16/4/22

Question 1

What is a nice way to remember lateral medullary syndrome?

Answer 1

PICA (posterior inferior cerebellar artery) 
Pain and temp
Impaired
Contralaterally
A

PICA
P
Ipsilateral 
Cranial Nerve 
Affected

Question 2

What is first line management of trigeminal neuralgia?

Answer 2

Carbamazepine

Question 3

How does your management change for pregnant women exposed to chickenpox?

Answer 3

Early = VZIG
Mid = VZIG or acyclovir 
Late/rash = oral acyclovir

VZIG = varicella zoster IG

Question 4

What is ‘cyroprecipiatate’ most commonly used to replace?

Answer 4

Fibrinogen (what is converted into fibrin to form clots)

Question 5

How long is warfarin treatment post VE?

Answer 5

Provoked - 3 months

Unprovoked - 6 months

Question 6

How do you manage cord prolapse?

Answer 6

• Push back in the presenting part of foteus
• Do NOT touch cord!!
• Mum on all 4s

IMMEDIATE C-SECTION

Question 7

Go over the motor part of GCS again!!

• need to get this in head

Answer 7

6. Obeys commands
7. Localises pain
8. Withdraws from pain
9. Abnormal flexion
10. Abnormal extension
11. No response

Think that withdrawing is a normal flexion = 4
Abnormal flexion = 3

Question 8

How can you tell difference between acoustic neuromas and Meniere’s disease?

Answer 8

Meniere’s = attacks with duration of several hours

Acoustic neuroma = constant

Question 9

What is the diagnostic criteria for HG?

Answer 9

• 5% pre-prego weight loss
• dehydration
• electolyte imbalance

Question 10

After how many days the IUD/IUS no longer be fitted post-birth?

Answer 10

48hrs

Question 11

What is the prognosis of endometrial cancer?

What is the inital management?

Answer 11

Good

Total abdo hysterectomy w/bilateral salpingo-oohorectomy

Question 12

What is serotonin syndrome?

Answer 12

• Hypertonia
• Hyperreflexia
• Hyperthermia

Question 13

What stage is normal for foetal movements to be felt?

If not felt by when do you refer?

Answer 13

Normal 18-20 wks
Range 16-24wks

If not felt at 24wks refer

Question 14

CT head showing temporal lobe changes in encephalitis = ?

Answer 14

Herpes simplex encephalitis

Question 15

What is the investigation of choice for gestational diabetes?

Answer 15

Oral glucose tolerance test at 24-28wks

Question 16

What impact does dopamine have on prolactin?

Answer 16

Inhibits prolactin secretion

Question 17

Describe the differences between the following types of trial:

• Prospective cohort
• Case-control
• Cross-sectional
• Randomised clinical trial
• Retrospective cohort

Answer 17

Prospective cohort
- individuals differ with 1/1+ factors watch to see how affect

Case-control

• individuals with given outcome and control
• look back RETROSPECTIVELY at how many had interest

Cross-sectional
- prevelance at any given time

Randomised control trial
- placebo vs drug

Retrospective cohort
- AFTER outcome and looks back on factors causing it (opposite of prospective)

Question 18

What kind of headache can be found after lumbar puncture?

Answer 18

Low pressure headache

Question 19

How long do patients need to fast pre-operatively?

Answer 19

2hrs liquids

6hrs solids

Question 20

First line treatment for sinus bradycardia?

Answer 20

Atropine

Question 21

What should you test for if a patient has recurrent thrush?

Answer 21

Diabetes

Question 22

What is your next investigation in nephrotic syndrome?

Answer 22

Renal biopsy

Question 23

Gritty eye sensation = ?

Answer 23

Keratitis

Question 24

Draw out causes of red eye flowchart

Question 25

What are the Ottowa ankle rules?

What is your first line management in broken ankle?

Answer 25

Pain in malleolar zone (+1 of…)

• bony tenderness at medial malleolus
• bony tenderness at lateral malleolus
• inability to weight bear immediately after or in ED

Ottowa ankle rules = X-ray

Closed reduction immediately to reduce damage to skin