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WACH MCQs Flashcards

1
Q

What clotting factor is deficient in haemophilia A?

A

VIII

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2
Q

Which clotting factor is deficient in haemophilia B?

A

IX

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3
Q

What organism most commonly causes bacterial tracheitis?

A

Staphylococcus auerus

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4
Q
  1. Bilateral adnexal masses. Which of the following is most unlikely?
    1. Dermoid cyst
    2. Simple ovarian cyst
    3. Uterine fibroids
    4. PID
    5. Endometriosis
A
  1. Bilateral adnexal masses. Which of the following is most unlikely?
    1. Dermoid cyst
    2. Simple ovarian cyst
    3. Uterine fibroids
    4. PID
    5. Endometriosis
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5
Q

Which is more effective, male or female sterilisation?

A

Male

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6
Q

. All of these are normal skin changes in pregnancy except:

  1. Hypopigmentation
  2. Melasma
  3. Linea nigra
  4. Striae Gravidarum
  5. Palmar erythema
A

All of these are normal skin changes in pregnancy except:

  1. Hypopigmentation
  2. Melasma
  3. Linea nigra
  4. Striae Gravidarum
  5. Palmar erythema
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7
Q

Meningococcal disease diagnosed twice. Suspected immunodeficiency, where is the problem

· b cells

· complement deficiency

· t cells

. Neutrophils

A

Complement deficiency

Neisseria meningitidis is an encapsulated bacteria

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8
Q

What is the definition of childhood obesity?

A

BMI > 95th centile

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9
Q

What is the definition of being overweight in childhood?

A

BMI >85th centile

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10
Q

what is the biggest cause of death age 1- 14

· land transport accidents

· perinatal and congenital conditions

· drowning

· brain cancer

· leukaemia

A

Land transport accidents

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11
Q

What is the definition of SGA?

A

<10th centile

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12
Q

Lady had sexual intercourse 3 nights ago doesn’t want to get pregnant. She normally uses condoms but the condom broke during intercourse. She has a bicornuate uterus and is a heavy smoker. What advice will you give her

  • Intrauterine copper device
  • Levonorgestrel 1 pill
  • Ulipristal acetate
  • The emergency contraceptive pill is contraindicated.
A

Lady had sexual intercourse 3 nights ago doesn’t want to get pregnant. She normally uses condoms but the condom broke during intercourse. She has a bicornuate uterus and is a heavy smoker. What advice will you give her

  • Intrauterine copper device
    • Uterine abnormalities are a contraindication
  • Levonorgestrel 1 pill
    • Only effective up to 3 days after sex
  • Ulipristal acetate
    • Effective up to 5 days
  • The emergency contraceptive pill is contraindicated.
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13
Q

What is the most common pathogen associated with parapneumonic effusion and empyema?

A

Streptococcus pneumoniae

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14
Q

Which is not a risk factor for cerebral edema in DKA?

  • 1st diagnosis of DKA
  • Young child
  • Use of bicarbonate
  • Hypokalemia
  • pH < 7.1
A
  • 1st diagnosis of DKA
  • Young child
  • Use of bicarbonate
    • “Use of bicarbonate therapy for correction of acidosis in DKA is also associated with increased risk of cerebral injury” - UpToDate
  • Hypokalemia
  • pH < 7.1
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15
Q

Which one of the following vaccines is not considered to be a live vaccination?

  • Measles
  • Rubella
  • Yellow Fever
  • Polio
  • Varicella
A

Polio

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16
Q

What is the most common cause of direct maternal mortality?

A

Thromboembolism

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17
Q

What is the most common cause of indirect maternal mortality?

A

Non-obstetric haemorrhage

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18
Q

What are the CSF findings in Guillain-Barre Syndrome?

A

Elevated protein

Normal cell count

Albuminocytologic dissociation

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19
Q

What are the risks of oestrogen-only HRT?

A

Endometrial cancer

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20
Q

What are the risks of combined HRT?

A

Breast cancer

  • But oestrogen only increases risk of endometrial cancer*
  • Use over oestrogen-only HRT in any woman with an intact uterus*
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21
Q
  1. A 6yo child throws an awesome and really hip party. There’s hotdogs, sausage rolls and plenty of other food. However, all the children 3 hours later end up vomiting with diarrhoea. What’s the cause?
    1. Salmonella
    2. Yersinia
    3. Shigella
    4. E. Coli
    5. Campylobacter
A

Salmonella - has a short latency period

22
Q

Childhood malignancy in METAPHYSIS of bone?

A

Osteocarcoma

23
Q

Cloudy CSF suggests what?

A

Bacterial meningitis

24
Q

What part of the colon is affected by rotavirus?

A

Jejunum and duodenum

25
Q

Epilepsy is most likely to occur with which type of cerebral palsy?

A

Spastic quadriplegia

26
Q

Bilateral cystic uniloculated ovarian mass, with focal invasion into stroma. What is it most likely to be:

a. Cystadenoma
b. Teratoma
c. Leydig cell cancer
d. Granulosa cell cancer

A

Granulosa cell cancer

27
Q
  1. Complex question. Elderly, progressively dementing lady referred to the doctor by nursing home staff as they have noticed a mass at her introitus (?Uterine prolapse). Unremarkable gynae/obstetric hx. Comorbidities are Atrial Fibrillation, Hypertension and another cardiac condition. What is the best management?
    1. Ring Pessary
    2. Pelvic Floor Exercises
    3. Topical Oestrogen
    4. Anterior Cystocoele Repair
    5. Anterior Cystocoele Repair + Vaginal Hysterectomy
A

Ring Pessary

28
Q

What % of mothers have post-partum blues?

29
Q
  1. Pregnant lady 7 weeks had a surgical termination of pregnancy. She presents a week later and her uterus measures 8 weeks and positive pregnancy test. When you look back on the surgical notes it says they got some tissue, which when tested was decidua.
    What do you do now:
    a. Repeat d+c
    b. Pelvic US
    c. Repeat beta-hCG
A

b. Pelvic US

30
Q
  1. Cord prolapse while in labour. Multip woman has had 3 vaginal births before, 3500 and 3750 grams. CTG shows fetal HR 60 something. Her labour for previous pregnancy was 2 hours. The baby is LOA position, station +1 and cervix is fully dilated. A code (blue?) has already been called and the obstetrician is on the way. What can you do in the meantime?
    ● Encourage to push and prepare for instrumental delivery
    ● Put mum in head down position and call theatre
    ● Put hand on cord to see if still pulsating
    ● Give tocolytics
A

Encourage to push and prepare for instrumental delivery

31
Q

Which vaccination is associated with Guillain Barre syndrome?

32
Q

Which metabolic disorder is associated with hepatomegaly and cataracts?

A

Galactosemia

33
Q

In which syndromes is the body’s upper segment to lower segment ratio increased?

A

Rickets

Achondroplasia

Turner syndrome

Due to decreased limb length

34
Q

In which syndrome is the body’s upper segment to lower segment ratio decreased?

A

Marfan syndrome

Increased limb length

35
Q

What is the leading cause of adolescent mortality?

36
Q

Pregnant woman with candida infection – how do you treat?

A. Oral fluconazole

B . Vaginal antifungal

A

Vaginal antifungal

Vaginal clotrimazole is first line

Fluconazole oral is also not recommended in pregnancy

37
Q

You are an intern called to ward to see a woman post-hysterectomy who is not passing enough urine. She passes 25 ml/hr and has lost 400ml fluid during surgery and there is a drain bag attached to her which has 200ml of serusanguinous fluid in it. Her BP is 90/60 and she is tachypnoeic, what will you do?

  1. Give diuretics
  2. Give fluid bolus
  3. Take to theatre
A

Give fluid bolus

38
Q

Up to what gestational age can abortions be performed in NSW?

A

18-20 weeks

39
Q

13 year old girl presenting to ED with BGL 0.9mmol/L and unrousable. First management?

  1. IM glucagon
  2. Give sugary drink and complex carbs
  3. Give sugary drink
  4. IV access to take bloods
  5. Intubate and oxygen
A

IM glucagon

40
Q

Bilateral cystic uniloculated ovarian mass, with focal invasion into stroma. What is it most likely to be:

  1. Cystadenoma
  2. Teratoma
  3. Leydig cell cancer
  4. Granulosa cell cancer
A

Granulosa cell cancer

41
Q

Sensitivity of down’s screening combinations. Like NT scan and biochemistry

  1. 70%
  2. 80%
  3. 85%
  4. 90%
  5. 95%
42
Q

A 12month old had gastroenteritis 3 weeks ago but is complaining of continuing runny stools and failure to thrive. The infant is afebrile. What’s the cause?

  1. Giardia
  2. Viral gastroenteritis
  3. Intussusception
  4. Lactase deficiency
43
Q

5-year-old with nocturnal enuresis. What is the incidence in 5-year-old boy?

  1. 1-5%
  2. 5-10%
  3. 10-15%
  4. 20-30%
  5. 30%
A

10-15% (treatment not recommended until at least 6)

44
Q

Which medications are most strongly associated with serum sickness-like reactions?

A

Amoxicillin

Cefaclor

45
Q

Which of these is true about Bartholin’s abscesses?

  1. They commonly recur
  2. They are drained by the Skene ducts
  3. They are non painful
  4. They are commonly confused with vulval lymphadenopathy
A

They commonly recur

46
Q

Forceps should be used to assist vaginal delivery rather than ventouse in which one of the following situations

A. Delivery at 34 weeks

B. Direct OA position

C. The presenting part above the ischial spines

D. When the mother has no urge to push

E. Evidence of fetal distress on CTG

A

Evidence of fetal distress on CTG

47
Q

The first meiotic division in oogenesis occurs when

a) Sperm enters egg
b) Intrauterine- before birth (starts
c) LH stimulates dominant follicle
d) During ovulation

A

LH stimulates dominant follicle

48
Q

Most common cause of renal impairment/insufficiency in early pregnancy

A. Diabetic nephropathy

B. Renal artery stenosis - (rare as rocking horse manure)

C. Glomerulonephritis

D. Reflux nephropathy

A

Glomerulonephritis

49
Q

What is the second most common cause of bronchiolitis?

A

Rhinovirus

50
Q

Rotavirus affects which part of the intestines?

A

Duodenum

Jejunum

O&G (13 decks)

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