Corrections 4 Flashcards
What is the most appropriate investigation to visualise fibroids?
Transvaginal US
Is salbutamol safe in breastfeeding?
Yes
When should women with dichorionic twins be offered an elective c section?
37 weeks
FSH and LH levels in premature ovarian insuffiency?
High FSH and LH in response to lack of oestrogen release from ovaries.
Symptoms of a cystocele?
- symptoms of stress incontinence
- sensations of heaviness or dragging in vagina
Is anti-D required after light spotting <12 weeks gestation?
no
Is anti-D require before amniocentesis?
Yes
Is HRT or COCP preferred for management of premature ovarian insufficiency?
HRT
What does WHO performace status 3 mean?
An individual is confined to a bed or chair for more than 50% of their waking hours and that they are capable of only limited self-care.
Is post-term gestation a risk factor for poly or oligohydramnios?
Oligohydramnios
Is oesophageal atresia a risk factor for poly or oligohydramnios?
Polyhydramnios
Prevents the foetus from swallowing
What is the best treatment for PID?
Ceftriaxone + doxycyline + metronidazole
What is given 1st line in active management of 3rd stage of labour?
IM oxytocin
How soon after mifepristone should misoprostol be given in a TOP?
24-48 hours later
Dose of folic acid in pregnant women with coeliac disease?
5mg (considered higher risk)
When is ECV offered?
37 weeks
What is the danger of correcting a low serum sodium level too quickly?
Can lead to central pontine myelinosis (where the osmotic pressure of the influx of Na+ molecules strips water from the brain).
This causes destruction of the pontine myelin.
This leads to osmotic demyelination syndrome –> dysarthria, quadriparesis, seizures, coma, locked-in syndrome.
What are some complications of a SAH?
1) Hyponatraemia
2) Seizures
3) Vasospasm
4) Chronic hydrocephalus (due to effects of haemorrhage on resorption of CSF)
5) Cognitive impairment
6) Re-bleeding
What can be given to reduce risk of vasospasm in SAH?
Nifedipine
What are the vitamin K dependent clotting factors?
II, VII, IX and X.
Mneumonic 2 + 7 = 9, not 10
What are the management options for a subdural haematoma?
1) Conservative
2) Medical:
- prophylactic antiepileptics
- coagulopathy reversal
3) Surgical:
- decompressive craniotomy
- Burr hole decompression
- craniectomy
What are the features suggestive of hypernatraemic dehydration?
1) jittery movements
2) increased muscle tone
3) hyperreflexia
4) convulsions
5) drowsiness or coma
How soon should any person on anticoagulants with a head injury receive a CT head?
Within 8 hours
1st line investigation in suspected prostate cancer?
Multiparametric MRI