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Qbanks > w/c 13/05 > Flashcards

w/c 13/05 Flashcards

1
Q

secondary dysmenorrhoea referral

A

all women need to be referred to gynaecology

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2
Q

what does significant expressivity mean

A

the level to which phenotypical expression occurs in those with the same gene mutation varies greatly

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3
Q

infantile spasms aka

A

west syndrome

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4
Q

infantile spasms characteristics

A

more common in males
salaam attacks (flexion of head/trunk/arms followed by extension of arms)
EEG hysarrhythmia
70% underlying brain pathology
poor outcome

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5
Q

how will a bacterial vs viral infection respond to antipyretics

A

viral is more likely to be controlled by antipyretics than bacterial

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6
Q

whats the first sign of puberty in girls

A

breast development

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7
Q

whats the first sign of puberty in boys

A

testicular growth

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8
Q

first choice ssri for those with cardiovascular disease

A

sertraline

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9
Q

knights move thinking vs flight of ideas

A

knights move= ideas are not linked to each other
flight of ideas= ideas are somewhat linked

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10
Q

major risk factor for neonatal respiratory distress sydnrome vs TTN

A

neonatal RDS= prematurity
TTN= c section

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11
Q

ground glass lungs chest x ray

A

neonatal RDS

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12
Q

TTN CXR

A

interstitial oedema and pleural efusion

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13
Q

intramural gas on axr

A

NEC

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14
Q

side effect of GnRH agonists

A

loss of bone mineral density

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15
Q

MMR repeat dose given when

A

within 3 months usually
within 1 month if over 10 years or if emergency outbreak at school and unvaccinated child

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16
Q

GnRH analogues used in endometriosis when

A

all other contraception is refractory

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17
Q

contraception 1/2/3rd line in endometriosis

A

COCP 1st
progestrone onlys 2nd
mirena 3rd

note IUD is not recommended

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18
Q

tricyclic antidepressants cause what type of incontinence

A

overflow

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19
Q

antipsychotic that is best for not causing hyperprolactinaemia

A

apripiprazole

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20
Q

age for palmar grasp

A

5-6 months

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21
Q

age for drawing a circle

A

3 years

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22
Q

what contraception increases weight gain

A

depo provera

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23
Q

shaken baby syndrome triad

A

retinal haemorrhages
encephalopathy
subdural haematoma

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24
Q

overflow incontinence is a result of

A

bladder outlet obstruction

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25
Q

cream prescribed for impetigo

A

hydrogen peroxide 1%

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26
Q

COCP postpartum rules

A

can be given after 21 days if not breastfeeding
can be given after 6 weeks if breastfeeding

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27
Q

achondroplasia inheritance pattern

A

autosomal dominant

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28
Q

omphalocele mx

A

c section with staged repair
immediate repair if sac is ruptured

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29
Q

gastroschisis mx

A

vaginal delivery with immediate repair

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30
Q

what method of contraception has the highest effectiveness

A

contraceptive implant

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31
Q

how does an umbilical granuloma present

A

small red growth in the center of the belly button in the first few weeks of life, leaks some clear fluid

mx by putting salt on it, waiting or cauterising with silver nitrate

32
Q

how is the airway secured in acute epiglottitis

A

endotracheal intubation

33
Q

what is used for vte prophylaxis in pregnancy

A

lmwh (enoxaparin)

34
Q

rules for cervical smear during pregnancy

A

if all previous smears were normal, wait till 12 weeks post partum
if previous smear abnormal, can do a smear mid trimester if not contraindicated, seek specialist advice

35
Q

refer for lack of foetal movements when

A

24 weeks

36
Q

what pathogen causes roseola infantum

A

human herpes virus 6

37
Q

how is depression classified

A

less severe= PHQ9 <16
more severe= PHQ9 >16

38
Q

first line mx for less severe depression

A

guided self help
SSRIs not recommended first line unless patient wants them

39
Q

first line mx for more severe depression

A

combination CBT and SSRI

40
Q

what are abdo masses in androgen insensitivity syndrome

A

undescended testes

41
Q

androgen insensitivity syndrome mx

A

counsel parents to raise the child as a girl
remove undescended testes
oestrogen therapy

42
Q

what can’t you give to a pregnant woman with thrush and what do you give instead

A

oral fluconazole
give cotrimazole pessary instead

43
Q

abx for trichomanis vaginalis

A

metronidazole

44
Q

in what women does anti d not work

A

if sensitisation has already occured

45
Q

benzodiazepines moa

A

enhance GABA

46
Q

who is the legal mother of a surrogate child

A

the one who gives birth to him

47
Q

type of insulin used in mx of gestational diabetes

A

short acting only

48
Q

other name for group B strep

A

streptococcus agalactiae

49
Q

edinburgh postnatal depression score above what is concerning

A

13

50
Q

what to monitor when mag sulf is given in eclampsia

A

resp rate
reflexes

51
Q

what age do babies start to smile

A

6 weeks

52
Q

whats the most common presentation of neonatal sepsis

A

grunting and other signs of respiratory distress

53
Q

what is genetic anticipation?

A

with each successive generation the age of onset of certain hereditary disease is earlier

54
Q

serborrhoeic dermatitis presentation

A

craddle cap rash in baby
red with yellow flakes

55
Q

what when taken with an ssri causes serotonin syndrome?

A

maoi

56
Q

how to differentiate somatisation and conversion disorders

A

somatisation= the medically unexplained symptoms cause the patient distress

conversion disorder= the medically unexplained symptoms dont cause the patient distress

57
Q

in HRT what increases the risk of breast cancer

A

the progestogen

58
Q

how to differentiate ectopic pregnancy and miscarriage from US

A

ectopic= no intrauterine pregnancy, pelvic free fluid present
miscarriage= gestational sac/products of conception visible in uterus

59
Q

what hearing test is done at school level

A

pure tone audiometry

60
Q

vte prophylaxis in pregnancy started when till when

A

start immediately
until 6 weeks postnatal

61
Q

what do you need to give to a women who is giving labour and pyrexic

A

benzylpenicillin
for GBS prophylaxis

62
Q

intussecption mx

A

air insufflation

63
Q

COCP should be stopped how long before surgery for DVT prophylaxis

A

4 weeks

64
Q

when do sx in cows milk protein intolerance manifest

A

when formula is introduced

65
Q

what causes pseudomyxoma peritonei

A

mucinous cystadenoma

66
Q

how does bHCG affect thyroid levels

A

increases T3 and T4 production (because it has a similar structure to TSH)
this will have negative feedback on TSH

67
Q

triad of sx in PTSD

A

hyperarousal- sleep disturbance, anxiety
re experience- flashbacks, nightmares
avoidance- people or situation

68
Q

how many episodes of vomitting for CT head in a child

A

3 or more discrete episodes

69
Q

citalopram causes what ecg change

A

qt prolongation
torsades des pointes

70
Q

how to differentiate pyloric stenosis from meconium ileus

A

meconium ileus= bilious vomitting
pyloric stenosis= non bilious vomitting and mass usually palpable

71
Q

what type of vaccine is rotavirus

A

live attenuated

72
Q

why cant rotavirus be given after a certain date

A

risk of intussusception

73
Q

what organism causes hand foot and mouth

A

cocksackie a16

74
Q

perthes disease mx

A

under 6 observe
over 6 surgical correction
can use casts to hold the head in the acetabulum

75
Q

rf for meconium aspiration

A

post term delivery
maternal hypertension
pre-eclampsia
chorioamnionitis
smoking
substance abuse.

76
Q

how can you differentiate early vs late shock

A

early= tachycardia, tachypnoea, BP normal, reduced urine output
late= bradycardia, kussmaul breathing, hypotension, no urine output

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