Extra 4 Flashcards

1
Q

what can be given in NEC

A

broad spec ABs

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2
Q

if pregnant and not had the MMR should what

non immune mothers

A

stay away from people who might have rubella

offered vaccine post natally

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3
Q

when should surgical treatment of dyptryons be considered

A

when MCP joints cant be straightened - hand cant be placed flat on the table

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4
Q

leiognella RF

other symp than resp

A

foregin travel, age

GI symptoms

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5
Q

commonest clinical feetures in PE

A

tachycardia

tachypnoea

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6
Q

psoas abscess commones causes

A

SA

strep

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7
Q

psoas abscess where is the pain

A

T12-L5 around insertion of psoas

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8
Q

psoas common in who

A

IVDU

DM

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9
Q

negative varicella IgG

if pregnant and ^

A

not immune to chicken pox

give immunoglobulin

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10
Q

SE of ero

A
hypertension
bone ache
flu like symptoms
skin rashes
urticarial
pure red cell aplasia
raised PVC
iron defic
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11
Q

androgen insensitivity classic presentation is

A

primary amen

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12
Q

turners genetics

symp 4

A
45XO
primary ovarian failure
short
shield neck
webbing of neck
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13
Q

kallamsn is what

A

x linked

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14
Q

why are gnrh agonists prior to surgery for fibroids

A

shrink them reducing the risk of post op blood loss

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15
Q

meigs syndrome 3

A

fibroma ovarian
ascites
pleural effusion - transudate <25

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16
Q

hyperemesis gravidarum 3

A

5% pre peg weight loss
dehydraton
electrolyte imbalance

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17
Q

surgicall TOP commonest cx

A

infection

18
Q

why are NSAIDs used to treat dysmenorrhea

A

inhibit prostaglandin synthesis

19
Q

vuvval cancer commonly what

can present where

A

ulcerated

labium majora

20
Q

initial managemtn of hirschprings

A

RECTAL washout/bowel irrigation

21
Q

downs assoc w what thyroid probems more than the other

A

hypo >hyper

22
Q

fragile x 3

A

ASD
big head
mitral valve prolapse

23
Q

trident hands

A

achodroplasia

24
Q

tension pneumothorax afer attempted ventilation

A

can deteriorate

25
Q

hypothermia can cause what ECG

A

TDP

26
Q

what can be inserted in hypertrophic cardiomyopathy

A

implantable cardioverter-defirbillator

27
Q

high urea in a GI bleed

A

bad

28
Q

acute mesenteric ischaemia symp

do whatix

A

bloody diarrhea

serum lacate - goes up

29
Q

turners syndrome and what heart problem

A

coarctation of aorta

30
Q

uppe lobe fibrosis CHART

A
coal workers pneumoniocosis
hypersensitity pneumonisit s EAA
ank spond
radation
TB
silicosis/sarcoid
31
Q

adrenaline IM where

repeated when

A

anteriolatreal aspect of middle thigh

every 5 mins if necessary

32
Q

alpha 1 anti trypsin is a RF for what liver

A

cirrhosis

cancer

33
Q

dx boehavers

A

CT contrast swallow

34
Q

cant drive for how long post MI

A

4w

35
Q

kussmalls sign

A

JVP doesn’t fall in inspiration - constrictive pericarditis

36
Q

JVP falling in inspiration

A

absent Y descent - cardiac tamponade

37
Q

ix before starting amiodarone

6 monthly ix

A

TFT, LFT, U&Es, CXR

TFT LFTs

38
Q

gliptins can cause (DPP4)

A

vasculitis

SJS

39
Q

digoxin

A

gynacamastia

40
Q

hyperthyroidism secondary to pregnancy

A

has a high TSH