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Qbanks > w/c 06/05 > Flashcards

w/c 06/05 Flashcards

1
Q

rf for cord prolapse

A

multiparity
prematurity
polyhydramnios
twin pregnancy
abnormal lie

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2
Q

mx cord prolapse

A

call for senior help
place woman on all 4s
push presenting part upwards manually
cat 1 c section
can give tocolytics
if cord outside keep it warm and hydrated

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3
Q

what age are antidiarrhoeals used for gastroenteritis in children

A

over 5

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4
Q

most common cause of pulmonary hypoplasia

A

congenital diaphragmatic hernia

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5
Q

paediatric BLS where to check for pulses

A

brachial and carotid

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6
Q

webbed neck
short stature
pectus excavatum
pulmonary stenosis

A

noonan syndrome

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7
Q

medication to relieve itching in chickenpox

A

calamine lotion

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8
Q

ketonuria/weight loss on antiemetics in DKA

A

admit

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9
Q

premenopausal, large and boggy uterus, menorrhagia, dysmenorrhoea

A

adenomyosis

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10
Q

incomplete vs complete hyatidiform mole on US

A

incomplete= foetal parts present
complete= no foetal parts, snowstorm appearance

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11
Q

oxybutynin not given in urge incontinence when and what is given instead

A

to old people
mirabegron

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12
Q

follicles on US for PCOS diagnosis

A

12 follicles in one ovary size 2-9mm

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13
Q

if someone is HPV positive and cytology is inadequate what do you do

A

repeat smear in 3 months

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14
Q

what age does atopic dermatitis present

A

under 2 years

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15
Q

chlordiazepoxide moa

A

benzodiazepine
enhances GABA to reduce alcohol withdrawl sx

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16
Q

findings in anorexia (bloods, clinical etc)

A

most things low
Gs and Cs high: glucose, GH, glands salivary, cortisol, cholesterol, carotinaemia

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17
Q

antipsychotics side effects

A

akithisia= restlessness

tardive dyskinesia= involuntary movements usually orofacial muscles

acute dystonia= sustained contraction of muscles

parkinsonism= bradykinesia, resting tremor, postural instability, rigidity

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17
Q

maternal labetalol use increases risk of what in foetus

A

neonatal hypoglycaemia

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18
Q

duloxetine class of medication

A

SNRI

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19
Q

GAD first line SSRI doesnt work, next step in mx

A

another SSRI or SNRI

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20
Q

most common ovarian cancer

A

serous epithelial cell carcinoma

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21
Q

common complication of rubella

A

arthritis of small joints

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22
Q

common complication of mumps

A

orchitis
deafness

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23
Q

SSRI discontinuation syndrome sx

A

diarrhoea
vomitting
GI upset

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24
Q

eczema what is used after topical steroids fail

A

wet wraps

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25
Q

mental state in puerperal psychosis vs postpartum depression/baby blues

A

change will be acute not gradual

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26
Q

when should dysmenorrhoea be referred to gynae

A

when it is secondary
(precedes the period and develops later in life)

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27
Q

primary vs secondary dysmenorrhoea

A

primary= presents 1-2yrs after menarche, pain starts just before or with period, less concerning mx with NSAIDs 1st line and OCP 2nd line

secondary= presents years after menarche, pain precedes period often by days, mx by referring all to gynaecology

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28
Q

causes of secondary dysmenorrhoea

A

endometriosis
adenomyosis
PID
fibroids
IUDs

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29
Q

why is COCP not used for the forst 21 days postpartum

A

risk of clots

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30
Q

medication for acute dystonia after benzo

A

procyclidine

31
Q

baby looses >10% birthweight in first week of life mx

A

refer to breastfeeding clinic

32
Q

candida discharge pH

A

<4.5

33
Q

PHQ-9 score indicating severe depression

A

> 15

34
Q

first line mx for non pregnant women with thrush

A

oral fluconazole

35
Q

mag sulf in pre eclampsia when

A

for 24 hrs after delivery
or for 24 hrs after last seizure stops

36
Q

in the first trimester, second trimester and postpartum iron supplementation is needed when Hb is

A

1st trimester <110
2nd trimester <105
postpatrum <100

37
Q

what type of oxybutynin is given for urge incontinence

A

immediate release

38
Q

BCG vaccination given to which babies in UK

A

born in area with high TB
family hx of TB
from high risk region/country for TB

39
Q

what medication can be given for vasomotor sx of menopause if someone doesnt want HRT

A

SSRI

40
Q

DM in pregnancy targets

A

fasting <5.3
1hr post prandial <7.8
2 hrs post prandial <6.4

41
Q

NEC diagnostic ix

A

abdo x ray

42
Q

whats the most common cause of cardiac arrest in children

A

respiratory
ie hypoxia from 4hs and ts

43
Q

pavlik harness vs spica

A

harness if under 6 months
spica if over 6 months

44
Q

duodenal atresia causes what type of vomiting

A

bilious

45
Q

advice for transgender males with a uterus regarding contraception

A

dont use oestrogen containing contraceptives as they can affect testosterone therapy

46
Q

ssris for breastfeeding women

A

sertraline or paroxetine

47
Q

if someone has the mirena and wants HRT what do you give them

A

just oestrogen
the mirena acts as the progesterone component of HRT for 10 yrs

48
Q

what is microgynon

A

COCP

49
Q

how long after birth till you can take COCP

A

21 days

50
Q

normal pco2 in asthma attack

A

life threatening

51
Q

spuravalvular aortic stenosis congenital condition

A

williams syndrome

52
Q

whats seen on echo in ebsteins anomaly

A

tricuspid valve leaflets attached to right ventricle or septum

53
Q

POP missed for over 12 hrs with UPSI

A

take emergency contraception

54
Q

dyskinetic cerebral palsy areas of brain affected

A

basal gangla and substantia nigra

55
Q

outline active management of the third stage of labour

A

ureterotonic drugs given (oxytocin)
delayed cord clamping (over 1 min after birth but less than 5)
controlled cord traction after evidence of placental separation

56
Q

TOF components

A

VSD
right ventricular hypertrophy
pulmonary stenosis (right ventricular tract outflow obstruction)
overriding aorta

57
Q

hep B screening in pregnancy is offered to

A

everyone

58
Q

breastfeeding in hep B

A

safe

59
Q

referral for someone presenting with mania

A

urgently to secondary care

60
Q

rubella presentation

A

fever
coryza
cervical adenopathy
erythematous macropapular rash starting on hands and neck and spreads down body

61
Q

complete breech is the same as

A

flexed breech

62
Q

frank breech is the same as

A

extended breech

63
Q

naegeles rule

A

add 9 months and 7 days to day of LMP
if cycle is not 28 days add the no over days over 21 the cycle is to the end result

64
Q

when are abx given for mastitis

A

if 12-24hrs of conservative measures dont improve sx

65
Q

what is tangentiality

A

wandering from a topic and not returning to it
eg when asked a question they dont answer it and talk about something else

66
Q

diagnostic test of DMD

A

genetic analysis

67
Q

what is a compulsion

A

a senseless action done to relieve the anxiety of a compulsion
this doesnt have to be a physical action, it can be repeating a phrase/thinking something

68
Q

when is the heel prick test performed

A

between the 5th and 9th day of life

69
Q

when would a child have little to no head lag when being pulled to sit

A

3 months

70
Q

previous gestational diabetes what screening is offered

A

OGTT immediately
alongside OGTT at 24-28 weeks

71
Q

screening tool for postnatal depression

A

edinburgh scale

72
Q

how many hrs after last drink would a patient have seizures vs delirium tremens

A

seizures= 36 hrs
delirium tremens= 72 hrs

73
Q

SSRIs for breastfeeding

A

sertraline or paroxetine

74
Q

difference between pregnancy induced hypertension and pre existing hypertension

A

pre existing= before 20 weeks GA there is no pregnancy related hypertension

75
Q

how to differentiate mania and hypomania

A

true mania will affect functioning eg work
true mania may have psychotic features

76
Q
A

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