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Question 1

What is the most common cause of secondary ammenorhea?

Answer 1

Pregnancy

Question 2

Neonatal respiratory distress syndrome vs transient tachyponea of the newborn?

Answer 2

NRDS - not producing surfactant - usually in premature babies
- becomes move severe over first few days

TTN - delayed resorption of fluid in lungs - with C-section and premature
- often resolves in first day with some oxygen

Question 3

what are the 6s of innocent murmurs?

Answer 3

Soft
short
systolic
S1 and S2 normal
Symptomless
Standing/sitting (changes with position)

Question 4

Microcytic anaemia not responding to iron replacement. What should you be thinking?

Answer 4

Sideroblastic anaemia
- sufficent iron but ineffective erythropoesis

Question 5

What are the different types of HB - which ones need permanent pacing?

Answer 5

1st degree - >0.2mm PR interval
2.1 - increasing, increasing then gone
2.2 - intermittent P waves aren’t there
3rd - no assoc, between P waves and QRS

2.2 and 3rd are often assoc with bradycardia and need permanent pacing

Question 6

How is thalassemia diagnosed?

Answer 6

Electrophoresis - measures the different types of Hb

Question 7

How is major B-thalassemia managed?

Answer 7

Lifelong blood transfusions to help maintain Hb levels