w/c 22/04

Question 1

what BP are pregnant women admitted for hypertension?

Answer 1

> 160/110mmHg

Question 2

what fractures are associated with NAI?

Answer 2

humerus
radial
femoral

Question 3

what are some common paediatric fractures not associated with NAI?

Answer 3

distal radial
elbow
clavicular
tibial

Question 4

how would a dermoid cyst appear on examination and imaging?

Answer 4

above the hyoid bone
on US:
multiloculated
heterogenous

Question 5

how would a cystic hygroma appear on examination?

Answer 5

soft
transilluminates
located in posterior triangle mainly

Question 6

how would a branchial cyst appear on examination and imaging?

Answer 6

smooth
anterior triangle
on US:
fluid filled
anechoic

Question 7

what is conversion disorder?

Answer 7

a functional neurological disorder that involves loss of motor or sensory function

Question 8

what thyroid condition is associated with downs syndrome?

Answer 8

hypothyroidism

Question 9

what is advice regarding vitamin D supplementation in pregnancy?

Answer 9

take supplements

Question 10

in pregnancy what causes a raised AFP?

Answer 10

neural tube defects

Question 11

in pregnancy what causes a reduced AFP?

Answer 11

down’s syndrome

Question 12

whats the peak incidence for bronchiolitis?

Answer 12

3-6 months

Question 13

how is pertussis diagnosed?

Answer 13

per nasal swab

Question 14

what conditions should you not perform an airway examination in due to risk of obstruction?

Answer 14

croup
acute epiglottitis

Question 15

at what age is a non retractible foreskin normal?

Answer 15

under 2

Question 16

when should you give aciclovir in pregnancy after exposure?

Answer 16

7-14 days after exposure not immediately

Question 17

what is used for endometriosis when NSAIDs/COCP have been trialled?

Answer 17

GnRH analogues

Question 18

what hormone change in pregnancy causes fibroids to grow?

Answer 18

rise in oestrogen

Question 19

what is seen on echo in PDA?

Answer 19

LV enlargement
shunting between 2 of the great vessels

Question 20

what resp rate is a paediatric red flag?

Answer 20

> 60 bpm

Question 21

what temp is a paediatric red flag?

Answer 21

<3 months, >38

Question 22

what resp signs are paediatric red flags?

Answer 22

grunting
moderate or severe chest indrawing
tachypnoea >60bpm

Question 23

what is the normal fundal growth rate during pregnancy?

Answer 23

2cm per week until 24 weeks
1cm per week thereafter

Question 24

in what types of incontinence is bladder retraining vs pelvic floor exercises first line mx?

Answer 24

bladder retraining is for urge incontinence
pelvic floor exercise is for stress incontinence

Question 25

in what types of incontinence is oxybutynin vs duloxetine second line mx?

Answer 25

oxybutynin= urge incontinence
duloxetine= stress incontinence

Question 26

how can you differentiate croup and whooping cough from bronchiolitis?

Answer 26

they are URTI
on examination and lower lung findings eg crackles at base would make bronchiolitis more likely

Question 27

what does precocious puberty with small testes size indicate

Answer 27

adrenal hyperplasia

Question 28

how might you find a diaphragmatic hernia on examination?

Answer 28

bowel sounds present when auscultating the heart (tinkling)

Question 29

what is expectant management in an ectopic

Answer 29

doing nothing
note: medical management is methotrexate

Question 30

what instrument has best outcomes for assisted delivery in an OP foetus?

Answer 30

keillands forceps

Question 31

whats the difference between and complete and missed miscarriage?

Answer 31

complete= no foetal contents in uterus
missed= foetus dead but in uterus

Question 32

what does pulse does PDA result in?

Answer 32

collapsing

Question 33

at what age are all children with a limp referred for urgent assessment and why

Answer 33

under 3 years
septic arthritis is much more common than transient synovitis and needs to be ruled out with more than just bloods eg joint aspirate

Question 34

what drugs cause anterograde amnesia?

Answer 34

benzos