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Phase 3a > Mock 2 > Flashcards

Mock 2 Flashcards

1
Q

What is the dosage for administering insulin IV?

A

0.1 units/kg/hr

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2
Q

What is mildly raised creatinine indicative of?

A

Dehydration

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3
Q

What vaccinations are given at 8 weeks?

A

6-in-1
Rotavirus
Men B

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4
Q

What vaccinations are given at 12 weeks

A

6-in-1
Rotavirus
Pneumococcal

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5
Q

What vaccinations are given at 16 weeks

A

6-in-1
Men-B

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6
Q

What vaccinations are given at 1 year?

A

Men B
Pneumococcal
HiB
Men C
MMR

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7
Q

What drugs can cause Stephen-Johnson syndrome?

A

Allopurinol
Lamotrigine
Penicillin
Phenytoin

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8
Q

What viral infections can cause Stephen-Johnson syndrome?

A

Mumps
Flu
HSV
EBV

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9
Q

What is juvenile myoclonic epilepsy characterised by?

A

Myoclonic jerks up to 2 hours after waking up
Periods of absence
Normal learning
age of onset 10-20 years

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10
Q

What are some complications of chickenpox?

A

Bacterial superinfection
Cerebellitis
DIC
Progressive disseminated disease

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11
Q

What does CSF look like in bacterial meningitis?

A

Turbid appearance, raised polymorphs, raised protein, low glucose

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12
Q

What is Scarlet fever caused by?

A

Group A Strep (strep progenes)

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13
Q

How does Wilm’s tumour present?

A

Abdo mass and painless haematuria
Average age 5-10 years

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14
Q

What are the clinical features of Noonan syndrome?

A

Mild learning difficulties
Short webbed neck
Pectus excavatum
Short stature
Congenital heart disease
Facies - broad forehead, drooping eyelids, wide distance between eyes

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15
Q

What are the clinical features of Williams syndrome?

A

Short stature
Congenital heart disease
Mild-moderate learning difficulties
Facies - broad forehead, short nose, full cheeks, wide mouth

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16
Q

What are the clinical features of Kallman’s syndrome?

A

Delayed onset of puberty
Reduced sense of smell
Poor balance
Learning difficulties

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17
Q

What are the features of Klinefelter syndrome?

A

Delayed puberty
Lack of secondary sexual characteristics
Tall stature
Learning disability

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18
Q

What is the rash like in dermatitis herpetiformis?

A

Itchy, bulls rash affecting usually extensor surfaces, arise on reddened skin, lesions grow in centrifugal pattern

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19
Q

What are first-rank symptoms of schizophrenia/psychosis?

A

3rd person auditory hallucinations
Delusional perceptions
Somatic passivity (the belief that external forces that control your actions, thought and perceptions)
Thought alienation (insertion, withdrawal, broadcast)

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20
Q

What is procyclidine used for?

A

Management of extra-pyramidal side effects of anti-psychotics

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21
Q

What is flumazenil used for?

A

Reverse the sedative effects of benzodiazepines

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22
Q

What is Knight’s move thinking?

A

Patient’s thoughts move from one topic to another, without any logical connection between them (common in schizophrenia)

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23
Q

What is flight of ideas?

A

Increased rate of thought and at least some logical links between the frequent changes of topics that a patient is talking about(common in mania and hypomania)

24
Q

How often should thyroid and renal function be checked in someone taking Lithium?

A

Every 6 months

25
Q

What is the second line, non SSRI drug in OCD?

A

Clomipramine (a TCA)

26
Q

What does egosyntonic and egodystonic mean?

A

In keeping with ones beliefs and values vs very different to the patients normal beliefs and values

27
Q

What does akathisia mean?

A

Restlessness

28
Q

What is the first line investigation in males for infertility?

A

Semen analysis

29
Q

What is the management for CIN 1 seen on colposcopy?

A

Discharge and screen again at 12 months in the community

30
Q

What are risk factors for GBS infection?

A

Maternal pyrexia
Prematurity
Previous sibling GBS infection
Prolonged rupture of the membranes

31
Q

What are the features and risk factors of cervical cancer?

A

Postcoital bleeding
Purulent discharge
Red brown discharge
Aged 45-49
Smoker
Multiple sexual partners

32
Q

What is the most common type of vaginal cancer?

A

Secondary (metastatic) vaginal cancer

33
Q

What are risk factors for placenta praaevia?

A

Multiple pregnancy
Smoking
Intrauterine fibroids
Maternal age >35

34
Q

What is the management of asymptomatic bacteria in pregnant women?

A

Culture and begin culture dependent antibiotic

35
Q

What is the diagnostic criteria for polyhydramnios?

A

AFI of >34cm

36
Q

What is the diagnostic criteria for oligohydramnios?

A

AFI of <5cm

37
Q

What is the most common cause of polyhydramnios?

A

Idiopathic

38
Q

What are the investigations in a confusion screen?

A

Chest x ray
CRP
FBC (to look at WCC)
Urinalysis

39
Q

What are the visual changes in a TACI?

A

Homonymous hemianopia

40
Q

What are the features of Horner’s syndrome?

A

Anhidrosis
Exophthalmos
Miosis
Ptosis

41
Q

What does mydriasis mean?

A

Dilated pupil

42
Q

What is a common cause of Horner’s syndrome?

A

Pancoast (apical) tumour compressing the sympathetic chain

43
Q

What is the first line drug for trigeminal neuralgia?

A

Carbamazepine

44
Q

What are the triggers of migraine?

A

CHOCOLATE mnemonic
Chocolate, hangover, orgasm, cheese, oral contraceptive, lie in, alcohol, tumult, exercise
Also: periods, injury, certain sensory triggers, being hungry, smoking

45
Q

What is ropinirole used for?

A

Parkinson’s

46
Q

How does ropinirole work?

A

Activates dopamine receptors to mimic the action of dopamine

47
Q

Usually in Paeds, 20ml/kg bolus is administered in shock. In what conditions do you only give 10ml/kg bolus?

A

DKA and HF (due to fluid overload complications e.g. cerebral oedema)

48
Q

What is the calculation for non-shocked patients with DKA?

A

Hourly rate = ((Deficit-initial bolus)/48hr) + Maintenance per hour
If shocked, don’t minus the bolus

49
Q

Why can SLE be associated with recurrent miscarriages?

A

SLE is associated with anti phospholipid syndrome, the most important treatable cause of recurrent miscarriage
Think about SLE in any patient with arthralgia and recurrent miscarriages!

50
Q

What is the management of gestational diabetes?

A

Fasting glucose of <7mmol/L: trial of diet and exercise. If no improvement in 2 weeks, start metformin
Fasting glucose of 7mmol/L or above: immediate insulin +/- metformin and diet and exercise

51
Q

What are the electrolyte levels in Conn’s syndrome (primary hyperaldosteronism)?

A

Hypernatraemia and hypokalaemia
Manage with spironolactone

52
Q

What is the investigation for renal colic?

A

CTKUB

53
Q

What are some drugs that can cause AKI?

A

NSAIDs
ACEi
CCBs
a-blockers
b-blockers
opioids
Diuretics
Acyclovir
Trimethoprim
Lithium

54
Q

What is the management of COPD that is steroid responsive?

A
  1. SABA or SAMA
  2. SABA + LABA + ICS
  3. SABA + LABA + ICS + LAMA
55
Q

What is the management of COPD that isn’t steroid responsive?

A
  1. SABA or SAMA
  2. SABA + LAMA + LABA

Phase 3a (12 decks)

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