Part 1

Question 1

Meningitis prophylaxis drugs =

Answer 1

Ciprofloxacin or Rifampicin

Question 2

cause of neonatal conjunctivitis

Answer 2

Gram +ve cocci (group B strep)

Question 3

Non-reassuring signs on CTG

Answer 3

increased or decreased foetal HR (especially during or after contraction)
decreased variability on foetal HR
Late decelerations

Question 4

management of foetal distress

Answer 4

Get it out!
forceps (if engaged)
or C-section

Question 5

what is relative risk?

Answer 5

the risk of something happening where you compare the odds for two groups against each other. E.g. ‘10% more likely to survive using a certain drug’

Question 6

What is relative risk reduction?

Answer 6

comparison of outcomes of control group (using traditional meds) vs experimental group (using experimental drug)

Question 7

What is absolute risk?

Answer 7

the odds of that thing happening over a stated time period (not a comparison of two groups).

Question 8

What is absolute risk reduction?

Answer 8

how much that risk decreases when a certain intervention takes place

Question 9

Contraindications to COCP/POP

Answer 9

smoker > 35 years, <6/52 postpartum, breastfeeding, hypertensive, current/past VTE, migrain with aura, CVD, breast cancer, liver cirrhosis.
Ectopic pregnancy history risk may also increase on these.

Question 10

19 year old girl 6 days post intercourse seeking EC

Answer 10

APPARENTLY - IUD maybe be used up to 5 – 7 days (e.g. person may have had sex over 5 days ago BUT ovulation date may have been within the past five days)

Question 11

Genital wart med

Answer 11

Podophylin

Question 12

Herpes simplex vaginal ulcers med

Answer 12

oral aciclovir

Question 13

15/16 week pregnancy Down’s Syndrome screening

Answer 13

Amniocentesis + Chromosomal analysis

Question 14

20 weeks pregnancy Huntington’s screening (no intention of termination)

Answer 14

No screening (waste of time and money)

Question 15

seminal vesicles secretions =

Answer 15

Fructose, Prostaglandin, Fibrinogen

Question 16

Child has had a cold for a few days before waking up in middle of night struggling for breath

Answer 16

Croup (barking cough)

Question 17

restless, fatigue, insomnia, depression, parkinsonism

Answer 17

Metoclopramide (prokinetic agent)

Question 18

stomach irritation, unsteadiness, tremor, weight gain, neural tube defects

Answer 18

sodium valproate

Question 19

n & v, dizziness, unsteadiness, headache, confusion, double vision

Answer 19

Carbamezapine

Question 20

Steven Johnson Syndrome, caution during pregnancy/breastfeeding

Answer 20

Lamotrigine

Question 21

dry mouth, diarrhoea, metallic taste, shakiness, weigh gain, water retention (UNDERACTIVE THYROID)(blood test 5 days after starting,)

Answer 21

Lithium

Question 22

agranulocytosis…regular blood checks

Answer 22

Clozapine

Question 23

weight gain, dry mouth, constipation, dizziness

Answer 23

Olanzapine (atypical antipsychotics)

Question 24

tardive dyskinesia (involuntary, repetitive body movements), dry mouth, muscle stiffness.

Answer 24

Chlorpromazine, Haloperidol (typical antipsychotics)