false | 78 | null | 6,494,934 | null | false | [] | null | 6,631 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Physiological jaundice presents at day 2 or 3 of age, begins to disappear towards the end of the first week, and has usually resolved by day 10. Jaundice lasting longer than 14 days (... | MarksheetMark |
173,457,806 | false | 79 | null | 6,494,934 | null | false | [] | null | 6,632 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This would be a reasonable option for a child who has developed constipation and subsequent anal tear/fissure, which is deemed unlikely caused by non-accidental injury. In this case, ... | MarksheetMark |
173,457,807 | false | 80 | null | 6,494,934 | null | false | [] | null | 6,633 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Streptococcus pneumoniae is a rare cause of early-onset neonatal sepsis, and is more common in late-onset neonatal sepsis (7-28 days old). In early-onset disease, pneumococci may be t... | MarksheetMark |
173,457,808 | false | 81 | null | 6,494,934 | null | false | [] | null | 6,634 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Patients should be reviewed every 1-2 weeks at the start of anti-depressant treatment and should be continued for at least 4 weeks (6 weeks in the elderly) before considering switchin... | MarksheetMark |
173,457,809 | false | 82 | null | 6,494,934 | null | false | [] | null | 6,635 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A patient can be detained under section 5(4) of the mental health act by a nurse who has been qualified and trained to work with mental health problems or learning disabilities. It is... | MarksheetMark |
173,457,810 | false | 83 | null | 6,494,934 | null | false | [] | null | 6,636 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has recently started clozapine for his schizophrenia and has now developed pyrexia, general malaise, and symptoms of pharyngitis. Clozapine is associated with a relatively... | MarksheetMark |
173,457,811 | false | 84 | null | 6,494,934 | null | false | [] | null | 6,637 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "CURB-65 is made up of five components, all scoring either 0 or 1: confusion, urea >7mmol/L, respiratory rate ≥ 30, systolic BP < 90 mmHg or diastolic BP ≤ 60 mmHg , and age ≥ 65. This... | MarksheetMark |
173,457,812 | false | 85 | null | 6,494,934 | null | false | [] | null | 6,638 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Intramuscular adrenaline (1:1000) is part of the primary management of anaphylaxis. This patient is assumed to be having an acute severe exacerbation of asthma and so intramuscular ad... | MarksheetMark |
173,457,813 | false | 86 | null | 6,494,934 | null | false | [] | null | 6,639 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Pancreatitis presents with acute central/epigastric abdominal pain, often radiating to the back. They will almost certainly have a tender abdomen, often with peritonism, and will rare... | MarksheetMark |
173,457,814 | false | 87 | null | 6,494,934 | null | false | [] | null | 6,640 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has a provoked DVT from a long haul flight. NICE guidance states the patient should receive 3 months of anticoagulation with apixaban or rivaroxaban, unless contraindicat... | MarksheetMark |
173,457,815 | false | 88 | null | 6,494,934 | null | false | [] | null | 6,641 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Severe pneumonia can present within 48hrs and can be precipitated by poor inspiratory effort from abdominal pain, resulting in mucous plugging, atelectasis, and poor clearing of secre... | MarksheetMark |
173,457,816 | false | 89 | null | 6,494,934 | null | false | [] | null | 6,642 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Limited cutaneous systemic sclerosis, previously named CREST syndrome, causes calcinosis, Raynaud's disease, oesophageal dysmotility, sclerodactyly, and telangiectasia. It may produce... | MarksheetMark |
173,457,817 | false | 90 | null | 6,494,934 | null | false | [] | null | 6,643 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Acute gout presents with a rapid-onset (<24hrs) hot, exquisitely tender, and swollen joint, caused by crystal inflammation from uric acid crystals depositing within the joint. 50% of a... | MarksheetMark |
173,457,818 | false | 91 | null | 6,494,934 | null | false | [] | null | 6,644 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Syphilis can present with a wide array of symptoms . Primary syphilis presents with a painless genital ulcer (chancre) and local non-tender lymphadenopathy. It can present with painle... | MarksheetMark |
173,457,819 | false | 92 | null | 6,494,934 | null | false | [] | null | 6,646 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Given this patient's new neurology findings he should have urgent radiotherapy within 24hrs to prevent permanent neurological damage. While dexamethasone is a crucial part of manageme... | MarksheetMark |
173,457,820 | false | 93 | null | 6,494,934 | null | false | [] | null | 6,647 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Tumour lysis syndrome (TLS) is a potentially fatal complication from chemotherapy. It is more likely seen in cancers with high cell turnover rates, particularly haematological maligna... | MarksheetMark |
173,457,821 | false | 94 | null | 6,494,934 | null | false | [] | null | 6,648 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "This patient has neutropenic sepsis: a temperature of greater than 38.0°C, OR any symptoms and/or signs of sepsis, in a person with absolute neutrophil count of 0.5 x 10⁹/L or lower. ... | MarksheetMark |
173,457,822 | false | 95 | null | 6,494,934 | null | false | [] | null | 6,649 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Always make sure in these questions, and in practice, to calculate the full 24 hour dose of oral morphine e.g. 2x90mg given the twice daily dosing",
"id": "33246",
"label"... | MarksheetMark |
173,457,823 | false | 96 | null | 6,494,934 | null | false | [] | null | 6,650 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient is on 90mg twice daily of morphine sulfate modified release and has used 4 doses of 30mg morphine immediate release, equating to a total of 300mg oral morphine sulfate in2... | MarksheetMark |
173,457,824 | false | 97 | null | 6,494,934 | null | false | [] | null | 6,605 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient most likely has chronic lymphocytic leukaemia. Immunophenotyping detects tumour markers in peripheral blood by labelling the white blood cells with antibodies directed aga... | MarksheetMark |
173,457,825 | false | 98 | null | 6,494,934 | null | false | [] | null | 6,628 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Methylphenidate is not recommended in conduct disorder but is occasionally used in attention deficit hyperactive disorder (ADHD) to control challenging behaviour",
"id": "33140"... | MarksheetMark |
173,457,906 | false | 1 | null | 6,494,938 | null | false | [] | null | 6,651 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This patient has multiple risk factors for MI, including diabetes, hypertension and obesity. Diaphoresis (sweating) and nausea are both important symptoms to recognise as potential ind... | MarksheetMark |
173,457,907 | false | 2 | null | 6,494,938 | null | false | [] | null | 6,652 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "Shortness of breath, which is worse when lying flat, and peripheral oedema are two of the hallmarks of heart failure. Patients often describe increasing their number of pillows to comb... | MarksheetMark |
173,457,908 | false | 3 | null | 6,494,938 | null | false | [] | null | 6,654 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "SVT, by definition, originates from _above_ the ventricles - as a result, it is a **narrow** complex tachycardia - conduction in the ventricles is by the usual mechanism",
"id":... | MarksheetMark |
173,457,909 | false | 4 | null | 6,494,938 | null | false | [] | null | 6,655 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This ECG is describing complete or third degree heart block which can cause severe and symptomatic bradycardia. In patients with heart block that are severely symptomatic, or with the ... | MarksheetMark |
173,457,910 | false | 5 | null | 6,494,938 | null | false | [] | null | 6,656 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Referring a patient for an echocardiogram without first doing an ECG would not be a sensible use of resources. Many patients do undergo echocardiography during their work up for ischa... | MarksheetMark |
173,457,911 | false | 6 | null | 6,494,938 | null | false | [] | null | 6,657 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "HOCM is classically a disease of the young. It does cause an ejection systolic murmur similar in quality to aortic stenosis, but it would be rare for a patient with significant HOCM t... | MarksheetMark |
173,457,912 | false | 7 | null | 6,494,938 | null | false | [] | null | 6,658 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Flecainide is classically used to cardiovert patients who have acutely gone into atrial fibrillation. It has an emerging role in the management of SVT; however would still not be used... | MarksheetMark |
173,457,913 | false | 8 | null | 6,494,938 | null | false | [] | null | 6,659 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Once establishing if the patient is conscious/rousable, an assessment of airway would be the next priority",
"id": "33297",
"label": "e",
"name": "Check the patient'... | MarksheetMark |
173,457,914 | false | 9 | null | 6,494,938 | null | false | [] | null | 6,660 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Montelukast (a leukotriene receptor antagonist) is not a first line agent in asthma management. Additionally, it is a tablet, rather than an inhaled drug",
"id": "33302",
... | MarksheetMark |
173,457,915 | false | 10 | null | 6,494,938 | null | false | [] | null | 6,661 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "Examination findings in patients with lung cancer may include clubbing and a monophonic or harsh sounding wheeze. COPD is significantly more common than lung cancer",
"id": "333... | MarksheetMark |
173,457,916 | false | 11 | null | 6,494,938 | null | false | [] | null | 6,662 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": false,
"explanation": "A CXR is not a diagnostic test for a pulmonary embolism, and in fact, is usually normal in these patients. When signs are present on the CXR (such as wedge shaped consolidation repres... | MarksheetMark |
173,457,917 | false | 12 | null | 6,494,938 | null | false | [] | null | 6,663 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "This pneumothorax has occurred in a patient with no prior lung disease and without a trigger. Additionally, this patient has many risk factors for pneumothorax, including smoking, his ... | MarksheetMark |
173,457,918 | false | 13 | null | 6,494,938 | null | false | [] | null | 6,664 | {
"__typename": "QuestionSBA",
"choices": [
{
"__typename": "QuestionChoice",
"answer": true,
"explanation": "An AMTS forms part of CRB-65 assessment which is part of the recommended pathway for assessing severity of CAP in the GP context (recommended by both British Thoracic Society and Natio... | MarksheetMark |
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