even more passmed Flashcards
pregnant woman with SLE, what additional medication should she take
aspirin
-women with autoimmune diseases at higher risk of pre-eclampsia
investigation for MS
MRI with contrast
ipsilateral CNIII palsy and contralateral weakness of upper and lower
webers syndrome
-branches of PCA to midbrain
ipsilateral: ataxia, nystagmus, dysphagia, facial numbness, cranial nerve palsy e.g. Horner’s
contralateral: limb sensory loss
PICA (lateral medullary syndrome)
hypochromic microcytic anaemia
high ferritin iron & transferrin saturation
sideroblastic anaemia
how long do symptoms need to be present for a diagnosis of PTSD
4 weeks
when should fetal movements be felt by
24 weeks
which anti-epileptic medication is most likely to cause neuropathy
phenytoin
surgical treatment for vaginal vault prolapse
sacrocolpoplexy
when should women be offered next cervical smear after being treated for CIN
6 months later
Most common benign ovarian tumour in women under the age of 25 years
dermoid cyst
The most common cause of ovarian enlargement in women of a reproductive age
follicular cyst
Most common type of ovarian pathology associated with Meigs’ syndrome
fibroma
First screen for anaemia and atypical red cell alloantibodies
8-12 weeks
which type of HRT for perimenopausal women
monthly cyclical HRT
most common side effect of clozapine
constipation
complication of oligohydramnios
fetal pulmonary hypoplasia
-amniotic fluid important for fetal lungs
what is the other name for herceptin
trastuzumab
causes of autonomic neuropathy
Diabetes mellitus
Infections (including HIV, lyme and chagas)
Autoimmune disease (including SLE)
Amyloidosis
brown sequard
Ipsilateral hemiplegia
Ipsilateral loss of proprioception and vibration
Contralateral loss of pain and temperature sensation
strawberry cervix
trichomonas vaginalis
small pear shaped parasites with a single nucleus and flagella found on cervix
trichomonas vaginalis
whats the diagnosis and treatment if someone has megaloblastic anaemia and an autoimmune condition
pernicious anaemia
-hydroxocobalamin IM injections
causes of horner’s syndrome
-Pancoast tumour (affecting sympathetic nerve supply)
-Stroke
-internal Carotid artery dissection (Red flag: neck pain)
what is lung compliance
ability of the lungs to stretch and expand
in locked in syndrome, at which level of the brainstem has the disease affected
pons
from which artery does the opthalmic artery arise
internal carotid
what is an absolute contraindication for the depot injection
current breast cancer
most common type of epithelial ovarian tumour
serous cystadenoma
do you get steppage gait in parkinsons
no
first line for trigeminal neuralgia
carbamazepine
treatment of anti-phospholipid syndrome in pregnancy
aspirin and LMWH
how many weeks pregnant does a woman have to be to be diagnosed with pre-eclampsia
20 weeks
what is the most common paraprotein found in myeloma
IgG
what would a posterior communicating artery aneurysm lead to
subarachnoid haemorrhage
which type of haemorrhage is caused by a bridging vein rupture
subdural
which type of haemorrhage is caused by a middle meningeal artery aneurysm
extradural
which part of the brain controls temperature of the body
hypothalamus
which part of the brain contains the oculomotor nucleus
midbrain
function of the medulla
breathing, heart rate and circulation
where are astrocytic pilocytomas usually found
cerebellum
-vertical diplopia
-classically noticed when reading a book or going downstairs
-subjective tilting of objects (torsional diplopia)
-the patient may develop a head tilt
-the affected eye appears to deviate upwards and is rotated outwards
fourth nerve palsy
