NIBBLY BITS Flashcards
what is 6CIT
a brief cognitive function test which takes less than five minutes and is widely used in primary care settings
what is the treatment of EPSEs
- ESPEs are thought to be due to relatively increased cholinergic transmission so anticholinergics are used
- procyclidine
- this works for all but tardive dyskinesia for which tetrabenazine is needed
what is the first line treatment for viral induced wheeze if the child is pretty well
salbutamol inhaler given via spacer
summarise childhood limp in ages 1-3, 3-10 and 11-16 differentiating between acute & painful and chronc & intermittent
12w vaccines
6 in 1 (DTaP, IPV, Hib, Hep B), PCV, Rotavirus.
1y vaccine
Hib/Men C, PCV booster, MMR, Men B booster
what is the following PD, what cluster does it belong to?
pattern of irrational suspicion and mistrust of others, interpreting motivations as malevolent
paranoid
belongs to cluster A (odd or eccentric disorders)
investigations for biliary atresia
UCC - double bubble scan
liver histology confirms diagnosis
what is the following PD and what cluster does it belong to?
attention seeking behaviour and excessive emotions
histrionic
cluster B (dramatic, emotional or erratic disorders
how do benzos work
they facilitate and enhance the binding of GABA to the GABA receptors
what is the threshold for diagnosis of polyhydramnios
Polyhydramnios is usually diagnosed at an AFI of >24cm (or 2000ml+). Oligohydramnios is usually diagnosed with an AFI of <5cm (or under 200ml).
typical causes of horners in an exam
Pancoast (apical) tumour which is compressing the sympathetic chain. There are other causes of Horner’s syndrome, including central causes like MS or brain tumours, and other things can press on the sympathetic chain such as a large goitre.
3y 4m vaccine
DTap/IPV, MMR.
what is flumazenil for
reverses benzo overdose
what is the cut off for macrosomia
>4.5kg
What are SNRI side effects
serotonin syndrome
sexual dysfunction
suicidality
what’s the tremor like in lithium toxicity
course
fine tremor is often recorded within therapeutic range so is considered side effect of normal treatment
what is the virus that causes hand foot and mouth
coxsackie
what is the following PD and what cluster does it belong to?
grandiosity, need for admiration and a perceived lack of empathy
narcissistic
cluster B (dramatic, emotional or erratic disorders)
features of congenital syphilis
generalised lymphadenopathy
hepatosplenomegaly
rash
skeletal malformations
what is the management of asymptomatic bacteriuria in pregnant women
Asymptomatic bacteriuria in a pregnant woman requires treatment due to risk of pyelonephritis, and association with premature labour and ROM. However contamination of a first culture is possible and so a second test should be performed to confirm.
12-13y vaccine
HPV
what is the prophylactic treatment for migrains
topirimate or propanolol
propanolol is preferred in female patients of childbearing age as topirimate is teratogenic and can cause hormonal contraceptives to be ineffective
topirimate preferred in asthma


