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Aaska's specialities > GET AHEAD/450 SBAS > Flashcards

GET AHEAD/450 SBAS Flashcards

1
Q

where does fertilisation occur

A

ampulla of fallopian tube

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2
Q

management in mild dyskaryosis HPV-ve smear

A

routine recall

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3
Q

what influences risk of ovarian cancer

A

ovulation
the more you ovulate the higher your risk is

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4
Q

what emergency condition does ARM increase risk of

A

cord prolapse

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5
Q

at what bhcg does a pregnancy become visible on tvus

A

> 1000

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6
Q

what should you make sure to account for in gravidity and parity calculations

A

current pregnancy

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7
Q

how many units is a pint of beer

A

2

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8
Q

how many ml and units is a small wine glass

A

125
1.5 units

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9
Q

how many ml and units is a medium wine glass

A

175
2.1 units

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10
Q

how many ml and units is a large wine glass

A

250
3 units

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11
Q

how many units is a pint of beer

A

2 if low strength
3 if high strength

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12
Q

max no of pints/week

A

14 units

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13
Q

A 22-year-old woman complains of problems staying awake during the
day. She often falls asleep at inappropriate moments and has occasionally
collapsed when she has fallen asleep in a standing position. The periods of
sleep are of a sudden onset but last only a few minutes. whats the diagnosis

A

narcolepsy

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14
Q

describe the movements of the baby during labour

A

engagement
flexion
internal rotation
extension (as baby is crowning)
external rotation
expulsion

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15
Q

common complications after c section

A

persistent wound and abdo discomfort in the first few months following surgery
infection
fetal lacerations
readmission to hospital
future c sections
future placenta accreta
future uterine rupture

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16
Q

how long does it take to make sperm

A

64 days

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17
Q

if asked about emergency condition a women is at risk of and shes had a previous c section

A

uterine rupture

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18
Q

whats the most common cause of secondary PPH

A

infection

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19
Q

constant specific abdo pain as pregnancy progresses is due to

A

symphysis pubis dysfunction

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20
Q

symphysis pubis dysfunction pain

A

radiates to thighs and perineum
worse as pregnancy progresses

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21
Q

what is ukmec 1-4

A

1= no risks
2= adv generally outweigh risks
3= risks outweight adv
4= unacceptable risk

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22
Q

where is hypertension on ukmec

A

well controlled= ukmec 3
>160/110= ukmec 4

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23
Q

difference between subtotal and total hysterectomy

A

total= uterus and cervix removed
subtotal= only uterus removed

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24
Q

why might you do a subtotal hysterectomy vs total

A

its quicker and less risk of damaging surrounding structures

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25
Q

what is left in place after a total hysterectomy

A

ovaries and fallopian tubes

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26
Q

what oxytocin receptor antagonist may be used for tocolysis

A

atosiban
this is second line to nifedipine

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27
Q

when is anti d routinely given

A

28 weeks (if single dose 1500, if not 500)
34 weeks
postnatal (and do kleihaeur)
after sensitising events

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28
Q

what is HbH

A

formed in alpha thalssaemia
Hb with 4 beta globin chains

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29
Q

what is laryngotracheobronchitis

A

croup

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30
Q

hypersensitivity to egg is a contraindication to what vaccine

A

influenza

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31
Q

what medication course in kids is a contraindication to live vaccines

A

steroids
2 weeks pred counts, need to delay for 3 months and immunocompromised till then

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32
Q

what 2 ix do you have to do in a kid who had a suspected seizure

A

BG
ECGf

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33
Q

first line anti epileptic for absence seizure

A

ethosuximide

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34
Q

what is antistrepsylin o titre and throat swab an ix for

A

to see if there has been recent streptococcal infection

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35
Q

whats pyuria

A

high WCC in urine

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36
Q

US during infection indicated in paediatric UTI when

A

under 6 months:
atypical UTI
first UTI
recurrent UTIs

6months-3yrs:
atypical UTI

over 3 yrs:
atypical UTI

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37
Q

US 6 weeks after paeds UTI when

A

under 6 months:
responds well to abx in 48hrs
not atypical or recurrent

6months-3yrs:
recurrent UTI

3 yrs over:
recurrent UTI

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38
Q

DMSA in paeds UTI when

A

under 6 months:
atypical or recurrent

6months-3yrs:
atypical or recurrent

over 4 yrs:
recurrent

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39
Q

MCUG in paeds UTI when

A

ONLY FOR UNDER 6 MONTHS

if UTI atypical or recurrent

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40
Q

if a child is normal but has a neural tube defect what do they have

A

meningocele

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41
Q

common age for sufe

A

10-15

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42
Q

what is kernicterus

A

high bilirubin damaging brain/ nervous system

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43
Q

how is breast cancer treated in pregnancy

A

chemo in mid/third trimester and delivery 3 weeks after chemo

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44
Q

how to image a PE in pregnancy

A

v/q scan
way less radiation than ctpa

ctpa and v/q scan are the only definitive diagnostic tests

45
Q

what murmur is normal in pregnancy

A

soft systolic flow murmur

46
Q

what position should you put a women in during eclampsia

A

left lateral

47
Q

is there a way to predict stillbirth in obstetric cholestasis

A

no

48
Q

when are antenatal steroids offered

A

24-33+6 weeks GA and in labour, PPROM or planned early birth

49
Q

time frame for giving a woman vzig

A

within 10 days of contact as long as they dont have sx

wait for antibody results to come back as they take 24-48 hrs before vzig is given

50
Q

ECV in a twin pregnancy

A

NO

51
Q

PUPP vs
pemphigoid gestationalis vs
prurigo gestationalis vs

A

PUPP= umbilicus sparing
pemphigoid gestationalis= starts at umbilicus
prurigo gestationalis= affects limbs more

52
Q

what is testicular volume for start of puberty

A

> 4ml

53
Q

most important differential to rule out in undescended testes

A

CAH due to salt losing crisis

54
Q

growth charts for downs syndrome

A

different

55
Q

chondromalacia patellae vs osteochondritis dissecans

A

chondromalacia patellae= creptius, plays sports
osteochondritis dissecans= locking, giving way

56
Q

TORCH infections

A

congential:
toxo
other
rubella
CMV
HSV

57
Q

features of TORCH infections

A

prematurity
jaundice
microcephaly
hepsplenmeg
thrombocytopenia
anaemia
seizures

58
Q

most severe form of spina bifida

A

myelomeningocele

59
Q

most common meningitis organism

A

enterovirus

60
Q

marfan syndrome inheritance

A

autosomal dominant

61
Q

at what age can an infant roll

A

4 months

62
Q

when is desmo used first line in enuresis

A

over 7 and short term control needed

63
Q

eczema herpeticum pathogen

A

HSV

64
Q

what is given in anaphylaxis after adrenaline

A

give high flow oxygen
give IV fluids
give IV clorphenamine and hydrocortisone

can also give salbutamol nebs
can also elevate legs

65
Q

when to take out IUD in PID

A

mild/moderate: wait 48-72hrs and if not responding to abx take out

severe: take out immediately

66
Q

what to discuss in PID diagnosis

A

dont have sex during treatment
future contraception
contact tracing

67
Q

vacuum aspiration for TOP when

A

<14 weeks

68
Q

dilatation and evacuation fro TOP when

A

13-24 weeks

69
Q

TCAs cause what incontinence

A

overflow

70
Q

procyclidine is used for what antipsychotic side effect

A

acute dystonia

71
Q

what medication for depression is associated with hypertension

A

SNRI

72
Q

social phobia vs anxiety

A

social= fear of social situations, complain of embarassing themselves

anxiety= not limited to an enviroment, more general

73
Q

haloperidol type of antipsychotic

A

atypical

74
Q

what not to eat on an maoi

A

cheese

75
Q

what type of therapy is this:
It will teach you how your thoughts, feelings, and behaviours influence
each other and that negative thoughts and feelings can trap you in a vicious cycle

A

CBT

76
Q

what type of therapy is this:
It involves exploring the relationship between the therapist and client and allows you to understand how the past influences current behaviour

A

psycodynamic psycotherapy

77
Q

what type of therapy is this:
It teaches you how to accept who you are and how to deal with difficult emotions by recognising them and challenging them

A

DBT

78
Q

what type of therapy is this:
It teaches you how to think about thinking and examine your own thoughts and beliefs and assess whether they are useful or realistic

A

mentalisation

79
Q

what happens to amylase levels in anorexia nervosa

A

increased
(parotids high, they produce amylase)

80
Q

should you prescribe benzos for insomnia

A

if someone presents with daytime impairment then yes prescribe them some (short course)

81
Q

1st line for ADHD

A

refer to parent training programme

(watchful waiting is only consider!)

82
Q

ADHD criteria

A
  1. meets icd10 or dsm 5 criteria
  2. present in more than one environment
  3. causes impairment in the childs social, educational, psychological function
83
Q

lithium monitoring

A

levels weekly until therapeutic level achieved
then 3 monthly
FBC, UEs and TFTs 6 monthly

84
Q

lithium toxicity level

A

> 1.5

85
Q

for who are acetylcholinesterase inhibitors contraindicated

A

heart problems

86
Q

what are the acetylcholinesterase inhibitors

A

donepazil
rivastigmine
galantamine

87
Q

what is memantine

A

an NMDA receptor antagonist
its used 1st line in severe dementia

88
Q

how do acetylcholinesterase inhibtiors help in dementia

A

symptomatic
they do not slow the progess of the diease

89
Q

what might be cause of recurrent intussusception

A

meckels diverticulum

90
Q

when reassessing a child after 5 rescue breath what does no signs of life look like

A

irregular/no breathing
pulse <60bpm or no pulse

91
Q

when is the first bought of breast development in a child

A

4-6 months
if they have it before then review them at 4-6

92
Q

talipes equinovarus is

A

clubfoot

93
Q

vertical talus is

A

rockerbottom feet

94
Q

clubfoot mx

A

ponsetti method

95
Q

eczema creams mild to potent

A

mild= hydrocortisone 1%

moderate= betamethasone valerate 0.025% or clobetasol butyrate 0.05%

strong= betamethasone valerate 1%

96
Q

cyanosis when feeding that is relieved when crying is

A

chonal atresia

97
Q

double bubble is a sign of

A

DUODENAL atresia

98
Q

what type of vomiting does duodenal atresia cause

A

bilious

99
Q

duodenal atresia mx

A

duodenostomy

100
Q

GBS abx in pregnancy rules

A

if colonised on swab abx only needed intrapartum (presence is not harmful)

if GBS UTI abx needed immediately and intrapartum

101
Q

antenatal steroid type dose route timing

A

12mg IM betamethsone 2 doses 24 hrs apart

102
Q

endometrial cancer stage 2 vs 3

A

2= extends to cervix only
3= extends to ovary/vagina/lymph nodes etc

103
Q

when is aciclovir given to pregnant women with genital herpes

A

if they get it before 28 weeks then give from 36 weeks onwards

if they get it after 28 weeks then give during the infection and then continually prophylactically

104
Q

which part of abortion act is for <24 weeks GA

A

c and d

105
Q

which part of abortion act is for existing kids

A

d

106
Q

which part of abortion act is for risk to pregnanct womans life

A

a

107
Q

which part of abortion act is for risk of grave perm injury to pregnanct woman

A

b

108
Q

red v amber flags

A

presence of red= ambulance transfer
presence of amber = see face to face/hospital, do not manage at home

Aaska's specialities (7 decks)

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