old year exam

Question 1

balanced translocation

Answer 1

greater risk of miscarriage/infertility

Question 2

treatment of cervical cancer

Answer 2

Up to stage 1a/CIN and individual desiring fertility
* LLETZ/cone biopsy
Up to stage 1a and individual completed family
* Hysterectomy
Stage 1b and individual desiring fertility
* Trachelectomy
Stage 1b and individual completed family
* Radical hysterectomy
More than stage 1b
Chemoradiotherapy

Question 3

what does lie mean

Answer 3

the relationship between the longitudinal axis of the fetus and the mother
(longitudinal/transverse/oblique)

Question 4

what does presentation mean

Answer 4

which part of the fetus is closest to the pelvic brim
(cephalic/breech/shoulder)

Question 5

pain radiating to the back in an alcoholic

Answer 5

pancreatitis

Question 6

philadelphia chromosome

Answer 6

CML

Question 7

reed-sternberg

Answer 7

hodgkins lymphoma

Question 8

which drugs can cause falls in the elderly

Answer 8

diuretics, anti-hypertensives, sedatives, anti-cholinergics, hypoglycaemic agents, psychotropic drugs

Question 9

mild depression

Answer 9

4 symptoms (2 key)

Question 10

mod depression

Answer 10

5-6 symptoms (2 key)

Question 11

severe depression

Answer 11

> 7 symptoms (3 key)

Question 12

investigation for beta thalassaemia

Answer 12

high performance liquid chromatography

Question 13

investigation for sickle cell

Answer 13

HPLC or electrophoresis

Question 14

side effects of methotrexate

Answer 14

-leukopenia/thrombocytopenia
-hepatitis/cirrhosis
-pneumonitis

Question 15

profound IQ

Answer 15

<20

Question 16

severe IQ

Answer 16

20-34

Question 17

mod IQ

Answer 17

35-49

Question 18

mild IQ

Answer 18

50-69

Question 19

borderline IQ

Answer 19

70-84

Question 20

what is pharmacodynamics

Answer 20

drug A modifies the pharmacological effect of drug B without altering its concentration in tissue fluid

Question 21

what is pharmacokinetics

Answer 21

drug A modifies the concentration of drug B that reaches its site of action

Question 22

meningitis bacteria for neonates

Answer 22

Listeria monocytogenes
E. coli
group B strep

Question 23

immediate haemolytic transfusion reaction

Answer 23

IgM
-predominantly intravascular

Question 24

delayed haemolytic transfusion reaction

Answer 24

IgG
-predominantly extravascular

Question 25

meningitis bacteria for infants and young children

Answer 25

H. influenzae

Question 26

meningitis bacteria for 10-21 and over21

Answer 26

neisseria meningitidis and strep pneumonia

Question 27

meningitis bacteria for over 65

Answer 27

strep penumo and listeria

Question 28

when is nuchal scan

Answer 28

8-14 weeks (dating scan)

Question 29

when is first anti-D given

Answer 29

28 weeks

Question 30

when is second anti-D given

Answer 30

34 weeks

Question 31

when can CVS be given

Answer 31

10-13 weeks

Question 32

when can amniocentesis be given

Answer 32

> 15 weeks (slightly safer)

Question 33

nuchal thickness <3mm

Answer 33

no down’s

Question 34

1st trimester trisomy screening

Answer 34

HCG, PAPP-A, nuchal translucency

Question 35

2nd trimester trisomy screening

Answer 35

oestradiol, inhibin +/- hCG , AFP

Question 36

results of trisomy screening

Answer 36

down’s syndrome = high bHCG