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Question 1

How do you calculate fluids for children?

Answer 1

100 - 50 - 20

100ml/kg for first 10kg
50ml/kg for next 10kg
20ml/kg for ever kg after

Question 2

COPD pathways

Question 3

Most common fractures in NAI?

Answer 3

child abusers cause HarmFull Reactions

Humerus
Femur
Radius

Question 4

Match the following symptoms with types of lung cancer:
- caviating lesions
- gynaecomastia
- PTH hormone
- SIADH

Answer 4

Squamous cell
Adenocarcinoma (think glandular)
Squamous cell
Small cell

//Squamous = caviating + calcium (PTH) - think of like sponge with lots of milk in it //

Question 5

Staging of lymphoma

Question 6

Smear/smudge cells vs auer rods

Tear drop cells

Answer 6

Smear = CLL = Crushed Little Lymphocytes

Auer rods = AML

Tear drop = myelofibrosis (squeezed out of fibroses bone marrow pinches one end)

Question 7

If a breast ca pt doesn’t have palpable axillary lymph what should be done prior to surgery?

Answer 7

Axillary USS

If palpable -> axillary node clearance in primary surgery

Question 8

Lymphoma and CLL - which is assoc. with cold and warm autoimmune haemolytic anaemia?

Answer 8

CLL = warm = our crushed little lymphocytes (smear cells) in the sun

Lymphoma = cold

Question 9

Seizure vs vasovagal

Answer 9

Seizure
- bit tongue - sides of tongue
- rigid and jerky

Vasovagal
- floppy and twitchy

Can have urinary/faceal incontinence in both

Invx
Glucose - SO IMPORTANT

Question 10

Alongisde worsening psoriasis - what is another side effect of b-blockers?

Answer 10

Sexual problems

beta blockers = cock blockers