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Peer Teaching Mocks 3a To Learn > Mock 3 > Flashcards

Mock 3 Flashcards

1
Q

Where is usually spared with a HSP rash?

A

The trunk.

It is usually on the buttocks, extensor surfaces of the arms and legs and the ankles

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2
Q

What is naevus flammeus?

A

Port wine stain. Present from birth and grows with the infant

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3
Q

What are milia?

A

White pimples on the nose and cheeks of babies

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4
Q

What are Mongolian blue spots?

A

Blue/black macular discolouration at the base of the spine and on the buttocks

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5
Q

What is 1st line in children with faecal impaction?

A

Macragol laxative e.g. polyethylene glycol and electrolytes (Movicol Paediatric Plain)

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6
Q

If a macrogol laxative doesn’t work in paediatric faecal impaction, what should be added?

A

A stimulant laxative (Senna)

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7
Q

What is the surgical procedure used to treat Hirschsprung’s disease?

A

Swenson procedure (removal of affected bowel and anastomosis of the remaining bowel)

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8
Q

What is the procedure used to treat necrotising enterocolitis?

A

Laparotomy (poor prognosis if this treatment is needed)

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9
Q

What surgical procedure is done for undescended testes past 6 months of age?

A

Orchidopexy

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10
Q

What is used to treat Meckel’s diverticulum (symptomatic)?

A

Wedge excision

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11
Q

What is the treatment for paracetamol overdose?

A

N-Acetylcystine infused over 1 hour (3 infusions consecutively) - WITHIN 8 HOURS OF INGESTION AND ABOVE TREATMENT LINE

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12
Q

What are 2 conditions that must be met to treat paracetamol overdose with N-Acetylcystine?

A
  1. Presents within 8 hours of overdose

2. They are above the treatment line

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13
Q

When is activated charcoal most effective in paracetamol overdose?

A

Within 1 hour of ingestion

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14
Q

What are the symptoms of cocaine withdrawal seen within 24 hours?

A 
Anxiety
Increased hunger and cravings 
Fatigue
Irritability
Lack of motivation
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15
Q

When are women screened for anaemia?

A

Booking visit and 28 weeks gestation

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16
Q

What is the management of breast lump in women under 35?

A

USS

Plus aspiration if a cyst, or guided biopsy if a solid mass

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17
Q

What is the management of breast lump in over 35s?

A

Mammogram

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18
Q

What is a fibroadenoma?

A

A benign mass of fibrous tissue that moves easily under the skin and is painless

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19
Q

What can increase the mass of a fibroadenoma of the breast?

A

Menstruation

Menopause can shrink it.

20
Q

When does necrosis of breast tissue occur?

A

Following trauma

21
Q

What is the most common type of breast cancer?

A

Invasive ductal carcinoma in situ

22
Q

What is fetal hydrops?

A

The abnormal accumulation of serous fluid in 2+ fetal compartments. They are usually immune or non immune

23
Q

What is the most common cause of anaemia in pregnancy?

A

Iron deficiency

24
Q

What are risk factors for obstetric cholestasis?

A

Hepatitis C
Multiple pregnancy
Obstetric cholestasis in previous pregnancy
Presence of gallstones

25
Q

When can ECV be offered to a nulliparous woman?

A

36 weeks

26
Q

When can ECV be offered to a multiparous woman?

A

37 weeks

27
Q

What are uterine leiomyomas?

A

Fibroids

28
Q

What are risk factors for placenta accreta?

A

IVF
Age 35+
Previous c-section
Previous uterine surgery

29
Q

How long can patients be kept in on a section 5(4)?

A

6 hours

30
Q

When is the administration of anti-D prophylaxis indicated in women undergoing a TOP?

A

Rhesus negative women after 10 weeks

31
Q

What is error if inheriting thinking?

A

When a working diagnosis of handed over and accepted without pause for consideration and determining whether it has been substantially proven or whether it matches the overall clinical picture

32
Q

What is error due to failure to consider alternatives?

A

When one abnormality is found that fits a particular diagnosis and so you stop searching for other potential clues that may change the differential

33
Q

What is error of overattachment?

A

Conducting tests to confirm what we expect or want to see and not ruling out other causes

34
Q

What is error of bravado?

A

Working above competence

35
Q

What is error of ignorance?

A

Unconscious impotence

36
Q

What is 1st line in treating temporal arteritis with amaurosis fugax?

A

Prednisolone

37
Q

What trinucleotide repeat is seen in Huntington’s disease?

A

CAG

38
Q

What disease is associated with temporal arteritis?

A

Polymyalgia rheumatica

39
Q

What is the commonest cause of a convergent squint?

A

Hypermetropia (long sightedness)

40
Q

What is the 1st line management of COPD?

A

SABA + SAMA (Itropium bromide)

41
Q

What is contraindicated in bacterial endocarditis?

A

Heparin

42
Q

Give some cardiac causes of clubbing

A

atrial myxoma, cyanotic heart disease, endocarditis, pericarditis

43
Q

Give some GI causes of clubbing

A

malabsorption, inflammatory bowel disease, liver cirrhosis,

44
Q

Give some respiratory causes of clubbing

A

Cystic fibrosis, Tuberculosis, Pulmonary fibrosis, bronchiectasis, bronchial carcinoma

45
Q

How so LABAs work?

A

Stimulation of G protein coupled receptors

Peer Teaching Mocks 3a To Learn (9 decks)

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