27/4/22 Flashcards

1
Q

Complete anatomy of cranial nerves on prosection image

A
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2
Q

What is the main function of the temporal lobe?

A

Hearing

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3
Q

Complete brain in half anatomy page

A
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4
Q

Complete cranial foramina on prosection image

A
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5
Q

Complete cerebellum anatomy page

A
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6
Q

Go back over blood supply of brain - don’t just label but also draw it out

A
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7
Q

What is the major blood supply for the dura mater?

A

Middle meningeal artery

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8
Q

When does cauda equina begin?

A

L1/2

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9
Q

With the dorsal column - what part controls upper limb - more medial or lateral?

A

Upper limb - more lateral

Imagine legs running sraight up middle and lateral are your arms

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10
Q

What is the corticospinal tract responsible for?

A

Voluntary movement of the CONTRALATERAL side

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11
Q

Describe the pathway of the pudendal nerve

A

Through greater sciatic foramen

Wrap around sacrospinous ligamanent

Back through the lesser sciatic foramen

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12
Q

What is the role of the broad ligament?

A

To support uterus in position

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13
Q

Name the 3 layers of the uterus lining from most deep to most superfical

A

Endometrium
Myometirum
Perimetrium

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14
Q

What is the name of the bit between the vagina and anus?

A

Perineal body

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15
Q

How do you remember what part of the autonomic system is responsible for erection and ejaculation?

A

“Point and shoot”

Point (erection) = parasympathetic
Shoot (ejaculation) = sympathetic

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16
Q

How do you remember sperm pathway?

A

SEVEN UP

Seminiferous tubules
Epididymus 
Vas deferens
Ejaculatory duct
Nothing

Urethra
Penis

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17
Q

How do you remember contents of the spermatic cord?

A

Purple Dick Contribute To A Good Sex Life

Pampinform plexus
Ductus (vas) deferens 
Cremasteric artery 
Testicular artery 
Artery for ductus deferens
Genital branch of genitofemoral nerve
Sympathetics
Lymphatics
18
Q

Name 5 causes of post-coital bleeding

A
  • Infection
  • Cervical ectropion
  • Cervical cancer
  • Coil not fitted properly
  • Vuval pathology e.g atrophic vaginitis, lichen planus
  • Cervical polps
19
Q

When do you give HRT as continuous vs cyclical?

A

Cyclical if still getting periods/ last period <1yr ago

Continous >1yr since last period

20
Q

When are the situations when you would give a patient oestrogen only HRT?

A
No uterus
Mirena coil (acts as progesterone part)
21
Q

Apart from >15 cigarettes a day what is another factor around smoking that is a contradiction for COCP?

A

Stopped smoking <1yr ago

22
Q

What are the 5 fraser guidelines?

Who do they apply to?

A

Applies to giving contraception to <16

  1. They are sufficently mature and intellegent enough to understand
  2. They cannot be persuaded to tell parents or allow doc to tell them
  3. They will go on to have unprotected sex if don’t provide with contraception
  4. Physical or mental health is subject to suffering if don’t provide treatment
  5. Advice or treatment is in their best interest
23
Q

If a sperm sample is abnormal when investigating pregnancy - what should be done?

A

Repeat test 3 months later

24
Q

What is the management for subclinical hypothyroidism in the elderly?

A

Watch and wait

25
Q

How do you manage patients with cellulitis who are penicillin allergic?

A

Clarithomycin
Erythromycin
Doxycycline

26
Q

An asymptomatic catheterised patient has had bacteria found on their urine sample. How do you manage?

A

DO NOT TREAT

27
Q

What is the name for the renal cause of AKI that I always forget?

What classically causes it?

A

Acute interstitial nephritis

Antibiotic use

28
Q

In a Parkinson’s patient on many drugs what should NOT be stopped on acute admission in any circumstances?

A

Levodopa and other antiparkinson drugs

29
Q

What is the difference between onset in pseudoseizures and true seizures?

A
Pseudo = gradual
True = sudden
30
Q

What is found on pelvic X-ray in AS?

A

Sacro-ilitis

31
Q

Go over the little song to remember dates for antenatal screening

A

.

32
Q

What cranial nerves correspond to each part of the midbrain, pons and medulla?

A

Midbrain 1, 2, 3 and 4
Pons 5, 6, 7 and 8
Medulla 9, 10, 11 and 12

33
Q

What needs to be checked before doing a lumbar puncture in meningitis?

A

Clotting screen

Need to check for meningeal sepsis - if deranged clotting factors then dangerous to do lumbar puncture

34
Q

Open or closed glaucoma that presents acutely?

A

Closed

35
Q

What anti-epeletic can interact with COCP?

A

Phenytonin

36
Q

After what percentage of blood loss does hypotension occur?

A

30%

37
Q

What drugs can interact with lithium?

A

Those that affect kidneys - lithium is really excreted

38
Q

How many days of treatment for worms?

A

1

39
Q

What medication is used to manage ADHD?

What side effect does it have?

A

Methylphenidate

Suppresses appetite -> reduced growth

40
Q

What are the aims for HbA1c on drug therapy?

A

53 if mono therapy

58 if triple therapy/insulin