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MBBS Y5 > exam mix > Flashcards

exam mix Flashcards

1
Q

RF for GDM

A 
Family history Obesity Black ethnicityPrevious GDMPrevious macrosomic baby
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2
Q

Screening for GDM

A

Glycosuria Fasting plasma glucose 5.6 OGTT at 2h 7.8

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3
Q

GDM plasma glucose >7 management

A

Insulin

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4
Q

GDM plasma glucose <7 management

A
  1. Diet exercise (2 weeks)2. Metformin 3. Add insulin
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5
Q

GDM risks

A

MacrosomiaNeonatal hypoglycaemia Traumatic birth Perinatal death

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6
Q

Chronic hypertension in pregnancy

A

HTN <20 weeks

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7
Q

Gestational hypertension

A

> 20weeks hypertension| NO proteinuria

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8
Q

Pre-Eclampsia

A

HTN >20 weeksPROTEINURIA Resolves 6 weeks post partum

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9
Q

Urine dipstick proteinuria

A

PCR >30| ACR > 8

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10
Q

Pre eclampsia risk factors

A 
>40 yo Obesity Multiple pregnancy 1st pregnancyPrevious pre eclampsia
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11
Q

Pre eclampsia complications

A

Placental abruption Eclampsia HELLPFoetal growth restriction

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12
Q

Pre eclampsia medications

A

LabetalolNifedipineMethyldopa

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13
Q

Seizure prevention in pre eclampsia

A

IV magnesium sulphate

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14
Q

VTE Management

A

LMWH (enoxaparin)At least 3 monthsAt least 6 weeks post partumAt least until end of pregnancy

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15
Q

Which VTE drugs to avoid in pregnancy?

A 
Warfarin DOACs (rivaroxaban, apixaban)
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16
Q

Obstetric cholestasis

A

No rashItchingAbnormal LFT (raised ALP)

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17
Q

Complication of obstetric cholestasis

A

Preterm birth (check weekly LFT)

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18
Q

Obstetric cholestasis management

A

Weekly LFT| Urodeoxycholic acid

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19
Q

Acute fatty liver of pregnancy symptoms

A

N & VAbdominal painJaundice-always 3rd trimester-

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20
Q

HELLP

A

Haemolysis (LDH)Elevated Liver (ALT AST) Low Platelet

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21
Q

Placenta praevia management

A

If bleed: Admit Steroids 24-36th weekDelivery (C section)

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22
Q

Placental abruption symptoms

A

Severe abdominal painVaginal bleedingTense rigid abdomen

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23
Q

Risk factors for placental abruption

A

HypertensionSmokingCocaineMultiple pregnancy

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24
Q

Placental abruption management

A

Delivery

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25
Q

Placenta praevia - where does placenta attach?

A

Deep into myometrium

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26
Q

1* post partum haemorrhage causes

A 
4 TsToneTraumaThrombinTissue (retained)
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27
Q

Preventing PPH routine

A

Prophylactic uterotonics 1st IM Oxytocin2nd IM Syntometrine (if high risk)+ Tranexamic acid

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28
Q

IM Syntometrine contraindications

A

HTN

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29
Q

Major PPH management

A 
Bimanual compression IV oxytocin 5UIV/IM ergometrine 0.5mgOxytocin infusionIM Carboprost 0.25mgSublingual Misoprostol 800ugSurgical / Balloon tamponade
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30
Q

First stage of labour rate

A

1cm - 2h

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31
Q

2nd stage of labour length

A

Nulliparous: 3hMultiparous: 2h

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32
Q

Membrane sweep

A

Trying detach the membranes from inner cervix - 40+ weeks

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33
Q

Induction of labour

A 
Membrane sweep24h later: prostaglandin pessaryProstaglandin gel/tablet Artificial rupture of membranesSyntocinon
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34
Q

1st stage latent dilatation rate

A

0-3cm /6h

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35
Q

1st stage active length

A

3-10cm| 1cm/hr

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36
Q

Antibodies in haemolytic disease of a newborn

A

IgG

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37
Q

Sensitising events treatment

A

1st term: 250 u anti-D immunoglobulin2nd: 250 u in 72h of event + Kleihauer test 3rd: 500 u in 72h + Kleihauer test

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38
Q

Kleihauer test

A

Quantifies how much foetal blood is in maternal circulation

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39
Q

Hyperemesis gravidarum

A

> 5% weight lossElectolyte disturbance Dehydration PUQE sforę

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40
Q

Antiemetics in pregnancy

A

1) cyclizine, prochlorperazine, promethazine, chlorprimazine| 2) metoclopramide, domperidone, ondasetron

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41
Q

Ectopic - expectant management

A

No pain< 35mmNo heartbeat hCG < 1000

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42
Q

Ectopic - Medical management

A

PAIN< 35mmhCG < 1500 No heart beatIM METHOTREXATE

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43
Q

Ectopic - surgical management

A

PAIN> 35 mmhCG > 5000 Salpingectomy / salpingotomy

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44
Q

Threatened miscarriage

A

HeartbeatPain, bleedingOs closed

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45
Q

Inevitable miscarriage

A

No heartbeatPain, bleedingOs Open

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46
Q

Incomplete miscarriage

A

Retained products of conceptionPain, bleedingOs Open

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47
Q

Complete miscarriage

A

Empty uterus| Closed Os

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48
Q

Missed miscarriage

A

No heartbeat| Asymptomatic

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49
Q

Miscarriage Medical management

A

Vag misoprostol Pain relief Antiemetic

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50
Q

Surgical management of miscarriage

A

Manual vacuum aspirationSurgical management

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51
Q

Antiphospholytic syndrome triad

A

Recurrent miscarriage ThrombocytopeniaVTE

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52
Q

Antiphospholipid syndrome screen

A

Lupus anticoagulant| Anticardioliptin antibodies

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53
Q

Medical TOP

A

Mifepristone Misoprostol+ >22 feticide

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54
Q

Surgical TOP <14 w

A

Vacuum aspiration

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55
Q

Surgical TOP 14-24 weeks

A

Dilation and Evacuation

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56
Q

Complete mole

A

Sperm + empty egg = 46XX

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57
Q

Partial mole

A

2x sperm + egg = 69 XXY

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58
Q

Depot - characteristics

A

Weight gain Slow return to fertility Every 12-14 weeks

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59
Q

COCP

A

Prevents ovulation Makes period lighter Quickly reversible

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60
Q

POP

A

Thickens mucus Irregular period Small window for taking

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61
Q

Hormonal coil

A

Lasts 3-5 y Thins endometrium Lighter, less painful period

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62
Q

Copper coil

A

Work immediately Makes period more heavy5-10 y Sterile inflammation

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63
Q

Implant

A

Prevents ovulation 3 years Irregular period

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64
Q

Patch

A

Weekly 3 weeks, 1 week offSkin sensitivity Similar to COCP

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65
Q

Kallman syndrome

A
  • hypogonadotrophic hypogonadism| - reduced or absent sense of smell (anosmia)
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66
Q

PCOS

A

PCOS on USS >12 cysts in 1 ovaryHyperandrogenism Anovulation

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67
Q

Estrogen only

A

-> endometrial cancer

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68
Q

HRT

A

VTESTROKEBREAST CANCER

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69
Q

Clomiphene

A

Stimulates egg release in PCOS to improve fertility| metformin also improves fertility

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70
Q

Diagnosis of premature ovarian insufficiency

A

2x FSH >30| 4-6 weeks apart

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71
Q

Ovarian cancer symptoms

A

Bloating Constipation Urination trouble PM

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72
Q

Ovarian cancer diagnosis

A

CA 125

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73
Q

Endometrial cancer diagnosis

A

TVUSS >4mm suspiciousHysteroscopy biopsy Mx: high dose progesterone

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74
Q

Cervical cancer symptoms

A

Postcoital bleeding| Intermestrual bleeding

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75
Q

Cervical cancer diagnosis

A

HPV 16/18| Check for CIN Cervical Intraepithelial Neoplasia

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76
Q

HPV -

A

Routine screening in 3 years

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77
Q

HPV +| Normal CIN

A

Re test in 1 year

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78
Q

HPV +| Abnormal

A

Invite for colposcopy

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79
Q

PID treatment

A

IM Ceftriaxone STAT 500mgPO Docycycline 100mg BD 14dPO Metronidazole 400mg BD 14d

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80
Q

PID management in penicillin allergy

A

PO Ofloxacin + Metronidazole 14d

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81
Q

Urge incontinence management

A

1) bladder retraining 6w2) oxybutynin, tolterodine3) mirabegron (b3 agonist)4. SNS, botox, PTNS

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82
Q

Stress incontinence management

A
  1. Pelvic floor exercise 3 mth| 2. Duloxetine SNRI
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83
Q

Syphilis in pregnancy

A

FGR| Mx IM Benzathine Penicillin

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84
Q

VZV in pregnancy

A

Neonatal varicella - cutaneous scarring, FGR, Limb hypoplasia

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85
Q

NAME?

A

Cytology Abnormal: colposcopyNormal: 12mth test

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86
Q

If +HPV and cytology normal at 12 month follow up

A

Repeat in 12months

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87
Q

If +HPV and cytology abnormal at 12 month follow up

A

Colposcopy

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88
Q

Inadequate sample cytology

A

1x return in 3 mth| 2x colposcopy

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89
Q

<20 w pregnant exposure to VZV

A

Check varicella antibodies| If negative, IVIG in 10 days

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90
Q

<20 w pregnant with VZV

A

Aciclovir

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91
Q

> 20 weeks pregnant with VZV

A

Acyclovir within 24h of rash

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92
Q

> 20 weeks pregnant with VZV exposure

A

If not immune: give VZIG or acyclovir 7-14 days post exposure

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93
Q

HSV in pregnancy

A

1-2nd term: acyclovir from 36w3rd term: acyclovir until delivery1st ever episode in 3rd term: C Section

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94
Q

HIV in pregnancy

A

Check viral load 2-4 weeksAnd at 36w Vaginal if <50 at 36w

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95
Q

C section in HIV pregnancy

A 
IV zidovudine (+ART to everyone as usual) Avoid breastfeeding
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96
Q

Hep B in pregnancy

A

Vax + HBIG in 12h| Vax at 1 month, 6 months

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97
Q

Core symptoms of depression

A

Low moodAnhedonia (usual things don’t bring happiness)Lack of energy- for at least 2 weeks

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98
Q

Beck’s triad

A

HopelessWorthlessHelpless

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99
Q

High risk of suicide

A 
Anticipation actsPreventing discoveryCareful planningSuicide noteViolent method
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100
Q

GAD Mx

A

GAD must be >6mthHigh dose SSRIBenzodiazepines

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101
Q

OCD management

A

Exposure and Response PreventionOr SSRI or after 12 weeks, Clomipramine, or alt SSRI

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102
Q

Schizophrenia triad

A

Auditory hallucinationsAbnormal thoughtsDelusions

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103
Q

Auditory hallucinations

A

Thought echo3rd person voice Running commentary

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104
Q

Abnormal thoughts

A

Thought insertion / withdrawal / broadcasting

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105
Q

Delusions

A

False fixed belief held despite evidence

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106
Q

Paranoid schizophrenia

A

Delusions and hallucinations

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107
Q

Hebephrenic schizophrenia

A

Disorganised mood, inappropriate, childlish

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108
Q

Catatonic schizophrenia

A

Psychomotor disturbance| Stupor, rigidity, flexibility

109
Q

Simple schizophrenia

A

Only negative symptoms: social withdrawal, blunted affect

110
Q

Typical antipsychotics SEs

A

Acute dystopia Tardive dyskinesiaAkathisiaParkinsonism

111
Q

Typical antipsychotics examples

A

Haloperidol| Chlorpromazine

112
Q

Treatment resistant schizophrenia

A

2 drugs failure At least 6 weeks At least 1 atypical

113
Q

Treatment resistant schizophrenia drug & SEs

A

Clozapine| __AGRANULOCYTOSIS

114
Q

Personality disorder treatments

A

Dialectical behavioural therapy| SSRI, antipsychotic

115
Q

Capacity assessment

A

Understand / retain / weigh/ communicate

116
Q

Section 135

A

Police enters premises with social worker warrant, move to a płace of safety for 72h

117
Q

Section 136

A

Police removes from public space, no warrant, 24h

118
Q

Section 2

A

Assessment and treatment 28days Can’t be renewed2 drs (GP, AMHP) and social worker

119
Q

Section 3

A

Treatment order 6m 2 doctorsSocial worker needs relative approval (can disagree)

120
Q

Section 4

A

Assessment in emergency72h1 AMPH

121
Q

Section 5.2

A

Detention of inpatient for 72h| By doctor

122
Q

section 5.4

A

Detention of inpatient by nurse for 6h

123
Q

HAD

A

Hospital anxiety and depression

124
Q

PHQ9

A

Patient health questionnaire (screening, diagnosing, severity of depression)

125
Q

Social anxiety disorder

A

Fear of being critisized and judged

126
Q

Agoraphobia

A

Fear of being unable to return to safe place

127
Q

GAD

A

Symptoms for 6 mth

128
Q

OCD

A

Exposure and response prevention

129
Q

Positive symptoms (schizophrenia)

A

DelusionsHallucinationsDisorganised speechCatatonic behaviour

130
Q

Negative symptoms

A

Blunted affectAlogia - can’t speakAnhedonia - no enjoymentAvolition - lack of motivation

131
Q

Persecutory delusion

A

Persistent false belief that you are about to be harmed

132
Q

Paranoid delusions

A

Fear and anxiety and can’t tell what is real and what is not

133
Q

Delusions of reference

A

Unrelated external world events have significance in patient

134
Q

Type 1 bipolar

A

Mania + depression

135
Q

Type 2 bipolar

A

Hypomania + depression

136
Q

Cyclothymic disorder

A

Hypomanic + depressive most of the time for 2 years

137
Q

Binge eating

A

> 1x week for 3 months| No purging

138
Q

Bulimia

A

> 1x a week for 3 months binge eating with purging

139
Q

SCOFF for eating disorders

A 
S - make yourself sick C - lost control over eatingO - lost 1 stone in 3 monthsF - believe you are fat? F - food dominates life?
140
Q

Alcohol units

A

Litres x %

141
Q

Alcohol withdrawal

A

Early - agitation sweating nauseaLate 24-48h confusion diarrhoea Seizures peak at 36h48h-72h delirium

142
Q

Wernicke - triad and Mx

A

Nystagmus/ophthalmolegia, ataxic gait, confusion| Mx Thiamine

143
Q

Korsakov syndrome

A

Wernickes triad + amnesia, confabulation

144
Q

Paranoid personality disorder

A

Sensitive to criticism| Suspicion and conspiracy

145
Q

Schizotypical personality disorder

A

Magical thinking| Odd speech

146
Q

Schizoid personality disorder

A

Lack of emotionLack of interest in othersNo relationships and friends

147
Q

Antisocial personality disorder

A

Going against social norms and law| Lying/fighting/ running naked

148
Q

Borderline personality disorder

A

Unstable relationships Self harmMood swingsSwitching from ideal to devalued

149
Q

Histrionic personality disorder

A

Needs attention ShallowDramatisingSexually inappropriate

150
Q

Narcissistic personality disorder

A

Grandiose self importance Takes advantage of others ArrogantNeed for attention

151
Q

Avoidant personality disorder

A

Fear of criticism or embarrassment| Social isolation but wanting acceptance

152
Q

Dependent personality disorder

A

Needs to be cared forOther need to take control of their livesDesperate need for relationships

153
Q

Obsessive compulsive personality disorder

A

Vs OCD- OCPD seek pleasure in tasks Perfectionist Occupied by rules and rituals

154
Q

Serotonin syndrome

A

Too much serotonin Fever, HYPER reflexes, myoclonus, DILATED PUPILS- HOURS -

155
Q

Neuroleptic malignant syndrome

156
Q

Septal haematoma mx and risk

A

Incise and drain in 24h-> saddle shaped deformity

157
Q

BPPV| Examination and Mx

A

Episodic <30s on head movementDix-Hallpike manoeuvreEpley manouvre

158
Q

Otitis externa

A

Accitic acid| Fusidic acid

159
Q

Otitis media

A

Amoxicillin

160
Q

Cystic hygroma

A

Posterior triangle<2 yoFluctunant

161
Q

Branchial cyst

A

Anterior triangle Young people & childrenFluctuant Radiating

162
Q

Most common thyroid cancer

A

Papillary - orphan cells, lymphatic spreadFollicular - >50yo, haematologyMedullary - calcitonin, Men 2a/ 2b

163
Q

Laryngeal cancer

A

SCCHPV 16, 18Abnormal voice, sore throat, ulceration and cancer

164
Q

Chalezion

A

Painless eyelid cyst of meibomian gland

165
Q

Hordeolum

A

Infected cyst of meibomian gland PAINFUL Tx chloramphenicol

166
Q

Blepharitis

A

Mild bacterial eyelid margin, erythematous and crusty eyelid margins, uncomfortable Tx warm compress, chloramphenicol

167
Q

Viral conjunctivitis cause

A

Adenovirus

168
Q

Bacterial conjunctivitis

A

Staph aureus

169
Q

Bacterial keratitis

A

Staph aureus

170
Q

Viral keratosis

A

HSVrf: immunosuppressiveDendritic ulcer on fluorescent stain

171
Q

Acanthamoeba

A

Contact lensesRing infiltrateDisproportional pain

172
Q

Diabetic retinopathy

A

Gradual vision loss| Micro aneurysm, hard exudate, blot haemorrhage, cotton wool spots

173
Q

Ectopic pregnancy risk

A

Previous ectopic PID assisted conception Previous pelvic surgery

174
Q

DCML

A

Ascending| Fine touch, propritocention

175
Q

Nephritic syndrome

A 
Increased PCR IgA NephropathyPost Strep GlomerulonephritisHaemolytic Ureamic SyndromeHenoch-Schonlein PurpuraSLE
176
Q

Nephrotic syndrome

A

Proteinuria, hypoalbuminaemia, oedemaMinimal Change DiseaseFSGSMembranous Glomerulonephritis

177
Q

Tetralogy of fallot

A

Pulmonary stenosisVSDoverriding aortaRight ventricular hypertrophy

178
Q

Onset of cyanosis in bebos

A

In days: TGA| in months: TOF

179
Q

TGA Xray

A

Egg on a string

180
Q

TOF Xray

A

Boot shaped heart

181
Q

ASD

A

Ejection systolic murmur| Left sternal edge

182
Q

VSD

A

Pansystolic murmur| Left sternal edge

183
Q

AVSD

A

pulmonary hypertension| Down syndrome

184
Q

PDA

A

machinery murmur below left clavicle| Indamethasin/ Nsaid

185
Q

Anaphylaxis

A

IM adrenaline 1:10005 min later IM adrenaline 1:1000Adrenaline infusion

186
Q

DKA and dehydration pH

A

pH > 7.1 = 5% loss| pH < 7.1 = 10% loss

187
Q

Total fluid deficit volume

A

%deficit x weight x 10 Over 48h

188
Q

Maintenance fluids paediatrics

A

0-10kg 100mL/kg10-20kg 50mL/kg>20kg 20mL/kg

189
Q

Status epilepticus

A

IV lorazepam /rectal diazepam, buccal midazolam 10min IV lorazepamPhenytoin infusionGA

190
Q

Generalised seizure mx

A

Sodium valproate| Lamotrigine

191
Q

Focal seizure mx

A

Lamotrigine

192
Q

Absence seizure

A

Ethosuximide

193
Q

ADHD Mx

A

MethylphenidateLisdexamphetamine-> may impair growth (hight weight ecg)

194
Q

Pyloric stenosis treatment

A

Ramstedt pylorymyotomy

195
Q

Constipation paeds

A

Movicol (draw water into intestine)Senna (stimulant laxative, intestine contractions) If impaction: Movicol on 2 week escalation dose + Senna

196
Q

Bulk forming laxative

197
Q

Osmotic laxative - draws water to intestine

A

Movicol| Lactulose

198
Q

Stool softener

A

Glycerol| Docusate

199
Q

Stimulant laxative - augment contractions

A

Senna| Bisacodyl

200
Q

Intussuception

A

red currant jelly stoolSausage shaped massDx USS, AXRMx Rectal air insuflation, surgery

201
Q

Jaundice 24h - 14d

A

Breast milkBruising / traumatic birth RBC breakdown

202
Q

Jaundice <24h

A

Rhesus incompatibilityABO incompatibilityG6DP deficiencyPyruvate Kinase deficiency

203
Q

Jaundice >14d

A

Biliary atresiaCongenital hypothyroidismNeonatal hepatitis

204
Q

Transcutaneous bilirubin

A

Jaundice >24h| Born >35w

205
Q

Serum bilirubin

A

Jaundice <24h| Born <35w

206
Q

Hearing tests

A

Otoacoustic test| Adutiroty brainstem response test

207
Q

Meningitis in HIV

A

Cryptococcus neoformans- india ink stain

208
Q

HIV diarrhoea

A

Cryptosporidium

209
Q

Fever followed by maculopapular rash

A

Roseola infantum| HHV6

210
Q

Itchy red papular lesions between toes and fingers

A

Scabies| Sarcoptes scabies

211
Q

Bilateral malar erythrema

A

Slapped cheek syndrome / fifth disease| Parvovirus B19

212
Q

Widespread erythrema and tenderness, desquamation

A

Scalded skin syndrome| Staphylococcus

213
Q

Painful lesions on hands, foot, month

A

Coxsackie virus

214
Q

Erythrematous pustules with yellow crust

A

Impetigo| Staph aureus

215
Q

Blueberry muffin rush

216
Q

Cancer that metastasises to bone

A 
BLT Kocher PickleBreastLungThyroidKidneyProstate
217
Q

Homonymous hemianopia - congruous defect

A

Optic radiation or occipital cortex

218
Q

Homonymous hemianopia - incongruous defect

A

Optic tract

219
Q

Homonymous hemianopia - macula sparing

A

Occiptial cortex

220
Q

PPROM sign

A

Pooling of water in posterior vault| Do FIBRONECTIN test

221
Q

Praeder Willi

A 
Eating everything OverweightShort statureHypotoniaDelay
222
Q

Eosinophilic granulomatosis with polyangitis

A

AsthmaBilateral nasal polypsNasal obstruction

223
Q

Painless red eye in autoimmune conditions

A

Episcleritis

224
Q

Painful red eye in ankylosing spondylitis

A

Anterior uveitis

225
Q

Ewing sarcoma

A

MRI large mass with necrosis| Small blue round cells on E&H

226
Q

Frontal lobe seizure

A

Jacksonian movement

227
Q

Limited systemic sclerosis ab

A

Anti centromere

228
Q

Doffuse systemic sclerosis ab

A

Anti scl 70

229
Q

Brocas area

A

EXPRESSIVE

230
Q

Wernickes area

231
Q

Turner syndrome Heart problem

A

1st Bicuspid valve| 2nd is coarctation of aorta

232
Q

Hearing tests in newborn

A

Evoked otoacoustic emission| Automated auditory brainstem resoinse

233
Q

NEC

A

Ceftriaxone and Vancomycin

234
Q

Neonatal jaundice bilirubin check

A

Serum bilirubin in jaundice >24h and born <35 weeksTranscutaneous bilirubin in jaundice >24h and >35 weeks

235
Q

Bebo sepsis abx and cause

A

Benzyloenicillin + gentamycin<72h leisteria monocytogenes, GBS>72h staphylococcus epidermis

236
Q

Neonatal meningitis tx

A

Penicillin + cegtriaxone/cefotaxime

237
Q

GBS

A

Mother; benzylpenicillin| Bebo: benzylpenicillin + gentamycin/ceftriaxone

238
Q

Hep B treatment

239
Q

Threadworms tx

A

Mebendazole

240
Q

Drug for induction of ovulation

A

Clomiphene

241
Q

When is anaemia checked in pregnancy?

A

Booking and 28w

242
Q

Hb levels in pregnancy

A

1st 1102nd 105 3rd 100

243
Q

Ovarian cancer risk factors

A

many ovulationsEarly menarcheLate menopauseNullparity

244
Q

Endometrial cancer

A 
Many ovulations ObesityEarly menarcheLate menopauseNullparity
245
Q

DCML

A

ascending| Fine touch and proprioception

246
Q

Corticospinal

A

Descending| Motor

247
Q

Spinothalamic

A

Ascending| Pain and temperature

248
Q

TIA onset <1w

A

Refer same day| 300mg aspirin

249
Q

TIA onset >1w

A

1 week wait referral| 300mg aspirin

250
Q

TIA pharmacotherapy

A

300 mg aspirin for 14 days| 75mg aspirin + clopidogrel + statin later

251
Q

Bell’s palsy

252
Q

Ramsey Hunt Syndrome

253
Q

Post seizure management

A

2ww Neurology6m No driving & DVLA notification if idiopathic12 m if diagnosis or abnormality

254
Q

Focal seizure

A

Carbamazepine| Lamotrigine

255
Q

Generalised seizure

A

Sodium valproate| Lamotrigine

256
Q

Absence seizure

A

Ethosuxamide

257
Q

Subarachnoid haemorrhage

A

Berry aneurysm

258
Q

Extradural haemorrhage

A

Trauma to pterion| Convex not crossing sutures

259
Q

Subdural haemorrhage

A

ConcaveCrossing suturesBridging veins

260
Q

Syphilis

A 
Painless ulcers1* chancre2* condylomata lata 3* gummatous lesions Tx IM benzylphenicillin
261
Q

Genital herpes

A

Flu-like symptoms dysuria fever PAINFUL ulcersHSV 1 oralHSV 2 genitalMx: Acyclovir

262
Q

Genital warts HPV strain

263
Q

Genital warts tx

A

Multiple - topical podophyllum| Single - cryotherapy

264
Q

HPV cancer

A

16, 18, 33 - cervical cancer

265
Q

Alzheimer mx

A

Mild-Moderate: donezepil, gantamine, rivastigmine| Severe: memantine

266
Q

Dobezepil SE

A

Do not give in bradycardia| Causes insomnia and weight gain

267
Q

SLE Derm involvement

A

Oral ulcers

268
Q

Glioblastoma multiformae

A

Young personSpace occupying lesionCrosses midline

269
Q

Prosthesis septic arthritis

A

Staph epidermidis

MBBS Y5 (27 decks)

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