Mock 5 Flashcards
Why is it important to refer children with JIA to ophthalmology?
High risk of anterior uveitis which can lead to blindness
What is the management if patient with severe croup is not responding to oral dex?
Oxygen + neb adrenaline
What is the Edwards and Gross criteria for alcohol dependence?
- Narrowing of repertoire
- Salience of drink-seeking behaviour
- Increased tolerance to alcohol
- Repeated withdrawal symptoms
- Relief or avoidance of withdrawal symptoms by further drinking
- Subjective awareness of compulsion to drink
- Reinstatement after abstinence
How does Acamprosate work?
Enhances GABA transmission
What is the only absolute contraindication for ECT?
Raised ICP
What screening tool is used to screen for postnatal depression?
Edinburgh Scale
Are short acting benzodiazepines more or less likely to cause behavioural disinhibition than other benzodiazepines?
More likely
What are some drugs which can cause a drug reaction when with methylphenidate?
Carbamazepine
Isocarboxazid (MAOI) (increases risk of hypertensive crisis)
Linezolid (antibiotic) increased risk of elevated BP
Risperidone - increased risk of dyskinesias
What complications are associated with gestational diabetes?
Macrosomia
Pre-term delivery
Polyhydramnios
What congenital abormality can sodium valproate cause?
Hypospadias
Spina bifida
ASD
Cleft palate
Polydactyle
What is the inheritance pattern of Marfan’s?
Autosomal dominant!
What antibiotic is used in prophylaxis in preterm PROM?
Oral erythromycin
What screening is offered at a booking appointment?
Hep B
Syphilis
HIV
Sickle cell
Thalassaemia
Inherited haematological disorders
Bacturia
What is the combined test for Down syndrome screening?
Nuchal translucency (thickened)
Serum beta hCG (raised)
PAPP-A (low)
What are some risk factors for endometriosis?
Early menarche
Late menopause
Delayed childbearing
nulliparity
Family history
Vaginal outflow obstruction
White ethnicity
Low BMI
Autoimmune disease
What is the empirical antibiotic if you aren’t sure if it is gonorrhoea or chlamydia?
Oral azithromycin 1g stat PO
What is a normal vaginal pH?
<4.5
What can cause the vaginal pH to become less acidic?
BV
Trichomonas vaginalis
What does chlamydia look like under a microscope?
Gram negative rods
What does e Coli look like under a microscope?
Gram neg rods
What does Klebsiella pneumonia look like under a microscope?
Gram neg rods
What is a quick and easy way of reducing malignant compression of the spinal cord?
High dose dexamethasone 16mg
Reduces oedema around the tumour site
How long does it take for the symptoms of optic neuritis to typically resolve?
Days or weeks not hours
In Brown Squared syndrome, is paralysis and loss of proprioception and vibration ipsilateral or contralateral?
Ipsilateral (only lack of pain and temperature sensation is contralateral)
What instruction do you need to give a patient taking alendrotnic acid?
Stay standing or sitting upright for at least half an hour before taking the tablets, before breakfast and on an empty stomach
What congenital heart disease causes a boot-shaped heart?
tetralogy of fallot
What is first line management for a new diagnosis of heart failure?
ACEi and Beta blocker
What is a contraindication for joint aspirate?
Prosthetic joint
What is second line prevention of gout after allopurinol?
Febuxostat
What is a common bacteria causing COPD exacerbations?
Moraxella cararrhalis
