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Misc Flashcards

1
Q

drops for anterior uveitis

A

atropine and phenylephrine (after infection r/o)

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2
Q

aspirin and warfarin whilst breastfeeding

A

avoid aspirin
warfarin ok

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3
Q

phenytoin SE

A

hairy

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4
Q

which drug causes orange urine

A

rifampicin

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5
Q

epipen dose for 6 and over

A

300 mcg

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6
Q

maternal endocrine issues cause

A

neonatal hypocalcaemia (seizures and jerky)
early if <72h

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7
Q

neonatal resus

A

5 inflation breaths
if HR improves, continue at 30 breaths/min until HR >100
if HR <60 after 30s, CPR 3:1

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8
Q

congenital glaucoma presentation

A

absent red reflex
cloudy eye
tearing
erythema

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9
Q

impetigo rx

A

local - hydrogen peroxide 5 days
widespread - fuscidic acid or fluclox/clari/ery
bullous - fluclox/clari/ery

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10
Q

ROP screen time

A

31 weeks or 4 weeks, whichever is latest

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11
Q

hyperthyroic mum, unclear Ab status

A

TFTs at birth and one week

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12
Q

rectal washouts in

A

Hirschprung’s until surgery

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13
Q

rx for migraines

A

nasal triptan

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14
Q

proper name for slate grey naevus

A

congenital dermal melanocytosis

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15
Q

aspirin OD

A

tinnitus
resp alkalosis with metabolic acidosis
sodium bicarb

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16
Q

early PROM causes

A

oligohydramnios –> pulmonary hypoplasia

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17
Q

NSAIDs + methotrexate =

A

methotrexate toxicity

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18
Q

initial imaging in major trauma

A

CXR, not CT chest

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19
Q

nutriprem can be given until

A

6 months

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20
Q

cooling criteria

A

1) APGAR <=5 or requiring resus at 10 mins
pH <7 or BE <-16 before 60 mins

2) hypotonia or seizures or abnormal reflexes

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21
Q

weight gain in neonates

A

15g/kg/day

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22
Q

IVI in burns

A

% burn x kg x 3

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23
Q

diabetic nephropathy screening

A

early morning ACR

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24
Q

vascular ring

A

dysphagia and wheeze/SOB

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25
subglottic haemangioma
increasing SOB and external haemangioma
26
laryngomalacia
breathing and feeding difficulties soon after birth
27
subglottic stenosis
persistent stridor, worse when unwell
28
NAC criteria
1) over tx line 2) OD <24hr ago but levels won't be back until >8hr AND over 150mg/kg taken 3) OD >24hrs ago + jaundice/RUQ pain/ raised ALT/ INR >1.3 / paracetamol level detectable
29
when to give chlorphenamine only
allergy without anaphylaxis or gastro sx (gastro may mean anaphylaxis in children)
30
vitamin deficiencies in chronic diarrhoea
B12 and folate
31
intermittent acute abdomen
malrotation with voluvulus
32
when to check serum bili after TCB
>250
33
who can have TCB
>35/40 >24h
34
meningitis prophylaxis for pregnant women
ceftriaxone
35
management of chronic regional pain syndrome
1) physio and exercise 2) NSAIDS 3) gabapentin/antidepressents
36
management of conduct disorder
1) selective prevention programmes for classes of 3-7yo group parent training for 3-11yo group social and cognitive problem solving programme for 9-14yo multimodal programme 11-17yo
37
ODD vs conduct disoder
ODD has interpersonal conflict Conduct disorder has serious violations of rules and other's rights
38
before autism assessment
hearing test
39
SLE mneumonic
SOAP BRAIN MD Serositis Oral ulcers Arthritis Photosensitivity Blood (aplastic) Renal ANA Immunologic e.g. anti dsDNA Neurologic Malar Discoid
40
criteria for CT head
S - seizure U - unconscious >5min S - skull # T - tense fontanelle A - abuse I - injury >5cm on <1yo N - neurology
41
stepping reflex lost at
2 months
42
moro reflex lost at
4 months
43
righting reflex develops at
6 months
44
parachute reflex develops at
9 months
45
Babinski lost at
9-12 months, limit age 2
46
hypos on fasting
MCADD
47
galactosaemia presentation
failure to thrive vomiting jaundice cataracts E coli sepsis
48
CAH inheritance
autosomal recessive
49
physical characteristics of AIS
sparse pubic and axillary hair primary amenorrhoea short vagina - dyspareunia
50
threadworm management
mebendazole
51
tapeworm management
praziquantel
52
pertussis prevention
- vaccine for pregnant women >16 weeks if unimmunised, regardless of contact status (can heave earlier if also a healthcare worker for infants or pregnant women, or a family member of an infant) - clarithromycin for close contacts (erythromycin if pregnant) - vaccine for all unimmunised or last immunised over 5 years ago, if close contact
53
active in utero + persistent hiccups
non ketotic hyperglycerinaemia (autosomal recessive)
54
anorexia red flags
hypothermia <35 bradycardia <40 K+ <3 Na+ <130 BMI <13 abnormal ECG
55
fluid choices for children
0.9% saline or plasmalyte for resus 0.9% saline with 5% dex for maintenance personalised if <7/7 old
56
complication of anterior uveitis
posterior synechiae (adhesions between iris and lens)
57
How to administer desferrioxamine
IV or SC (not PO)
58
Lead poisoning treatment
PO D penicillamine IV sodium calcium edetate
59
Port wine stain name
Naeveus flammeus Capillary malformation
60
Eye complications in port wine stains
Glaucoma - have regular specialist ophthalmology reviews
61
Vigabatrin SE
Behaviour Optic neuritis
62
First line inotrope and why
Dopamine - can be given peripherally
63
anorexia bloods
high cortisol low T3/4 with normal TSH low GnRH, LH and FSH high GH low oestrogen
64
head injury posturing
decorticate = early = arms bent decerebrate = late = arms straight
65
differentiating Turner's and anorexia as cuases of primary amenorrhoea
Turner's has high LH/FSH Anorexia has low LH/FSH
66
interactions with theophylline causing increased levels
ciprofloxacin clarithromycin/azithromycin/erythromycin COCP LIVER ISSUES many others increase hypokalaemia risk
67
tinea corporis with inappropriate steroid treatment
tinea incognita
68
cholera bloods
hyperchloraemic metabolic acidosis
69
management of acute pain in chemo patients
oromorph (paracetamol masks fever, ibuprofen worsens platelet destruction)
70
who to call first for an absconder
safeguarding team
71
recurrent UTI + progressive symptoms
U+E to diagnose CKD
72
Retest for James' allergies
2-4 yearly
73
Retest for non James allergies
12-18 months <5yo 2-3 yearly when >5yo

FOP (13 decks)

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