2016 Flashcards
UTI First trimester
cipro or nitrofurantoin
amenorrhoea for 4 months
check bHCG
Woman with PCOS. Best medication to increase fertility
clomiphene
Woman with signs of premature ovarian failure. What test would be best to confirm this diagnosis
FSH
Post menopausal woman with a PV bleed.
OPD USS w endometrial biopsy
Asymptomatic woman, nulliparous, found to have a 5.4cm unilocular ovarian cyst on US, no fhx. Mgmt/Ix?
rearrange USS in 3 months and Ca125 follow-up
Lady with cyclic pain 1 week before her period starts, trying for a baby for one year
endometriosis
Woman 8 weeks after normal vaginal delivery and second degree tear, still bleeding and mild lower pelvic pain. Diagnosis?
endometritis
What is a 23 week USS useful for?
congenital heart disease identification
What causes increased urinary volume and frequency in the first trimester?
Increased GFR
Effect of taking fluoxetine (paroxetine instead?) during pregnancy on baby?
Persistent pulmonary hypertension of the newborn
Woman with Nexplanon. Most likely reason for wanting to change contraceptive?
irregular bleeding
Woman 16w pregnant with a slow growing painless lesion on labia.
Genital warts (grow in pregnancy)
Woman with tender lump inside her vagina.
Bartolin’s cyst
Old woman complaining of superficial dyspareunia
Atrophic vaginitis
Woman with premature ovarian failure, wants to have periods.
COCP
Lady high White cell count, fever, lump in breast
Abscess
General breast tenderness - left sided, breastfeeding
Mastitis
Small slow growing lesion on labia, pregnant lady
Genital Warts - why? (pregnancy causes them to grow)
Small painful lump inside vagina of sexually active woman
Bartholins Cyst
Acne Mx
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
Kid with history of anal fissure - what is your first course of action?
Inspect anal region
Kid has pain in outer ear, ear was protruding outwards, and there was a lump behind his ear
Mastoiditis
4yo kid having acute asthma attack, given iv salbutamol and hydrocortisone. Sats still low, no chest sounds on auscultation.
call for senior help
meales white spots on mucosa
scarlet fever - white spots on tongue
Bulimia
dental enamel caries
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.
Meconium aspiration
heart sound not heard, scaphoid chest.
diaphragmatic hernia
Prem baby, resp distress, CXR looks like ground glass.
RDS
Baby born at 37 weeks, via forceps. Showing signs of resp distress. CXR shows areas of consolidation throughout.
GBS (poss RDS - I think it’s GBS)
Tx Nappy rash flexure sparing.
Zinc. Hydrocortisone (only if sore and >1m)
Nappy rash with satellite lesions
Antifungal
Anal itch, worst at night
Mebendazole
Scabies
Permethrin
Chicken pox
nothing
Grandmother brings boy in with swollen knee. Boy’s brother died young of a minor head injury.
Haemophilia
Posterior rib fractures
NAI
Unwell not able to bear weight, fever
septic arthritis
Recent URTI + can’t weight bear
post viral sinovitis
father schizophrenia risk to child?
Twin?
10%
50%
Lithium need to monitor
Lithium levels, TFTs, Creatining, U+E, FBC
Anorexia
High GH
Person sees things smaller
Micropsia
