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Question Bank
SBA questions mapped to MLA domains and UK curriculum
🎯 Quiz Session — 10 questions
10 questions in session
Q1
Gastrointestinal
Medium
condition, Ulcerative colitis, Management
A 24-year-old woman is diagnosed with mild-to-moderate proctosigmoiditis after presenting with bloody diarrhoea and tenesmus. What is the recommended first-line induction therapy?
Q2
Neurology
Medium
Headache, Cluster headache, Management
A 35-year-old male smoker presents with episodes of excruciating pain around his left eye, lasting 45 minutes and occurring up to 5 times a day, typically at night. During the episodes, his left eye becomes red and watery, and he feels restless. What is the most effective treatment for the prevention of these episodes?
Q3
Cardiovascular
Medium
condition, Prescribing
An 82-year-old man is found to have an irregularly irregular pulse during a routine health check for his Type 2 Diabetes. An ECG confirms atrial fibrillation with a ventricular rate of 88 bpm. He has no history of stroke or heart failure and his blood pressure is 135/82 mmHg. What is the most appropriate management regarding anticoagulation?
Q4
Haematology
Hard
condition, Vitamin B12 deficiency, Neurological deficit
A 52-year-old woman presents with progressive tingling in her feet and difficulty walking. Examination reveals reduced vibration sense and proprioception in the lower limbs, with brisk knee jerks and extensor plantar responses. Bloods show Hb 102 g/L (115-160) and MCV 112 fL (80-100). Antibodies to gastric parietal cells are positive. Which treatment regimen is most appropriate?
Q5
Prescribing
Medium
Long-term conditions, Diabetes, Heart failure
A 55-year-old man with type 2 diabetes mellitus is currently taking metformin 1g twice daily. His latest HbA1c is 62 mmol/mol (previous 59 mmol/mol). He has a history of congestive heart failure (NYHA Class II). Which of the following is the most appropriate next step in his glycemic management according to NICE guidelines?
Q6
Renal
Easy
presentation, condition
A 72-year-old man is admitted with a two-day history of vomiting and diarrhoea. His blood pressure is 95/60 mmHg and his heart rate is 105 bpm. Baseline creatinine was 90 µmol/L; current creatinine is 280 µmol/L and urea is 22 mmol/L. Urinalysis is negative for blood and protein. What is the most likely cause of his acute kidney injury?
Q7
Endocrine
Medium
condition, diagnostic_testing
A 25-year-old man presents with polyuria and polydipsia. A water deprivation test is performed. After 8 hours of deprivation, his urine osmolality remains low at 200 mOsm/kg. Following administration of Desmopressin, his urine osmolality increases to 750 mOsm/kg. What is the diagnosis?
Q8
Endocrine
Easy
presentation, investigation
A 44-year-old man is investigated for hypertension that has remained poorly controlled despite being on Amlodipine and Ramipril. His potassium is 3.1 mmol/L. His Aldosterone-to-Renin Ratio (ARR) is significantly elevated. What is the next most appropriate imaging step to localise the lesion?
Q9
Psychiatry
Easy
Mental health, Alcohol use disorder, Therapeutic interventions
A 45-year-old man is admitted for an elective inguinal hernia repair. Thirty-six hours post-operatively, he becomes agitated, sweaty, and begins to see spiders crawling on the walls. He is tachycardic and has a coarse tremor. He admits to drinking 50 units of alcohol per week. What is the most appropriate first-line medication to manage his symptoms?
Q10
Neurology
Medium
Neuromuscular weakness, Guillain-barre syndrome, Management
A 28-year-old man presents with symmetrical ascending weakness in his legs that has progressed to his arms over the last 48 hours. He reports a diarrhoeal illness three weeks ago. On examination, he has absent ankle and knee reflexes. His forced vital capacity (FVC) is 2.2L (predicted 4.5L). What is the most appropriate management for this patient?