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Qbanks > w/c 03/06 > Flashcards

w/c 03/06 Flashcards

1
Q

how to give clomiphene to a woman

A

if regular cycles= start on day 2 of period and take for 5 days

if irregular cycles= progesterone for 10 days to induce withdrawal bleed then start on day 2 of period and take for 5 days

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2
Q

white staining after acetic acid on colposcopy indicates what

A

abnormal nuclear: protein ratio within cells

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3
Q

for a diagnosis of gestational hypertension how many times does BP measured need to be high and how far apart

A

twice
4 hrs apart

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4
Q

short cervix during pregnancy is defined as

A

<25mm at 16-24weeks GA

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5
Q

prophylaxis for short cervix

A

cervical cerclage or vaginal progesterone

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6
Q

macrocephaly with short arms and feet

A

achondroplasia

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7
Q

movicol full name

A

polyethylene glycol

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8
Q

mumps school exclusion

A

5 days from onset of parotitis

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9
Q

features of candida infection in nappy rash

A

widespread
demarcated scaly border
satellite lesions

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10
Q

how to manage nappy rash with candida infection

A

avoid barrier protection
clotrimazole cream

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11
Q

2 differentials for kidney injury following viral illness and how to differenitate them

A

post strep glomerulonephritis- presents weeks after illness
iga nephropathy- presents days after illness

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12
Q

best way to diagnose asthma

A

FEV1

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13
Q

FVC in asthma

A

normal

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14
Q

anti phospholipid syndrome medications

A

low dose aspirin
low dose molecular weight heparin

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15
Q

how does the IUS act as a contraceptive

A

thickens cervical mucus plug
thinning of endometrial lining
reduces sperm survival

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16
Q

which contraceptives inhibit ovulation

A

ones that contain oestrogen and progesterone

if only progesterone ovulation is not completely inhibited

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17
Q

surgical management of endometriosis

A

laparoscopic ablation and adhesiolysis

follow this with hormonal treatment IF NOT desiring fertility

hormonal treatment will prolong the effects of the surgery

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18
Q

if there is dyskaryosis on cervical smear do you do urgent or non urgent colposcopy

A

non urgent

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19
Q

cyclical HRT is preferred over combined when

A

women are peri menopausal

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20
Q

if someone has endometrial hyperplasia with no atypia how do you mx them

A

IUS- continuous progesterone to thin the lining
surveillance-TVUS and biopsy every 6 months

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21
Q

PMS management

A

1st= symptom diary for 2 cycles
mild= lifestyle advice
moderate/interfering with life= COCP first line, if doesnt work then refer for CBT
severe= SSRI

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22
Q

best COCP for PMS mx

A

yasmin, used continuously instead of cyclically

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23
Q

lifestyle advice for PMS

A

small, carbohydrate rich meals frequently
reduce stress
regular exercise
good sleep
reduce smoking and alcohol

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24
Q

when should you not give oxybutynin and what do you give instead

A

to elderly frail women as it increases risk of falls

give mirabegron instead

25
Q

oxybutynin moa

A

anti muscarinic

26
Q

mirabegron moa

A

beta 3 agonist

27
Q

what happens to platelet count in normal physiological pregnancy

A

decreases

28
Q

CTG in vasa praevia

A

foetal bradycardia
sinusoidal pattern

29
Q

mastitis causative organism

A

staphylococcus aureus

30
Q

what is tinea capitis

A

a ringworm infection on the scalp that can cause scarring alopecia

31
Q

systemic onset juvenile arthritis presentation

A

girl aged 1-10
salmon pink rash
arthritis
uveitis
fever
weight loss
myalgia
reduced appetite

32
Q

what is stills disease

A

systemic onset juvenile arthritis

33
Q

when is cleft lip vs cleft palate repaired

A

cleft lip= first 3 months of life
cleft palate= 6-12 months

34
Q

dyskinetic cerebral palsy is damage to what area

A

basal ganglia

35
Q

which cerebral palsy has all the movement symptoms eg athetoid movements, chorea, dystonia

A

dyskinetic

36
Q

types of cerebral palsy

A

ataxic
dyskinetic
hemiplegic
diplegic
quadriplegic

37
Q

most common malignant bone tumor in children

A

osteosarcoma

38
Q

ewing sarcoma vs osteosarcoma sign on x ray

A

ewing= onion skin
osteosarcoma= codmans triangle

39
Q

what sound do you hear in bronchiolitis

A

wheeze

40
Q

causes of stridor

A

laryngomalacia
croup
epiglottitis

41
Q

whats the best imaging for malrotation?

A

GI ultrasound with contrast

42
Q

how often is chest physiotherapy done for crohns

A

twice daily

43
Q

activated charcoal vs n acetylcycsteine in paracetamol overdose when

A

activated charcoal if presenting in first hr of ingestion
n acetylcysteine immediately if staggered overdose, if single measure levels after 4 hrs and then decide if needed

44
Q

persistent grief disorder time frame

A

over 6 months

45
Q

prolonged complex bereavement disorder time frame and sx

A

over 12 months
person wants to die to be with the loved one

46
Q

how to differentiate variant vs sporadic CJD

A

variant= psychiatric sx first then neuro
sporadic CJD= neuro sx first then psychiatric

47
Q

what is a staggered overdose defined as

A

taken over more than one hour

48
Q

fregoli vs capgras delusion

A

fregoli= different people are one person just in different forms/disguise

capgras= a love one has been CAPtured and replaced by an imposter

49
Q

lithium monitoring after starting someone on lithium

A

lithium levels weekly until stable then 3 months
TFTs and renal function every 6 months

50
Q

ebsteins anomaly affects what valve

A

tricuspid

51
Q

how long is the washout period when switching antidepressants

A

4-7 days

52
Q

which valves have 2 leaflets and which have 3

A

only the bicuspid has 2 (left side of heart)

53
Q

when is the anomaly scan offered

A

18-20 weeks GA

54
Q

what protein:creatinine ratio indicates pre eclampsia

A

> 30mg/mmol

55
Q

what extra screening for anaemia is done in a twin pregnancy

A

screen at booking, 20 weeks and 28 weeks

56
Q

at what age do children play with other children

A

4 yrs

57
Q

what is prehns sign and what is it used to differentiate

A

reduced pain on elevation of the scrotum

positive in epididymitis
negative in testicular torsion

58
Q
A

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