exam doc Flashcards

(36 cards)

1
Q

where do ovaries drain lymph?

A

para-aortic

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2
Q

how to manage a raised INR?

A

> 0.8
stop warfarin
give phytomenadione (vitamin K1) by slow IV injection
repeat if INR still too high after 24 hours

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3
Q

options of assisted fertility for blocked tubes?

A

one tube blocked = natural or IUI

both = IVF

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4
Q

which inheritence pathway is CF?

A

AR

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5
Q

which inheritance pathway is trisomy 14?

A

mosaic

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6
Q

which NT is involved with sleep?

A

adenosine

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7
Q

SEs of TCAs?

A

anti-cholinergic, urinary retention, weight gain, postural hypotension

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8
Q

symptoms of prion disease?

A

worsens quickly

involvuntary muscle movements , confusion, difficulty walking, mood changes

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9
Q

which deficiency is korsakoff syndrome caused by?

A

B1

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10
Q

what does station mean?

A

how far down your baby’s head has descended into your pelvis
determined by examining your cervix and locating where the lowest part of your baby is in relatino to your pelvis

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11
Q

what does lie mean?

A

the position of the fetus in relation to the mothers body

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12
Q

what does presentation mean?

A

the part of the fetus closest to the cervix

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13
Q

which conditions are related to A-C chlamydia?

A

trachoma, chalmydia

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14
Q

what are the conditions associated with D-K chlamydia?

A
urethritis
cervicitits
proctitis
epidyddmitis
reitre's syndrome
PID
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15
Q

what is the anatomical course of pudendal nerve?

A

descends and passes between the piriformis and the ischiococcygeus muscles and leaves the pelvis via the lower part o the greater sciatic foramen. then crosses the sacrospinous ligamen and reenters the pelvis via the lesser sciatic foramen

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16
Q

what is philidelphia chromosome and where is it found?

A

chromosome 22 of leukaemia cancer cells eg chronic myeloid leukaemia

17
Q

which condition are reed sternberg cells found in?

A

hodgkin lymphoma

18
Q

which cells are reed sternberg cells derived from?

A

B lymphocytes

19
Q

what are the 3 management options for PPH?

A

uterine masssage
initial fluid resuscitation with isotonic crystalloids
tranexamic acid in cases of refractory atonic bleeding or persistent trauma-related bleeding

20
Q

which infection causes syndeman’s chorea?

A

group A strep

21
Q

which condition is caused by the same bug as syndesmans chorea?

A

rheumatic fever

22
Q

what are the side effects of methotrexate?

A

bone marrow suppression
liver cirrhosis
pneumonitis
contraindiacted in pregnnacy

23
Q

what are the side effects of prednisolone?

A
infections
heart burn 
insomnia
hunger
nausea
headache
dizziness
menstrual period changes
24
Q

when in a pregnancy do you test for iron deficiency anaemia?

25
when in pregnancy do you test for gestational diabetes?
24-28 weeks
26
what is the first line empirical treatment of meningitis?
3rd gen cephalosporin eg cefotaxime
27
once sensitivity is confirmed ,how do you treat meningitis?
benzynpenicillin
28
what is the prophylaxic treatment for meningitis?
rifampixcin / cipro is given to all close contacts
29
what are the SEs of metoclopromide?
``` restless fatigue insomnia depression parkinsonism ```
30
what are the SEs of sodium valproate?
stomach irritation unsteadiness tremor weight gain
31
buzzword eye charcateristic for acute closed angle glaucoma
mid dilated pupil
32
what is the investigation for orbital cellulitis?
CT
33
what is the most appropriate test for a pregnant lady who has collapsed?
blood glucose
34
what is lhermittes sign in Ms?
electric shock passing down spine and neck
35
what is uhtoff's sign in ms?
worsening of symptoms due to an increase in temperature
36
do elderly patients have a higher or lower volume distribution of lipophilic drug?
higher