Past ICAs

Question 1

What is the treatment for mastoiditis?

Answer 1

IV abx and draingage

Can lead to meningitis

Question 2

How do you treat acute asthma is children?

Answer 2

1) inhaled B2
2) add ipratropium bromide
3) add magnesium sulphate

Give oral steroids early in attacks
Second line - IV bolts salbutamol

Question 3

Raised polymorphs (neutrophils) on CFS indicated what type of infection?

Answer 3

Bacterial (eg pneumococcal)

Question 4

Causes of hyperinflated lungs and upper lobar collapse (atelectasis)?

Answer 4

Severe Bronchiolitis (RSV)

Question 5

Which oestrogen caused endometrial hyperplasia?

Answer 5

Estradiol

Estriol - in pregnancy
Estrone - only oestrogen after the menopause

Question 6

Cleft palate, polydactyl, and overlapping fingers, small mouth. Which congenital birth presentation,

Answer 6

Pataus (13)

Question 7

Overlapping fingers, and cleft feet?

Answer 7

Edwards (18)

Question 8

What murmur is a VSD and what conditions associated with?

Answer 8

Pansystolic.

Assoc with trisomy 21, 13, and 18.

Question 9

Male infertility

Answer 9

Smoking and alchohol reduce quality

Question 10

Which HIV drugs are teratogenic?

Answer 10

Efavirens (maybe nevirapine)

Question 11

Which HIV drugs are safe in pregnancy?

Answer 11

Zidovudine

Question 12

HPV for cancer?

Answer 12

16 and 18

6 and 11 warts

Question 13

Most common ovarian tumour in children?

Answer 13

Germ cell (tetratoma, dysgerminona) 70%

Causing precocious puberty: granulosa cell(28%), granulosa-Theca(14%), sertoli (5%)