old year exam Flashcards

1
Q

balanced translocation

A

greater risk of miscarriage/infertility

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2
Q

treatment of cervical cancer

A

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

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3
Q

what does lie mean

A

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

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4
Q

what does presentation mean

A

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

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5
Q

pain radiating to the back in an alcoholic

A

pancreatitis

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6
Q

philadelphia chromosome

A

CML

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7
Q

reed-sternberg

A

hodgkins lymphoma

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8
Q

which drugs can cause falls in the elderly

A

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

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9
Q

mild depression

A

4 symptoms (2 key)

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10
Q

mod depression

A

5-6 symptoms (2 key)

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11
Q

severe depression

A

> 7 symptoms (3 key)

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12
Q

investigation for beta thalassaemia

A

high performance liquid chromatography

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13
Q

investigation for sickle cell

A

HPLC or electrophoresis

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14
Q

side effects of methotrexate

A

-leukopenia/thrombocytopenia
-hepatitis/cirrhosis
-pneumonitis

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15
Q

profound IQ

A

<20

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16
Q

severe IQ

A

20-34

17
Q

mod IQ

A

35-49

18
Q

mild IQ

A

50-69

19
Q

borderline IQ

A

70-84

20
Q

what is pharmacodynamics

A

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

21
Q

what is pharmacokinetics

A

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

22
Q

meningitis bacteria for neonates

A

Listeria monocytogenes
E. coli
group B strep

23
Q

immediate haemolytic transfusion reaction

A

IgM
-predominantly intravascular

24
Q

delayed haemolytic transfusion reaction

A

IgG
-predominantly extravascular

25
Q

meningitis bacteria for infants and young children

A

H. influenzae

26
Q

meningitis bacteria for 10-21 and over21

A

neisseria meningitidis and strep pneumonia

27
Q

meningitis bacteria for over 65

A

strep penumo and listeria

28
Q

when is nuchal scan

A

8-14 weeks (dating scan)

29
Q

when is first anti-D given

A

28 weeks

30
Q

when is second anti-D given

A

34 weeks

31
Q

when can CVS be given

A

10-13 weeks

32
Q

when can amniocentesis be given

A

> 15 weeks (slightly safer)

33
Q

nuchal thickness <3mm

A

no down’s

34
Q

1st trimester trisomy screening

A

HCG, PAPP-A, nuchal translucency

35
Q

2nd trimester trisomy screening

A

oestradiol, inhibin +/- hCG , AFP

36
Q

results of trisomy screening

A

down’s syndrome = high bHCG