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Qbanks > w/c 20/05 > Flashcards

w/c 20/05 Flashcards

1
Q

medical management of incomplete misscarriage

A

vaginal misoprostol only

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2
Q

ruptured ectopic most likely location

A

isthmus

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3
Q

edwards syndrome quadruple test result

A

every low
inhibin a normal

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4
Q

rokitanksy protuberance

A

teratoma

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5
Q

apart from downs syndrome thickened nuchal translucency can indicate

A

congenital heart defect

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6
Q

what does snri stand for

A

serotonin and noradrenaline reuptake inhibitor

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7
Q

anti d prophylaxis is offered to women having TOP when

A

they are over 10 weeks GA AND they are rhesus negative

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8
Q

anti d prophylaxis in medical vs surgical TOP

A

given for BOTH if women >10 weeks and rhesus negative

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9
Q

what movement is limited in SUFE

A

internal rotation when the leg is flexed

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10
Q

metaclopramide should only be used for x no of days because

A

5
extrapyramidal side effects

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11
Q

ondansetron use in pregnancy causes

A

increased risk of cleft palate

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12
Q

rehydration in hyperemesis gravidarum is with

A

saline with potassium added

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13
Q

what type of memory impairment does ECT cause

A

retrograde amnesia

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14
Q

turners syndrome murmur and cause

A

ejection systolic
due to bicuspid aortic valve

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15
Q

BMI and OCP

A

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

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16
Q

characteristics of a complex febrile convulsion

A

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

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17
Q

in a simple febrile convulsion complete recovery should occur within

A

1 hr

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18
Q

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

A

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

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19
Q

advice about pill free interval in COCP

A

not necessary

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20
Q

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

A

<36 weeks GA
foetus alive, not in any distress

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21
Q

babies born <28 weeks GA immunisations

A

first set in hospital due to risk of apnoea

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22
Q

how to calculate corrected gestational age

A

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

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23
Q

what causes a rise in clozapine levels

A

smoking cessation

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24
Q

hirschprungs is

A

a loss of ganglionic cells in the myenteric and submucosal plexus

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25
Q

causes of neonatal hypotonia

A

prader willi
sepsis
hypothyroidism
spinal muscular atrophy

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26
Q

NTD results on quadruple test

A

isolated high AFP
others normal

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27
Q

criteria for schizoaffective disorder

A

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

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28
Q

congenital adrenal hyperplasia presentation

A

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

29
Q

androgen insensitivty syndrome presention

A

primary amenorrhoea
masses palpable bilaterally in the abdomen

30
Q

what colour flag sx is nasal flaring

A

amber

31
Q

what colour flag sx is intercostal recessions

A

red

32
Q

measles prodrome

A

fever
irritability
conjunctivitis

33
Q

hyperemesis gravidarum diagnosis triad

A

5% pre pregnancy weight loss
dehydration
electrolyte imbalance

34
Q

young infants with pertussis may have what instead of inspiratory whoop

A

apnoeas

35
Q

how to measure bilirubin in a baby <24 hrs

A

serum not transcutaneous

36
Q

what contraceptives can be taken with enzyme inducing drugs

A

copper IUD
mirena IUS
dep provera

IUD is preferred as not hormonal

37
Q

GBS risk factors

A

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

38
Q

abx for GBS in a baby

A

benzylpenicillin and gentamicin

39
Q

sertraline first trimester use increased risk of

A

congenital heart defects

40
Q

sertraline third trimester use increased risk of

A

presistent pulmonary hypertension

41
Q

paroxetine first trimester use increased risk of

A

congenital heart defects

42
Q

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

A

cryptorchidism

43
Q

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

A

twice a day

44
Q

what neurotransmitters does mirtazipine increase

A

noradrenaline
serotonin

45
Q

biliary atresia mx

A

early surgical correction- kasai procedure

46
Q

how does lithium affect the kidneys

A

nephrotoxicity secondary to diabetes insipidus

47
Q

how does lithium affect the thyroid

A

may cause hypothyroidism

48
Q

ECG changes on lithium

A

t wave flattening or inversion

49
Q

whats the therapeutic range of lithium

A

0.4-1 mmol/L

50
Q

how does lithium affect calcium levels

A

high due to hyperparathyroidism

51
Q

adverse effects of lithium

A

tremor
diarrhoea, nausea, vomitting
leukocytosis
hypercalcaemia due to hyperparathyroidism

52
Q

how long after taking lithium should levels be measured

A

12 hrs

53
Q

how does renal agenesis affect amniotic fluid volume

A

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

54
Q

whats is potters sequence

A

when due to oligohydramnios the baby has a characteristic appearance

a result of bilateral renal agenesis and pulmonary hypoplasia

55
Q

admit for hyperemesis gravidarum when

A

continuous NV and unable to keep down food/water

continuous NV with ketonuria and/or weight loss >5% pre pregnancy

confirmed or suspected comorbidity

56
Q

cradle cap rash

A

seborrheoic dermatitis

57
Q

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

A

steroids

58
Q

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

A

steroids
when they are over 3 months

59
Q

what clinical findings in a child are associated with malrotation

A

congenital diaphragmatic hernia
exomphalos

60
Q

whats used to classify severity of NV in pregnancy

A

pregnancy unique quantification of emesis score (PUQE)

61
Q

when would you use CVS vs amniocentesis for confirming suspected downs

A

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

62
Q

CVS can be performed when for diagnosis of downs

A

11-13 weeks

63
Q

amniocentesis can be performed when for diagnosis of downs

A

15 weeks onwards

64
Q

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

A

ejection systolic murmur
third heart sound

65
Q

how to differentiate tangentiality and flight of ideas

A

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

66
Q

emergency contraception in breastfeeding women

A

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

67
Q

how is range of movement affected in transient synovitis

A

not affected

68
Q

transient synovitis triad

A

limp, recent illness, hip pain

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