Part 6 Flashcards
Postmenopausal Women presents to clinic with vaginal bleeding, differnetials?
Cancer
Atrophic Vaginitis
drug that may cause folate deficiency
Phenytoin (antifolate drug)
What might ‘turtling’ of the baby’s head indicate?
Shoulder Dystocia (head going back into vagina)
What antibiotic can interact with warfarin to raise INR?
Clarithromycin
explain lymph drainage of the breast
75% goes to axillary nodes
25% goes medially to internal mammary lymph nodes
superficial lymphatics connect to opposite breast
highest risk factor for AF
alcohol
most common non-hodgkin’s lymphomaand translocation
Follicular, 14:18
how to diagnose haemoglobinopathy?
Electrophoresis > High Performance Liquid Chromotography (HPLC) [can’t do alpha thal trait needs dna testing]
treatment for atrophic vaginitis?
Local oestrogen cream
what would be the best contraception choice for a 23 year old patient with menhorragia, migraine with loss of vision in one eye and has no plans to start family soon
IUS (periods = lighter and shorter, lasts 5 years)
no IUD since it gives heavier periods
no hysterectomy since infertility
no COCP contrinidcated by migraine with aura
no barrier methods as doesn’t address menhorragia
test for rhabdomyolysis?
CK
Management of patient with bipolar disorder presenting with mani or hypomania?
check lithium levels + consider adding antipsychotic
How might hypoalbuminaemia present?
oedema (due to decrease in oncotic pressure)
bell’s palsy UMN lesion is …
forehead sparing (LMN involves forehead)
management of idiopathic bell’s palsy
steroids, antivirals + eye protection (corneal abrasion when sleeping)
Contraindications to thrombolysis of stroke patient
Really high BP (>170 - risk of haemhorrage)
>4.5 hours post symptoms
low GCS
Neurotransmitter most involved with sleep
GABA
Prolonged PT normal aPTT
liver disease
decrease vit K
decrease/defective factor VII
Normal PT prolonged aPTT
Haemophilia (8+9)
VonWillebrand Deficiency
Lupus anticoagulant present
PT + aPTT prolonged
Severe Liver Disease
DIC
Treatment for cervical cancer stage 2
chemoradiotherapy
treatment of ovarian cancer stage 1B
Both ovaries
hysterectomy with bilateral salpingo-oophorectomy
Most likely diagnosis for lady who has hyponatraemia & hyperkalaemia w/skin pigmentation
Addison’s
Pleural membranes in pleaural cavity?
Visceral pleura = on the lungs
Parietal pleura = on the ribcage and diaphragm
