passmed facts Flashcards

1
Q

why should cooked liver be avoided in pregnancy?

A

contains high levels of Vit A, a teratogen

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2
Q

how many days until COCP, injection, implant, mirena take to work?

A

7 days

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3
Q

how many days for POP to be effective?

A

2 days

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4
Q

how many days for IUD to be effective?

A

instantly

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5
Q

what is the first line treatment for menorrhagia for woman who doesn’t want kids?

A

mirena coil

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6
Q

why is cooked liver avoided in pregnancy?

A

high levels of Vit A (teratogenic)

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7
Q

what cancer does COCP increase risk of?

A

breast and cervical

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8
Q

what cancer does cocp decrease risk of?

A

ovarian and endometrial

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9
Q

what is the most common type of epithelial cell tumour in gynae?

A

serous cystadenoma

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10
Q

which cyst, if ruptured, causes pseudomyxoma peritoniei?

A

mucinous cystadenoma

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11
Q

do you investigate transient synovitis in child less than 3?

A

yes!

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12
Q

which ssri in breastfeeding?

A

sertraline or paroxetine

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13
Q

how is a termination done?

A

mifepristone and prostaglandins

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14
Q

which conditions display anticipation?

A

huntington’s
fragile X
myotonic dystrophy
(trinucleotide repeats (except friedrich’s ataxia)

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15
Q

what antibiotic for BV?

A

oral metronidazole

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16
Q

what antibiotic for trichomonas vaginalis?

A

oral metronidazole

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17
Q

what are the symptoms of trichomonas vaginalis?

A

musty frothy green discharge
erythematous cervix with pinpoint areas of exudation
(strawberry cervix)

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18
Q

what causes ITP?

A

can be preceded by viral illness (self-limiting) such as EBV

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19
Q

what is the first line treatment of PMS?

A

COCP

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20
Q

what is the effect of tamoxifen on the endometrium?

A

tamoxifen increases risk of endometrial hyperplasia as it has pro-oestrogenic effects

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21
Q

what is tamoxifen used for?

A

oestrogen receptor positive (ER+ve) breast cancer

tamoxifen has anti-oestrogenic effects on the breast, and pro-oestrogenic effects on the endometrium

22
Q

what medication is used to induce labour?

A

vaginal prostaglandin (PGE2)

23
Q

stepwise treatment approach for asthma in under 5?

A
  1. salb
  2. salb + ICS
  3. salb + ICS + LTRA
  4. refer to specialist
24
Q

stepwise treatment approach for asthma in over 5?

A
  1. salb
  2. salb + ICS
  3. salb + ICS + LTRA
  4. salb + ICS + LABA
25
Q

what is a loud single S2 sound associated with?

A

transposition of the great arteries

26
Q

what does pda murmur sound like?

A

continous, upper left sternal edge

27
Q

does cocp increase risk of brca as hrt?

A

yes
adding progesterone to oestrogen increases risk

progesterone alone does not increase risk in hrt

28
Q

how is fetal heartbeat assessed in a woman who can’t feel baby moving?

A

handheld doppler

29
Q

which intracranial haemorrhage is the most common in neonates?

A

intraventricular

30
Q

which haemorrhage in shaken baby syndrome?

A

subdural haemorrhage

31
Q

what age do children hop on one leg?

A

3-4 years

32
Q

pectus excavatum, elfin features, PULM STENOSIS - what condition?

A

noonan’s

33
Q

what is the most common cardiac pathology associated with duchenne’s?

A

dilated cardiomyopathy

34
Q

which placental abnormality is associated with IVF?

A

placenta praevia

35
Q

overlapping fingers, rocker bottom feet, low set ears, what?

A

edward (18)

36
Q

what is the initial treatment for menorrhagia in woman with fibroids who doesn’t want kids?

A

IUS (mirena)

37
Q

what age is palmar grasp?

A

5-6 months

38
Q

what age is drawing a circle?

A

3 years

39
Q

what age is building a tower of 3-4 blocks?

A

18 months

40
Q

how does maternal ITP affect neonate?

A

baby may require platelet transfusions

41
Q

what can cause haemorrhage in the newborn?

A

prolonged ventouse delivery
causes
cephalohaematoma/subgaleal haemorrhage

42
Q

is a single prolonged deceleration lasting for more than 3 minutes normal?

A

no

43
Q

would you admit a child with grunting to hospital?

A

must do

44
Q

what is the most common type of benign ovarian cyst?

A

follicular cyst

45
Q

how is scarlet fever rash described?

A

sandpaper

rough dry erythematous

46
Q

What age do children hop on 1 leg?

A

3-4

47
Q

how to differentiate between cephalohaematoma and caput succedaneum?

A

cephalohaematoma does not cross suture lines and develops after birth
caput succedaneum does cross the suture lines and is present at birth

48
Q

how long does it take for caput succedaneum to resolve?

A

few days (does cross suture lines)

49
Q

how long does it take for cephalohaematoma to resolve?

A

few months (does not cross suture lines)

50
Q

does Caput Succedaenum Cross Suture lines?

A

yes