Other PPQs Flashcards
On newborn check, inverted ankles and plantar flexed, what sign is this?
Talipes Equinovarus
7 year old kid headache and secondary nocturnal enuresis. He’s lost 1.5kg. Urine dipstick normal (i.e. no glucose, proteins, blood. Urine specific gravity 1.010 to 1.030) What is the likely diagnosis?
Diabetes insipidus
Girl goes to Pakistan. Develops macular rash. High fever for 5 days. HR was 70bpm. Cause?
Typhoid
Difficult balance, cannot build block of towers, hyperreflexia (description of ataxic CP). Where is lesion?
Cerebellum
Cannot examine ear directly, lump behind ear causing ear to stick out
Mastoiditis
Kid with 2cm mass (inframandibular) on left side, painful – blood film shows: toxic left shift with reactive neutrophilia.
lymphadenitis
Pic of molluscum, next step?
Reassure
You are in GP, Child with mild croup comes in?
Dexamethasone + review in 48 hour
Maternal T1DM increases risk of what condition in newborn?
Neural tube defects
learn the hearing tests
ok
Maintenance fluid to give to kid with diabetes mellitus
In DKA: 0.9% saline, not in DKA: 0.9% saline with 5% dextrose
Kid with yellow and grey stools and was like 4 weeks old or something. What do you test for?
Conjugated bilirubin levels
Kid who had rashes which had crusted over and he was also scratching them and now he had a fever and cool peripheries. What is the cause for his acute presentation?
Varicella zoster viraemia
Another case with an unwell child where chest was clear, had a fever. Lost weight recently. What do you do next?
urine dip
Uncle gets TB, kid lives with him, Mantoux test showed a number between 10-14mm for the result. What should you do? Watch and wait, give Isoniazid prophylaxis,
Start anti-TB treatment (the kid has TB with those diameters and risk factor of living with someone with TB, plus his age if he’s under 4)
Precocious puberty (5yo and has sparse axillary and pubic hair as well as breast bud development) and high centile growth. parents are along some lower centile. What definitive diagnostic test do you do?
Gonadotropin stimulation test
Cerebral Palsy (described hemiplegic weakness with brisk reflexes), what area of the brain is affected?
pyramidal tracts
Pic of molluscum, next step?
Reassure
9 months old not feeling well, temperature was 38, comes into the GP. What should you do?
Go hospital
Newborn with purple spot on face, what is the best approach?
Discharge to Gp follow up
Woman with a little bit of pink post-coital bleeding on wiping. Smear is fine, ultrasound is clear. What is the next investigation?
Hysteroscopy with biopsy
Twins, presenting twin is breech, other cephalic. How to deliver?
Caesarean section
Woman had abdo trauma 32 weeks, had anti-D. Had her anti-D at 28 weeks – what to do next?
Kleihauer-Betke test then give anti-D
HIV with undetectable viral load. what is contraindicated in labour? Forceps, ventouse, foetal blood sampling, c section
Foetal blood sampling
Woman had an implant inserted but she’s getting it removed. What is the most likely reason why? Weight gain, irregular bleeding, hirsutism
Irregular bleeding
Bloods shown with raised LH and FSH and all else normal in couple trying to get pregnant. What is the first question you want to ask the woman?
When was last period
Pregnant woman with Gram negative bacilli in urine microscopy. What do you do? Watch and wait, give Amoxicillin, urgent referral, some scans
Amoxicillin