2015 Flashcards
Lady has a diagnostic laparotomy. She has suprapubic pain that not even IV paracetamol is helping. What is the likely reason?
?uterine rupture ?urinary retention
Somali lady says she’s 42 weeks, abdominal examination suggests 32. Next management?
Transabdominal US
Pregnant Turkish lady. Low Hb, norm MCV, norm MCHC. Management?
how low Hb? Normal for gestation?
if not oral iron - repeat in 2 weeks
Overweight lady you notice she’s hirsute
PCOS
Leading cause of maternal mortality in UK
sepsis
Child with Downs has an NJ tube at home. It comes out and needs re-inserting. Who should put it back in? [Community paeds nurse; Community Paediatrician; Hospital Nursing staff; GP, healthworker]
In hospital setting - hospital nursing staff
Child has inspiratory stridor (doesn’t explicitly state, but gives a description implying this) since birth
Laryngomalacia
Congenital abnormality of the larynx.
Infants typical present at 4 weeks of age with:
stridor
A child who recently started solids has been suffering from constipation. On examination no fecal masses felt per abdomen. Management?
A: Advise increase in fluid intake
Mild learning disability
<70 IQ
Moderate 35-49
Severe 20-34
Dropping centiles in height
if weight going down too - malabsorption
if weight going up - hypothyroid
Which of the following is not an RF for suicide? [FHx of depression; FHx of suicide; Prev suicide attempt; Male; Heroin-use]
FHx depression (low heritability)
o You’re a GP. Elderly person presents with a history of the classical signs of Alzheimer’s. What do you do next?
refer memory clinic
Nappy rash with satellite lesions
Clotrimazole
Nappy rash with flexural sparing
Zinc barrier cream
Scabies
Permethrin
Child bought in by grandmother. Said to have knocked knee in cupboard which has become swollen. His brother had swelling having banged head when he was young.
haemophilia
Child with posterior rib fractures and some other patterns of injuries
NAI
Girl with painful hot swollen knee joints. PMH of hot/swollen/painful wrist
Septic arthritis
Girl not able to weight bear. Recently recovered from viral illness
Post-viral synovitis
Girl not able to weight bear. Some joint(s) hurt. Mum has rheumatoid arthritis.
JIA
sit without support
normal 6m refer by 8m
walk
13-15m refer by 18m
hop on one leg
4y refer by 5
pincer grip
12m
smiles
6 weeks refer by 8 (maybe 10)
poor memory, difficulty planning, difficulty word finding
alzheimer’s
violent patient
call consultant
febrile child w neck history and history of convulsions
CT before LP apparently
