Adolescent Medicine

Question 1

Which anti-depressants should be used first line in breast feeding women?

Answer 1

Sertraline and Paroxatine

Question 2

What does sperm produce after fertilisation to prevent polyspermy?

Answer 2

Calcium ions

Question 3

Muscle rigidity and euphoria?

Answer 3

Ketamine use

Question 4

Which type of receptor is found on the theca?

Answer 4

LH receptors

Question 5

Clue cells on microscopy?

Answer 5

BV

Question 6

Treatment of Gonorrhoea?

Answer 6

Ceftrizaxone

Question 7

Large for dates uterus is highly indicative of?

Answer 7

Molar pregnancy

Question 8

Presence of endometrium in the myometrium?

Answer 8

Adenomyosis

Question 9

Which 2 hormones stimulate lactation?

Answer 9

Prolactin and Oxytocin

Question 10

Blood results in anorexia nervosa?

Answer 10

Low K/ Ca/ Mg/ PO4
Low thyroid
Low urea and creatinine
High growth hormone
High cortisol
Low LH/ FSH/ oestrogen

Question 11

Referral criteria for anorexia?

Answer 11

Core temperature below 35 C.
Systolic BP below 90; diastolic BP below 70
BMI below 14
Abnormally low glucose, potassium, sodium, magnesium or phosphate. Raised urea or LFTs.
Pulse rate below 50; prolonged QT interval
Unable to get up without using arms for balance or leverage (indicates pronounced loss of muscle mass)

Question 12

What is the treatment for bulimia?

Answer 12

Evidence based self help programme

Question 13

Lymphatic drainage of the ovaries?

Answer 13

Para-aortic nodes

Question 14

What is the management of chronic fatigue syndrome?

Answer 14

Graded exercise therapy
CBT

Question 15

Up to what age is head banging considered normal behaviour?

Answer 15

3 years

Question 16

Pica is associated with what?

Answer 16

Autism
Schizophrenia
Iron deficiency
Zinc deficiency

Question 17

First line anti-depressant in children with depression>

Answer 17

Fluoxetine