year 3 passmed

Question 1

what type of contraceptions for a women who is breastfeeding her 5 weeks old baby

Answer 1

progesterone only pill

Question 2

how many weeks breastfeeding is an absolute contraindication to any combined contraception

Answer 2

<6weeks

Question 3

which breast lump is described as the discrete mouse as its so mobile

Answer 3

fibroadenoma

Question 4

tender lump around areolar and green nipple discharge

Answer 4

duct ectasia

Question 5

after taking ella one (ulipristal acetate) how long do you have to wait before you can start taking hormonal contraception again

Answer 5

5 days

Question 6

how long does it take for an SSRI to kick in when treating OCD

Answer 6

12 weeks

Question 7

if bishops score is <=6 what should be done

Answer 7

vaginal prostaglandins and oral misoprotstol

Question 8

if bishops score is >6 what should be done

Answer 8

amniotomy and IV oxytocin

Question 9

if a woman isn’t breastfeeding, how long does she need to wait post partum before she can start taking the COCP

Answer 9

21 days

Question 10

treatment for urge urinary incontinence

Answer 10

bladder retraining

Question 11

treatment for stress urinary incontinence

Answer 11

pelvic floor muscle training

Question 12

blood film for coeliac

Answer 12

target cells and howell jolly bodies

Question 13

first line treatment for primary dysmennorhoea

Answer 13

NSAIDs such as mefenamic acid

Question 14

what type of drug is rasagiline

Answer 14

MAOI

Question 15

why do low potassium levels increase risk of digoxin toxicity

Answer 15

Because digoxin binds to the K+ site of the Na+/K+-ATPase pump

Question 16

what is protamine sulphate used for

Answer 16

to reverse the effects of heparin

Question 17

mechanism of action of clopidogrel

Answer 17

antagonist against adenosine diphosphate receptor

Question 18

what is the most useful test for monitoring therapeutic effect of anticoagulation

Answer 18

INR

Question 19

at what level of haemoglobin is blood transfusion recommended

Answer 19

under 8

Question 20

what investigation for sickle cell

Answer 20

High performance liquid chromatography (HPLC)

Question 21

genetic change that causes hypertrophic cardiomyopathy

Answer 21

a base change in the 4th exon that causes a premature stop codon

Question 22

what is the most common hereditary peripheral neuropathy

Answer 22

charcot marie tooth

Question 23

cerebellar signs, contralateral sensory loss & ipsilateral Horner’s

Answer 23

left PICA

Question 24

scan of choice for MS

Answer 24

MRI with contrast
-contrast helps see the inflammation and demyelination

Question 25

is sodium valproate a P450 inhibitor or inducer

Answer 25

inhibitor

Question 26

if a patient with pre-eclampsia has brisk tendon reflexes what does this mean

Answer 26

a seizure could happen soon

Question 27

does guillan barre have sensory symptoms

Answer 27

sometimes and if so they are very mild

Question 28

snow storm appearance on USS

Answer 28

complete hydratidiform mole

Question 29

which muscles are typically spared in MND

Answer 29

ocular

Question 30

how do you treat a low pressure headache after a lumbar puncture

Answer 30

caffeine and fluid

Question 31

why do people get a headache after lumbar punctures

Answer 31

a small amount of CSF is removed so reduces the pressure in the brain causes a headache

Question 32

where is wernicke's area

Answer 32

superior temporal gyrus

Question 33

which antibiotics increase risk of idiopathic intracranial hypertension

Answer 33

doxycyclines

Question 34

what should be done about the patients airway if GCS is less than 8

Answer 34

INTUBATE -cuffed endotracheal tube

Question 35

what is the only treatment option for degenerative cervical myelopathy

Answer 35

surgery

Question 36

when can AEDs be stopped

Answer 36

if seizure free for over 2 years, stopped over 2-3 months

Question 37

forehead affected in bells palsy?

Answer 37

yes -LMN lesion

Question 38

babinski sign positive

Answer 38

ALS usually

Question 39

what are absence seizures usually provoked by

Answer 39

hyperventilation

Question 40

if all other treatment fails, and and opioid has to be used for neuropathic pain, which one should be used?

Answer 40

tramadol

Question 41

if a tremor is worse when arms stretched out, what is this

Answer 41

essential tremor -treat with propanolol

Question 42

when can someone get a carotid endarterectomy

Answer 42

when over 70% of the artery is stenosed

Question 43

how long should a person be on prophylactic medication after a stroke

Answer 43

life long

Question 44

how are triptans given in cluster headache

Answer 44

subcutaneously