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Y4 Exam Practice > SAQ book > Flashcards

SAQ book Flashcards

1
Q

Investigations after APH?

A

USS, FBC, clotting profile, G&S/crossmatch, Kleihauer, CTG

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2
Q

Why can you not see the bleed in palcental abruption?

A

concealed bleed - retroplacental

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3
Q

What may you see on clotting profile after APH?

A

low fibrinogen - DIC causes fibrinogen to be used up

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4
Q

From when is the fetus first palpable?

A

12 weeks

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5
Q

What blood tests should be offered in pregnancy?

A

FBC, blood group and rhesus status
rubella
HIV
syphilis serology

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6
Q

When does puerperal psychosis typcially come on? Risk of recurrence?

A

Within 2 weeks
50%

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7
Q

When does postpartum depression come on? How common is it?

A

3 months
5-15%

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8
Q

Risk factors for pre-eclampsia?

A

fam hx
nulliparity
increasing maternal age
pre-existing diabetes / hypertension

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9
Q

What makes up the Bishop Score?

A

cervical dilation
station of foetal head
cervical position, effacement and consistency

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10
Q

Why is DVT in pregnancy more likely to occur in the left leg?

A

Gravid uterus puts more pressure on the left iliac vein

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11
Q

Give pre-labour and intrapartum risk factors for shoulder dystocia

A

pre labour: diabetes, macrosomia
intrapartum: prolonged second stage, oxytocin augmentation

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12
Q

Risk factors for cord prolapse?

A

prematurity
abnormal lie
polyhydramnios
artificial rupture of membranes

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13
Q

Should you be worried about an ejection systolic murmur in a pregnant woman?

A

No because of hyperdynamic circulation

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14
Q

What makes a CTG reassuring?

A

foetal heart rate from 110-160
baseline variability 5-25
preseence of accelerations
absence of decelerations

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15
Q

Give 2 contraindications to foetal blood sampling

A

maternal infection
foetal bleeding disorder

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16
Q

Besides fluids, what can be given to women with hyperemesis?

A

thiamine to prevent Wernicke’s encephalopathy
LMWH
anti-emetics

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17
Q

What testing can be done on expelled POC after a miscarriage?

A

histology and karyotyping

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18
Q

What is CIN?

A

presence of dysplastic cells that have not invaded beyond the basement membrane

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19
Q

Markers associated with ovarian cancer?

A

CA-125, AFP

20
Q

Give 2 sites of endometriotic lesions

A

uterosacral ligaments, pelvic peritoneum

21
Q

Give 2 contraindications to coil insertion

A

pregnancy
STI

22
Q

Complications of PID?

A

peri-hepatitis
tubo-ovarian abscess
chronic pelvic pain
infertility
ectopic pregnancy

23
Q

What can be used to distinguish delirium from dementia?

A

Confusion Assessment Method - CAM

24
Q

Give some changes in dementia aside from memory loss

A

personality change
inattention
language / communication issues

25
Q

How does duloextine work for stress incontinence?

A

SNRI- increase NA at the synapse and increases tone of the IUS

26
Q

What can be used to assess risk of stroke post TIA?

A

ABCD2 score

27
Q

What is the MCA a branch of?

A

the internal carotid

28
Q

What is the difference between T score and Z score?

A

T score is compared against healthy young adult bone, Z score is age adjusted

29
Q

What should be tested for in suspected myeloma?

A

urinary Bence Jones protein
serum electrophoresis

30
Q

Pathophysiology of PD?

A

neuronal degeneration in the substansia nigra meaning less dopamine in basal ganglia

31
Q

Tests to do before starting lithium?

A

ECG - Qtc prolongation
TFTs
U&Es

32
Q

Why are subjective scoring sxs useful in mental disorders?

A

diagnosis, monitoring, research

33
Q

Risks of sedatives in the elderly?

A

Increased confusion
Increased falls risk
Resp depression and hypotension

34
Q

Recommended alcohol intake?

A

14 units per week, 2-3 in one sitting

35
Q

Intervetions in alcohol abuse?

A

Refer to AA
Disulfiram, acamprosate
benzos

36
Q

How can someone appeal a section?

A

Writing to a tribunal within 14 days

37
Q

How does N-acetylcysteine work in overdose?

A

Provides the liver with enough glutathione to break down NAPQI

38
Q

Limitation of behavioural change model?

A

assumes people always act in the same, rational way

39
Q

Cause of bronchiolitis? Finding on CXR?

A

Respiratory syncytial virus
Hyperinflation

40
Q

Main cause of croup? Signs of croup other than cough and SOB?

A

Parainfluenza virus
hoarse voice, stridor

41
Q

What can you give croup that doesn’t respond to steroids?

A

nebulised adrenaline

42
Q

Peak age of SUFE? RF?

A

10-17
obesity, GH deficiency, male, trauma

43
Q

Risk of untreated jaundice? Mx of jaundice?

A

Kernicterus
phototherapy, exchange transfusion

44
Q

Signs of decompensated congential heart disease

A

dyspnoea
poor feeding
lethargy
cold peripheries
hepatomegaly

45
Q

What causes an increased risk of respiratory distress syndrome?

A

maternal diabetes
C section
second twin

46
Q

Sign of IRDS on CXR?

A

ground glass shadowing

47
Q

Define cerebral palsy. Give 2 types

A

chronic disorder of movement and posture due to non-progressive brain abnormalities before the brain is fully developed

spastic
ataxic

Y4 Exam Practice (16 decks)

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