Mock 5 Flashcards

1
Q

What are RFs for atopic eczema

A
  • Certain food allergens
  • FHx
  • FHx of asthma
  • PMHx asthma
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2
Q

What type of mass would be seen in a baby presenting with pyloric stenosis ?

A
  • A palpable olive-sized pyloric mass
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3
Q

DDs of distended abdomen in babies

A
  • Hirschsprung disease, Intestinal atresia, necrotising enterocolitis, appendicitis, intussusception, organomegaly, ascites, constipation and masses.
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4
Q

Genotype in Turner’s Syndrome

A
  • 45XO
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5
Q

Mutation associated with Patau’s syndrome

A
  • Trisomy 13
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6
Q

What is a varicocele ?

A
  • A scrotal swelling which occurs due to dilated testicular vein
  • Usually asymptomatic
  • Usually occurs around puberty and in the left testical
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7
Q

Cerebral palsy RF ?

A
  • Birth complications
  • Maternal infection
  • Maternal thyroid dysfunction
  • Prematurity
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8
Q

Causes of Jaundice in the first 14 days

A
  • Polycythemia
  • Neonatal infection
  • Physiological response
  • Rhesus incompatibility
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9
Q

Management of a child in DKA

A
  • IV fluid replacement
  • IV insulin infusion
  • Potassium
  • Oral fluid replacement
  • (Do not give sodium bicarbonate)
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10
Q

Why is it important to give potassium when treating DKA ?

A
  • Insulin drives K+ into cells and therefore can cause hypokalemia
  • Therefore all fluids should contain 40mmol/L of K+
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11
Q

Common side effects of topical steroids

A
  • Acne
  • Striae
  • Telangiectasia
  • Thinning of the skin
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12
Q

Features of systemic onset JIA

A
  • Pyrexia
  • Salmon-pink rash
  • Lymphadenopathy
  • Arthritis
  • Uveitis
  • Anorexia and weight loss
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13
Q

Important people to contact if you suspect JIA ?

A
  • Ophthalmology
  • Due to high risk of anterior uveitis (which can lead to blindness)
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14
Q

Croup cause

A
  • Parainfluenza
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15
Q

Croup initial management

A
  • Oral dexamethasone
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16
Q

Croup management if they don’t respond to oral dexamethasone

A
  • Oxygen
  • Nebulized adrenaline
17
Q

Indications hospitalization for bronchiolitis

A
  • Cyanosis
  • Fluid intake < 50%
  • Nasal flaring
  • RR > 70
  • SpO2 < 92%
18
Q

What would you see on duodenal biopsy to confirm diagnosis of Coeliac disease

A
  • Normal thickness mucosa
  • Classically shows intraepithelial lymphocytes
  • Villous atrophy and crypt hyperplasia
19
Q

Causes of failure to thrive

A
  • Inadequate intake e.g. poverty, maternal depression or feeding issues
  • Inadequate retention e.g. Vomiting or severe GORD
  • Malabsorption e.g. Coeliac disease
  • Increased requirements e.g. Congenital heart failure
20
Q

Suicide RFs

A
  • Male in 40’s
  • Hx of childhood abuse
  • Psychiatric illness
  • Unemployed
  • Isolated/recent bereavement/family breakdown
21
Q

Features of alcohol dependence

A
  • Narrowing of repertoire
  • Primacy
  • Increased tolerance
  • Withdrawal symptoms or avoidance of symptoms by further drinking
  • Reinstatement after abstinence
22
Q

How does acamprosate work ?

A
  • Enhances GABA transmission
23
Q

How does disulfiram work ?

A
  • Causes build-up of acetaldehyde on consumption of alcohol causing unpleasant symptoms such as flushing, headache and anxiety
24
Q

How does naltrexone work ?

A
  • Opioid antagonist to reduce the pleasurable effect of alcohol
25
Q

Indications for ECT

A
  • Severe depression refractory to medication
  • Catatonia
  • Those with psychotic symptoms
26
Q

Possible causes of anxiety other than GAD

A
  • Hyperthyroidism
  • Cardiac disease
  • Drug induced: salbutamol, theophylline, GS, SSRI and caffeine
27
Q

What is GAD ?

A
  • A syndrome of ongoing, uncontrollable widespread work about many events or thoughts that the patient recognised as excessive and inappropriate
28
Q

Poor prognostic factors for schizophrenia

A
  • Gradual onset
  • Low premorbid IQ
  • Premorbid social withdrawal
  • No previous precipitant
29
Q

Substances which can induce psychosis ?

A
  • Alcohol, cocaine, amphetamine, MDMA, cannabis, LSD and ketamine
  • Anti-malarial medication
  • Bromocriptine
  • Levodopa
  • Metoclopramide
  • Steroids
30
Q

Features of Delirium

A
  • Acute onset and fluctuating course
  • Inattention
  • Disorganized thinking
  • Alteration in consciousness
31
Q

Medications not safe during breastfeeding

A

Aspirin
Codeine
Lithium
Naproxen