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David's Flashcards 5th year > 2016 > Flashcards

2016 Flashcards

1
Q

UTI First trimester

A

cipro or nitrofurantoin

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2
Q

amenorrhoea for 4 months

A

check bHCG

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3
Q

Woman with PCOS. Best medication to increase fertility

A

clomiphene

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4
Q

Woman with signs of premature ovarian failure. What test would be best to confirm this diagnosis

A

FSH

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5
Q

Post menopausal woman with a PV bleed.

A

OPD USS w endometrial biopsy

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6
Q

Asymptomatic woman, nulliparous, found to have a 5.4cm unilocular ovarian cyst on US, no fhx. Mgmt/Ix?

A

rearrange USS in 3 months and Ca125 follow-up

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7
Q

Lady with cyclic pain 1 week before her period starts, trying for a baby for one year

A

endometriosis

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8
Q

Woman 8 weeks after normal vaginal delivery and second degree tear, still bleeding and mild lower pelvic pain. Diagnosis?

A

endometritis

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9
Q

What is a 23 week USS useful for?

A

congenital heart disease identification

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10
Q

What causes increased urinary volume and frequency in the first trimester?

A

Increased GFR

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11
Q

Effect of taking fluoxetine (paroxetine instead?) during pregnancy on baby?

A

Persistent pulmonary hypertension of the newborn

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12
Q

Woman with Nexplanon. Most likely reason for wanting to change contraceptive?

A

irregular bleeding

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13
Q

Woman 16w pregnant with a slow growing painless lesion on labia.

A

Genital warts (grow in pregnancy)

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14
Q

Woman with tender lump inside her vagina.

A

Bartolin’s cyst

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15
Q

Old woman complaining of superficial dyspareunia

A

Atrophic vaginitis

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16
Q

Woman with premature ovarian failure, wants to have periods.

A

COCP

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17
Q

Lady high White cell count, fever, lump in breast

A

Abscess

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18
Q

General breast tenderness - left sided, breastfeeding

A

Mastitis

19
Q

Small slow growing lesion on labia, pregnant lady

A

Genital Warts - why? (pregnancy causes them to grow)

20
Q

Small painful lump inside vagina of sexually active woman

A

Bartholins Cyst

21
Q

Acne Mx

A

A simple step-up management scheme often used in the treatment of acne is as follows:

single topical therapy (topical retinoids, benzyl peroxide)

topical combination therapy (topical antibiotic, benzoyl peroxide, topical retinoid)

oral antibiotics: e.g. Oxytetracycline, doxycycline. Improvement may not be seen for 3-4 months. Minocycline is now considered less appropriate due to the possibility of irreversible pigmentation.

Gram negative folliculitis may occur as a complication of long-term antibiotic use - high-dose oral trimethoprim is effective if this occurs
oral isotretinoin: only under specialist supervision

22
Q

Kid with history of anal fissure - what is your first course of action?

A

Inspect anal region

23
Q

Kid has pain in outer ear, ear was protruding outwards, and there was a lump behind his ear

A

Mastoiditis

24
Q

4yo kid having acute asthma attack, given iv salbutamol and hydrocortisone. Sats still low, no chest sounds on auscultation.

A

call for senior help

25
Q

meales white spots on mucosa

A

scarlet fever - white spots on tongue

26
Q

Bulimia

A

dental enamel caries

27
Q

Baby was born at 41 weeks via emergency C section due to foetal distress. Needed ventilation straight away. X ray showed hyper inflated lungs with areas of consolidation.

A

Meconium aspiration

28
Q

heart sound not heard, scaphoid chest.

A

diaphragmatic hernia

29
Q

Prem baby, resp distress, CXR looks like ground glass.

A

RDS

30
Q

Baby born at 37 weeks, via forceps. Showing signs of resp distress. CXR shows areas of consolidation throughout.

A

GBS (poss RDS - I think it’s GBS)

31
Q

Tx Nappy rash flexure sparing.

A

Zinc. Hydrocortisone (only if sore and >1m)

32
Q

Nappy rash with satellite lesions

A

Antifungal

33
Q

Anal itch, worst at night

A

Mebendazole

34
Q

Scabies

A

Permethrin

35
Q

Chicken pox

A

nothing

36
Q

Grandmother brings boy in with swollen knee. Boy’s brother died young of a minor head injury.

A

Haemophilia

37
Q

Posterior rib fractures

A

NAI

38
Q

Unwell not able to bear weight, fever

A

septic arthritis

39
Q

Recent URTI + can’t weight bear

A

post viral sinovitis

40
Q

father schizophrenia risk to child?

Twin?

A

10%

50%

41
Q

Lithium need to monitor

A

Lithium levels, TFTs, Creatining, U+E, FBC

42
Q

Anorexia

A

High GH

43
Q

Person sees things smaller

A

Micropsia

David's Flashcards 5th year (13 decks)

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