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Phase 3a > Mock 5 > Flashcards

Mock 5 Flashcards

1
Q

Why is it important to refer children with JIA to ophthalmology?

A

High risk of anterior uveitis which can lead to blindness

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2
Q

What is the management if patient with severe croup is not responding to oral dex?

A

Oxygen + neb adrenaline

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3
Q

What is the Edwards and Gross criteria for alcohol dependence?

A
  • 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
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4
Q

How does Acamprosate work?

A

Enhances GABA transmission

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5
Q

What is the only absolute contraindication for ECT?

A

Raised ICP

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6
Q

What screening tool is used to screen for postnatal depression?

A

Edinburgh Scale

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7
Q

Are short acting benzodiazepines more or less likely to cause behavioural disinhibition than other benzodiazepines?

A

More likely

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8
Q

What are some drugs which can cause a drug reaction when with methylphenidate?

A

Carbamazepine
Isocarboxazid (MAOI) (increases risk of hypertensive crisis)
Linezolid (antibiotic) increased risk of elevated BP
Risperidone - increased risk of dyskinesias

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9
Q

What complications are associated with gestational diabetes?

A

Macrosomia
Pre-term delivery
Polyhydramnios

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10
Q

What congenital abormality can sodium valproate cause?

A

Hypospadias
Spina bifida
ASD
Cleft palate
Polydactyle

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11
Q

What is the inheritance pattern of Marfan’s?

A

Autosomal dominant!

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12
Q

What antibiotic is used in prophylaxis in preterm PROM?

A

Oral erythromycin

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13
Q

What screening is offered at a booking appointment?

A

Hep B
Syphilis
HIV
Sickle cell
Thalassaemia
Inherited haematological disorders
Bacturia

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14
Q

What is the combined test for Down syndrome screening?

A

Nuchal translucency (thickened)
Serum beta hCG (raised)
PAPP-A (low)

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15
Q

What are some risk factors for endometriosis?

A

Early menarche
Late menopause
Delayed childbearing
nulliparity
Family history
Vaginal outflow obstruction
White ethnicity
Low BMI
Autoimmune disease

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16
Q

What is the empirical antibiotic if you aren’t sure if it is gonorrhoea or chlamydia?

A

Oral azithromycin 1g stat PO

17
Q

What is a normal vaginal pH?

A

<4.5

18
Q

What can cause the vaginal pH to become less acidic?

A

BV
Trichomonas vaginalis

19
Q

What does chlamydia look like under a microscope?

A

Gram negative rods

20
Q

What does e Coli look like under a microscope?

A

Gram neg rods

21
Q

What does Klebsiella pneumonia look like under a microscope?

A

Gram neg rods

22
Q

What is a quick and easy way of reducing malignant compression of the spinal cord?

A

High dose dexamethasone 16mg
Reduces oedema around the tumour site

23
Q

How long does it take for the symptoms of optic neuritis to typically resolve?

A

Days or weeks not hours

24
Q

In Brown Squared syndrome, is paralysis and loss of proprioception and vibration ipsilateral or contralateral?

A

Ipsilateral (only lack of pain and temperature sensation is contralateral)

25
Q

What instruction do you need to give a patient taking alendrotnic acid?

A

Stay standing or sitting upright for at least half an hour before taking the tablets, before breakfast and on an empty stomach

26
Q

What congenital heart disease causes a boot-shaped heart?

A

tetralogy of fallot

27
Q

What is first line management for a new diagnosis of heart failure?

A

ACEi and Beta blocker

28
Q

What is a contraindication for joint aspirate?

A

Prosthetic joint

29
Q

What is second line prevention of gout after allopurinol?

A

Febuxostat

30
Q

What is a common bacteria causing COPD exacerbations?

A

Moraxella cararrhalis

Phase 3a (12 decks)

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