w/c 20/05 Flashcards by Aaska Banthiya

medical management of incomplete misscarriage

vaginal misoprostol only

How well did you know this?

Not at all

Perfectly

ruptured ectopic most likely location

isthmus

How well did you know this?

Not at all

Perfectly

edwards syndrome quadruple test result

every low
inhibin a normal

How well did you know this?

Not at all

Perfectly

rokitanksy protuberance

teratoma

How well did you know this?

Not at all

Perfectly

apart from downs syndrome thickened nuchal translucency can indicate

congenital heart defect

How well did you know this?

Not at all

Perfectly

what does snri stand for

serotonin and noradrenaline reuptake inhibitor

How well did you know this?

Not at all

Perfectly

anti d prophylaxis is offered to women having TOP when

they are over 10 weeks GA AND they are rhesus negative

How well did you know this?

Not at all

Perfectly

anti d prophylaxis in medical vs surgical TOP

given for BOTH if women >10 weeks and rhesus negative

How well did you know this?

Not at all

Perfectly

what movement is limited in SUFE

internal rotation when the leg is flexed

How well did you know this?

Not at all

Perfectly

metaclopramide should only be used for x no of days because

5
extrapyramidal side effects

How well did you know this?

Not at all

Perfectly

ondansetron use in pregnancy causes

increased risk of cleft palate

How well did you know this?

Not at all

Perfectly

rehydration in hyperemesis gravidarum is with

saline with potassium added

How well did you know this?

Not at all

Perfectly

what type of memory impairment does ECT cause

retrograde amnesia

How well did you know this?

Not at all

Perfectly

turners syndrome murmur and cause

ejection systolic
due to bicuspid aortic valve

How well did you know this?

Not at all

Perfectly

BMI and OCP

> 35 requires clinical judgement but anyone of any BMI can be on the OCP

How well did you know this?

Not at all

Perfectly

characteristics of a complex febrile convulsion

lasts 15-30 mins
focal seizure
repeat seizures in 24 hrs

How well did you know this?

Not at all

Perfectly

in a simple febrile convulsion complete recovery should occur within

1 hr

How well did you know this?

Not at all

Perfectly

in a life threatening/emergency situation where parents dont give consent for a treatment what do you do

you can give it without consent
(only because emergency/life at risk)

How well did you know this?

Not at all

Perfectly

advice about pill free interval in COCP

not necessary

How well did you know this?

Not at all

Perfectly

placental abruption you can admit and administer steroids over c section when

<36 weeks GA
foetus alive, not in any distress

How well did you know this?

Not at all

Perfectly

babies born <28 weeks GA immunisations

first set in hospital due to risk of apnoea

How well did you know this?

Not at all

Perfectly

how to calculate corrected gestational age

subtract how many weeks premature they were from their chronological age

eg if born 10 weeks ago and 5 weeks premature their corrected age is 10-5= 5 weeks

How well did you know this?

Not at all

Perfectly

what causes a rise in clozapine levels

smoking cessation

How well did you know this?

Not at all

Perfectly

hirschprungs is

a loss of ganglionic cells in the myenteric and submucosal plexus

How well did you know this?

Not at all

Perfectly

causes of neonatal hypotonia

prader willi sepsis hypothyroidism spinal muscular atrophy

NTD results on quadruple test

isolated high AFP others normal

criteria for schizoaffective disorder

symptoms of psychotic and mood disorder present either together or within 2 weeks of each other

congenital adrenal hyperplasia presentation

females= virilisation, precocious puberty males= normal at birth but precocious puberty

androgen insensitivty syndrome presention

primary amenorrhoea masses palpable bilaterally in the abdomen

what colour flag sx is nasal flaring

amber

what colour flag sx is intercostal recessions

red

measles prodrome

fever irritability conjunctivitis

hyperemesis gravidarum diagnosis triad

5% pre pregnancy weight loss dehydration electrolyte imbalance

young infants with pertussis may have what instead of inspiratory whoop

apnoeas

how to measure bilirubin in a baby <24 hrs

serum not transcutaneous

what contraceptives can be taken with enzyme inducing drugs

copper IUD mirena IUS dep provera IUD is preferred as not hormonal

GBS risk factors

minor= lack of intrapartum abx and mother has positive swab major= other baby in multiple pregnancy with sx, mother had abx for infection (not intrapartum), resp distress within 4 hrs of birth, seizures, signs of shock one minor= observe for 24hrs 2 minors or one major= start benpen and gentamicin

abx for GBS in a baby

benzylpenicillin and gentamicin

sertraline first trimester use increased risk of

congenital heart defects

sertraline third trimester use increased risk of

presistent pulmonary hypertension

paroxetine first trimester use increased risk of

congenital heart defects

what are other congenital conditions are patients with hypospadias likely to have

cryptorchidism

how often is chest physiotherapy and postural drainage done in cystic fibrosis patients

twice a day

what neurotransmitters does mirtazipine increase

noradrenaline serotonin

biliary atresia mx

early surgical correction- kasai procedure

how does lithium affect the kidneys

nephrotoxicity secondary to diabetes insipidus

how does lithium affect the thyroid

may cause hypothyroidism

ECG changes on lithium

t wave flattening or inversion

whats the therapeutic range of lithium

0.4-1 mmol/L

how does lithium affect calcium levels

high due to hyperparathyroidism

adverse effects of lithium

tremor diarrhoea, nausea, vomitting leukocytosis hypercalcaemia due to hyperparathyroidism

how long after taking lithium should levels be measured

12 hrs

how does renal agenesis affect amniotic fluid volume

causes oligohydramnios as most of the amniotic fluid is made of foetal urine

whats is potters sequence

when due to oligohydramnios the baby has a characteristic appearance a result of bilateral renal agenesis and pulmonary hypoplasia

admit for hyperemesis gravidarum when

continuous NV and unable to keep down food/water continuous NV with ketonuria and/or weight loss >5% pre pregnancy confirmed or suspected comorbidity

cradle cap rash

seborrheoic dermatitis

in children under 3 months with suspected bacterial meningitis what drug should you not give

steroids

with abx what other drug should you give to children with suspected meningitis and when

steroids when they are over 3 months

what clinical findings in a child are associated with malrotation

congenital diaphragmatic hernia exomphalos

whats used to classify severity of NV in pregnancy

pregnancy unique quantification of emesis score (PUQE)

when would you use CVS vs amniocentesis for confirming suspected downs

CVS is for 11-13 weeks amniocentesis is for 15 weeks onwards

CVS can be performed when for diagnosis of downs

11-13 weeks

amniocentesis can be performed when for diagnosis of downs

15 weeks onwards

on auscultation of the heart what will you hear that is normal in pregnancy

ejection systolic murmur third heart sound

how to differentiate tangentiality and flight of ideas

flight of ideas= question is answered first then they jump from topic to topic and rate is fast tangentiality= the question is not answered and they jump from topic to topic in both there are connections between topics they jump from

emergency contraception in breastfeeding women

ulipristal requires delaying breastfeeding for a week so levonorgesterel may be more appropriate

how is range of movement affected in transient synovitis

not affected

transient synovitis triad

limp, recent illness, hip pain