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Specialities pp > 2017 > Flashcards

2017 Flashcards

1
Q

40 year old premature ovarian failure and wanted medication to deal with the symptoms of menopause. What would you prescribe her?

A

Combined HRT or COCP

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2
Q

Woman is pregnant and HIV negative at booking but her partner is HIV positive - what do you do?

A

Start her on antiretroviral therapy, retest her in 2 weeks

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3
Q

What signifies onset of active labour?

A

Os is 4cm

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4
Q

Woman has cervical cancer, is a smoker, hasn’t had a smear for 8 years - what is the most likely contributing factor?

A

Smokes 20 cigarettes a day

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5
Q

37 year old coming to the GP with a background of polycystic ovarian syndrome wanting to review her contraception. She wants to have the COCP. Which of the following is an absolute contraindication to the pill?

A

Passmed:
more than 35 years old and smoking more than 15 cigarettes/day
migraine with aura
history of thromboembolic disease or thrombogenic mutation
history of stroke or ischaemic heart disease
breast feeding < 6 weeks post-partum
uncontrolled hypertension
current breast cancer
major surgery with prolonged immobilisation

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6
Q

Woman with white discharge and itch. Which treatment?

A

Oral Fluconazole, Topical Clotrimazole

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7
Q

Pregnant woman with itchy feet, what investigation?

A

Liver function tests/serum bile acids

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8
Q

Couple seen in subfertility clinic and the female and male investigations are given (with normal ranges for sperm count, FSH etc etc). Results show azoospermia. How should they be managed?

A

Intracytoplasmic sperm injection

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9
Q

Cyst contains hair and teeth

A

Teratoma

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10
Q

Ground glass appearance

A

Endometrioma

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11
Q

Woman has pain before periods and has been subfertile, cyst found on ovary

A

Endometrioma

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12
Q

Post menopausal woman has bleeding

A

Endometrial cancer

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13
Q

Green discharge

A

Trichomonas

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14
Q

White discharge

A

Candida

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15
Q

A newborn appears to be in severe respiratory distress and appears blue. Despite being given high flow O2, his saturations remain at 65%.
What is the next best step to take with regards to his management?

A

Infusion of Prostaglandin

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16
Q

Drug treatment for ADHD

A

methylphenidate
atomoxetine
dexamfetamine

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17
Q

3 months old baby with signs of HF, systolic murmur that radiates over the praecordium

A

VSD

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18
Q

What is the most important thing to look at in follow up of HSP?

A

Urine protein and RBC

19
Q

15 year old boy with short stature. Passing urine 10 times a day with no dysuria. Pale with heart rate at 78bpm, blood pressure at 158/88 and respiratory rate at 14. What is the likely diagnosis?

A

Chronic renal failure

20
Q

6 year old child with 24 hour history of left peri-orbital swelling. Had an upper respiratory tract infection last week. Left proptosis, visual acuity was normal and had a fever of 38.9. What is the best diagnostic investigation?

A

CT of nasal orbits

21
Q

Boy with itchy bottom, what do you prescribe?

A

mebendazole

22
Q

Child in A&E with asthma attack, was given puffs of salbutamol. Now has a quiet chest, what do you do?

A

Call for senior help

23
Q

Child with 6m of loose stools. Passed one hard blood streaked stool 10 days ago. What investigation?

A

None

24
Q

Infant with episodes of throwing arms forward with fists clenched.

A

infantile spasms

25
Q

Mother worried about 2.5 or 3 year old child’s bed wetting. Dry by day, wets bed at night. What to do?

A

Reassure

26
Q

Child with fever of 39, high resp rate, nurse says chest is clear, what investigation do you do?

A

Urinalysis

27
Q

Child with fever, white exudate on one tonsil, diagnosis?

A

Quinsy (peritonsillar abscess)

28
Q

Child with episodes of smelling strange things, hard to communicate with during these episodes, falls asleep for an hour after and doesn’t remember anything. Diagnosis?

A

Focal seizure

29
Q

Mother worried 5 year old? son has autism. Which would most support a diagnosis of autism?

A

child didn’t speak first words until 2 years old and goes to a speech and language therapist

30
Q

Mother complains her young child is a fussy eater. She eats soft foods and drinks a lot of milk. Also has been feeling tired recently. Diagnosis?

A

Iron deficiency anaemia

31
Q

Baby is almost a month old and jaundiced. Parents say has been jaundiced since day 2. Stools are grey or white. Diagnosis?

A

Biliary atresia

32
Q

4 year old girl with a high fever that was followed by a rash which has small white dots on a red base. What is the most likely Dx?

A

Chicken pox?

33
Q

Nappy rash with satellite lesions

A

Topical clotrimazole

34
Q

Nappy rash sparing flexures

A

Zinc and castor oil

35
Q

Impetigo

A

Topical fusidic acid (local)

Oral antibiotic e.g. fluclox (extensive/bullous)

36
Q

Chicken pox

A

Do nothing

37
Q

Child suffers from fever. The fever disappears but she has now developed a rash. She subsequently has febrile convulsions.

A

Roseola

38
Q

Mother with cold sores has been kissing her child who has a background of eczema?

A

HSV/eczema herpeticum

39
Q

Child has an URTI 2 weeks ago. Has now developed a rash over the back of the legs along with joint and abdominal pain.

A

HSP

40
Q

Post partum depression

A

Psychological therapies

41
Q

16yo having sex with 12 yo

A

Call police

42
Q

Woman comes in with a pneumothorax and said her husband kicked her and has previously hurt their baby too. Baby is currently at home with him - what do you do?

A

Call police

43
Q

Woman who had FGM when she was 6 and is not pregnant and said she definitely won’t do on her daughter - what do you do?

A

Police – not necessarily, carry out risk assessment

Carry out a risk assessment
Refer to social services/police if 1+ are present from the following:
- Woman already has daughters who have undergone FGM
- Woman or woman’s partner/family requesting reinfibulation following childbirth
- Woman is considered to be a vulnerable adult and therefore issues of mental capacity and consent should be considered if she is found to have FGM
- Woman says that FGM is integral to cultural or religious identity
- Family are already known to social care services – if known, and you have identified FGM within a family, you must share this information with social services

44
Q

Boy always playing video games from teenage years, not interested in other people threatening to kill himself?

A

Schizoid PD

Specialities pp (6 decks)

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