cards Flashcards

1
Q

what are the requirements for forceps delivery

A
fully dilated cervix
ruptured membranes
OA or OP position 
cephalic presentation
head presenting
pain relief
bladder empty
clear indication
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2
Q

when should post exposure prophylaxis be given

A

no later than 72 hours

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3
Q

if a patient has a GCS of less than 13 in a and e what imaging must you do

A

CT head in one hour

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4
Q

what could enlarged lymph nodes that become painful on alcohol consumption suggest

A

Hodgkins lymphoma

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5
Q

what pathogen is associated with gangrene

A

clostridium perfringes

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6
Q

pre hepatic jaundice LFTs

A

normal ALT, AST and ALP

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7
Q

hepatic jaundice LFTs

A

elevated ALT and AST, moderately high ALP

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8
Q

post hepatic jaundic lfts

A

very high ALP
moderatley high ALT and AST

Often pale stools

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9
Q

what are the features of kartageners syndrom

A
dextrocardia or situs invertus
bronchiectasis
sinusitis
otitis media 
suberfertility
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10
Q

what is kartageners syndrome

A

ciliopathy

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11
Q

what are smudge or smear cells

A

CLL

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12
Q

rouleaux formation

A

multiple myeloma

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13
Q

Auer rods

A

AML

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14
Q

Psuedo pelger huet cells

A

CML

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15
Q

what is the transfusion threshold for patients with ACS

A

80 g/L

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16
Q

what is the treatment for wolf Parkinson white syndrome

A

accessory pathway ablation

17
Q

what are the features of wolf parkinson white

A

palpitations. ECG shows a shortened PR interval and wide QRS complexes associated with a slurred upstroke seen in lead II.
axis deviation

congenital accessory conducting pathway between the atria and ventricles leading to a atrioventricular re-entry tachycardia (AVRT)

18
Q

why can furosemide cause hearing loss

A

ototoxic

19
Q

what drugs can be used to treat oesophageal varices

A

terlipressin
octreotide
also quinolones

endoscopic band ligation

20
Q

how do you prevent bleeding oesophageal varices

A

propanolol

endoscopic variceal band ligation

21
Q

what is a transjugular intrahepatic potosystemic shunt

A

connects hepatic vein to the portal vein

22
Q

what disease causes upper zone pulmonary fibrosis

A

tuberculosis

23
Q

what is the most common cause of hepato cellular carcinoma in europe

A

hep c

24
Q

what is fontaine classification

A
chronic ischamia
asymptomatic
claudicatin
rest pain 
tissue loss
25
Q

what is an aneurysm

A

swelling of the aorta to 1.5 its normal size