MSRA QUESTION PRACTICE KNOWLEDGE. WITH SOLUTIONS

MSRAh 7 QUESTIONh 7 PRACTICEh 7 KNOWLEDG
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1. diagnosis of diabetes: - h7 h7 h7




HbA1c of greater than or equal to 48 mmol/mol (6.5%) is diagnostic of diabetes mellitus. If t
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he patient is asymptomatic; the test needs repeating
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if patient is symptomatic
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- fastingh7glucoseh7>7.0h7mmol/l


- randomh7glucoseh7>11.1h7mmol/lh7(orh7afterh775gh7oralh7glucoseh7toleranceh7test)


2. impaired fasting glucose (IFG): fasting glucose of 6.1-
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7.0 mmol/l implies impaired fasting glucose (IFG)
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3. impaired glucose tolerance: Impaired glucose tolerance (IGT) is defined as fasting plas
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ma glucose h7




<7.0 mmol/l and OGTT 2-hour value 7.9-11.1 mmol/l
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4. prediabetes HbA1c level: 42-47 OR 6-6.4% h7 h7 h7 h7 h7




5. Bell's palsy?: acute, unilateral, idiopathic, facial nerve paralysis; common in 20-
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40yrs, pregnancy. Thought to be associated with herpes simplex. Treatment with steroids and acyclo
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, MSRAh 7 QUESTIONh 7 PRACTICEh 7 KNOWLEDG
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vir.

6. A 3-year-h7




old child is brought to surgery as her mother has noticed that she
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h7 is 'cross-
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eyed'. The corneal light reflection test confirms this. What is th
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most appropriate management? Next best step?: refer children with a squint immed
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iately to ophthalmology h7 h7




squint: eyes that look in ditterent directions
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note: corneal light reflex tests for ocular alignment by reflecting your flashlight ott the pupils. Hold it two fe
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et away and look for pinpoint white reflection; this should be in the exact location in both the pupils.
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7. first line management for a patient with BPH: Alpha-
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1 antagonists e.g. tamsulosin are first
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line followed by 5-alpha reductase inhibitor e.g. finasteride. Elective TURP if still symptomatic.
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