Key concepts part 2 Flashcards
which organism should be suspected in contact lens associated keratitis?
pseudomonas
what are the differences between glaucoma and uveitis
glaucoma: sever pain, haloes, semi dilated pupil
uveitis: small fixed oval pupil, ciliary flush
jaundice, loss of appetite and growth disturbance in first few weeks of life
biliary atresia
Low SP02 in first 10 mins of life
can be expected from healthy neonate
what is the most common complication of measles?
otitis media
what is the diagnostic investigation for necrotising enterocolitis
abdo xray
management of nocturnal enuresis in child under 5
reassurance and advice
triad of shaken baby syndrome
retinal haemorrhages, subdural haematoma and encephalopathy
what may precipitate lithium toxicity?
dehydration, renal failure, NDAIDs, ACEi/ARBs, metronidazole
what antibiotics cause prolonged QT
macrolides (erythromycin)
which antipsychotic reduces seizure threshold
clozapine
what is type 1 and type 2 bipolar
type 1 bipolar = mania
type 2 bipolar = hypomania
which drug can precipitate hyperparathyroidism and therfore hypercalcaemia
long term lithium
what are side effects of SSRI discontinuation syndrome
dizziness, electric shock sensations and anxiety
what is the first line management of small bowel obstruction
IV fluids + drip and suck
what are the most common cause of small bowel obstruction
adhesions
imaging of choice in suspected renal colic
non contrast CT KUB
which contraceptive is associated with weight gain
depot provera
contraceptive rules post partum
COC + breastfeeding = 6+ weeks post partum
COC + not breastfeeding = after 21 days
POP any time post partum
IUD/IUS = within 48hrs or after 4 weeks
CIN management
LETz
management of stage 1A cervical cancer
cone biopsy with negative margins if they wish to preserve their fertility
which cancers is the COC protective for
endometrial and ovarian
how does a ruptured ovarian cyst present
sudden onset unilateral pelvic pain precipitated by intercourse or strenuous activity
first line investigation in post menopausal bleeding
trans vaginal USS
how long after termination of termination of pregnancy can a urine pregnancy test remain positive for?
4 weeks
what is the first line management of non-pregnant women with vaginal thrush
oral fluconazole
what reading are needed to diagnose gestational diabetes
fasting glucose >5.6 or 2-hour glucose >7.8
Intra-partum antibiotics for group B strep should be given to which women?
- those in pre-term labour
- those with pyrexia (>38) during labour
- those with a previous baby with GBS
what should NOACs be converted to in pregnant women
LMWH
