Things i get wrong a lot

Question 1

Low and high doses of folic acid?

Answer 1

Low dose = 400micrograms daily from before conception to 12 weeks
High dose = 5mg daily ( Indicated in diabetes, epilepsy, obesity, Hx of neural tube defects)

Question 2

Where can referred pain be felt in Fitz Hugh Curtis / Chronic Pelvic Inflammatory Disease

Answer 2

Right upper quadrant

Question 3

Risk factors for an abruption?

Answer 3

ABRUPTION
Abruption previously
Blood pressure (HTN or pre-eclampsia)
Ruptured membranes
Uterine trauma
Polyhydramnios
Twins
Infection e.g. chorioamnionitis
Older age (>35)
Narcotic use (Cocaine, amphetamines)

Question 4

What type of ovarian tumour is associated with endometrial hyperplasia?

Answer 4

Granulosa cell tumours

Question 5

What does combined HRT increase the risk of ?

Answer 5

Breast cancer

Question 6

What hormone is raised in Menopause?

Answer 6

FSH

Question 7

Paediatric maintenance fluid calcs?

Answer 7

Maintenance = 100ml/kg for first 10, 5ml/kg for next 10, 20ml/kg after 20, max of 2400
/ 24 to work out hourly rate

Question 8

Paediatric deficit fluid calcs?

Answer 8

Weight (Kg) * % dehydration * 10
Add to maintenance before working out hourly rate

Question 9

When should anti-D prophylaxis be given to Rh -ve women

Answer 9

at 28 and 34 weeks

Question 10

Which infections have no exclusion from school?

Answer 10

Conjunctivitis
Fifth disease
Roseola infantum (HHV-6)
EBV
Head lice
Threadworm
Hand, foot and mouth

Question 11

School exclusion for whooping cough?

Answer 11

Either 48 hours after commencing antibiotics or 21 days from onset of symptoms if no antibiotics

Question 12

School exclusion for measles?

Answer 12

4 days from onset of rash

Question 13

School exclusion for impetigo?

Answer 13

Lesions crusted and healed or 48hrs after antibiotics