passmed facts Flashcards
why should cooked liver be avoided in pregnancy?
contains high levels of Vit A, a teratogen
how many days until COCP, injection, implant, mirena take to work?
7 days
how many days for POP to be effective?
2 days
how many days for IUD to be effective?
instantly
what is the first line treatment for menorrhagia for woman who doesn’t want kids?
mirena coil
why is cooked liver avoided in pregnancy?
high levels of Vit A (teratogenic)
what cancer does COCP increase risk of?
breast and cervical
what cancer does cocp decrease risk of?
ovarian and endometrial
what is the most common type of epithelial cell tumour in gynae?
serous cystadenoma
which cyst, if ruptured, causes pseudomyxoma peritoniei?
mucinous cystadenoma
do you investigate transient synovitis in child less than 3?
yes!
which ssri in breastfeeding?
sertraline or paroxetine
how is a termination done?
mifepristone and prostaglandins
which conditions display anticipation?
huntington’s
fragile X
myotonic dystrophy
(trinucleotide repeats (except friedrich’s ataxia)
what antibiotic for BV?
oral metronidazole
what antibiotic for trichomonas vaginalis?
oral metronidazole
what are the symptoms of trichomonas vaginalis?
musty frothy green discharge
erythematous cervix with pinpoint areas of exudation
(strawberry cervix)
what causes ITP?
can be preceded by viral illness (self-limiting) such as EBV
what is the first line treatment of PMS?
COCP
what is the effect of tamoxifen on the endometrium?
tamoxifen increases risk of endometrial hyperplasia as it has pro-oestrogenic effects
what is tamoxifen used for?
oestrogen receptor positive (ER+ve) breast cancer
tamoxifen has anti-oestrogenic effects on the breast, and pro-oestrogenic effects on the endometrium
what medication is used to induce labour?
vaginal prostaglandin (PGE2)
stepwise treatment approach for asthma in under 5?
- salb
- salb + ICS
- salb + ICS + LTRA
- refer to specialist
stepwise treatment approach for asthma in over 5?
- salb
- salb + ICS
- salb + ICS + LTRA
- salb + ICS + LABA
what is a loud single S2 sound associated with?
transposition of the great arteries
what does pda murmur sound like?
continous, upper left sternal edge
does cocp increase risk of brca as hrt?
yes
adding progesterone to oestrogen increases risk
progesterone alone does not increase risk in hrt
how is fetal heartbeat assessed in a woman who can’t feel baby moving?
handheld doppler
which intracranial haemorrhage is the most common in neonates?
intraventricular
which haemorrhage in shaken baby syndrome?
subdural haemorrhage
what age do children hop on one leg?
3-4 years
pectus excavatum, elfin features, PULM STENOSIS - what condition?
noonan’s
what is the most common cardiac pathology associated with duchenne’s?
dilated cardiomyopathy
which placental abnormality is associated with IVF?
placenta praevia
overlapping fingers, rocker bottom feet, low set ears, what?
edward (18)
what is the initial treatment for menorrhagia in woman with fibroids who doesn’t want kids?
IUS (mirena)
what age is palmar grasp?
5-6 months
what age is drawing a circle?
3 years
what age is building a tower of 3-4 blocks?
18 months
how does maternal ITP affect neonate?
baby may require platelet transfusions
what can cause haemorrhage in the newborn?
prolonged ventouse delivery
causes
cephalohaematoma/subgaleal haemorrhage
is a single prolonged deceleration lasting for more than 3 minutes normal?
no
would you admit a child with grunting to hospital?
must do
what is the most common type of benign ovarian cyst?
follicular cyst
how is scarlet fever rash described?
sandpaper
rough dry erythematous
What age do children hop on 1 leg?
3-4
how to differentiate between cephalohaematoma and caput succedaneum?
cephalohaematoma does not cross suture lines and develops after birth
caput succedaneum does cross the suture lines and is present at birth
how long does it take for caput succedaneum to resolve?
few days (does cross suture lines)
how long does it take for cephalohaematoma to resolve?
few months (does not cross suture lines)
does Caput Succedaenum Cross Suture lines?
yes
