GET AHEAD/450 SBAS

Question 1

where does fertilisation occur

Answer 1

ampulla of fallopian tube

Question 2

management in mild dyskaryosis HPV-ve smear

Answer 2

routine recall

Question 3

what influences risk of ovarian cancer

Answer 3

ovulation
the more you ovulate the higher your risk is

Question 4

what emergency condition does ARM increase risk of

Answer 4

cord prolapse

Question 5

at what bhcg does a pregnancy become visible on tvus

Answer 5

> 1000

Question 6

what should you make sure to account for in gravidity and parity calculations

Answer 6

current pregnancy

Question 7

how many units is a pint of beer

Answer 7

2

Question 8

how many ml and units is a small wine glass

Answer 8

125
1.5 units

Question 9

how many ml and units is a medium wine glass

Answer 9

175
2.1 units

Question 10

how many ml and units is a large wine glass

Answer 10

250
3 units

Question 11

how many units is a pint of beer

Answer 11

2 if low strength
3 if high strength

Question 12

max no of pints/week

Answer 12

14 units

Question 13

A 22-year-old woman complains of problems staying awake during the
day. She often falls asleep at inappropriate moments and has occasionally
collapsed when she has fallen asleep in a standing position. The periods of
sleep are of a sudden onset but last only a few minutes. whats the diagnosis

Answer 13

narcolepsy

Question 14

describe the movements of the baby during labour

Answer 14

engagement
flexion
internal rotation
extension (as baby is crowning)
external rotation
expulsion

Question 15

common complications after c section

Answer 15

persistent wound and abdo discomfort in the first few months following surgery
infection
fetal lacerations
readmission to hospital
future c sections
future placenta accreta
future uterine rupture

Question 16

how long does it take to make sperm

Answer 16

64 days

Question 17

if asked about emergency condition a women is at risk of and shes had a previous c section

Answer 17

uterine rupture

Question 18

whats the most common cause of secondary PPH

Answer 18

infection

Question 19

constant specific abdo pain as pregnancy progresses is due to

Answer 19

symphysis pubis dysfunction

Question 20

symphysis pubis dysfunction pain

Answer 20

radiates to thighs and perineum
worse as pregnancy progresses

Question 21

what is ukmec 1-4

Answer 21

1= no risks
2= adv generally outweigh risks
3= risks outweight adv
4= unacceptable risk

Question 22

where is hypertension on ukmec

Answer 22

well controlled= ukmec 3
>160/110= ukmec 4

Question 23

difference between subtotal and total hysterectomy

Answer 23

total= uterus and cervix removed
subtotal= only uterus removed

Question 24

why might you do a subtotal hysterectomy vs total

Answer 24

its quicker and less risk of damaging surrounding structures

Question 25

what is left in place after a total hysterectomy

Answer 25

ovaries and fallopian tubes

Question 26

what oxytocin receptor antagonist may be used for tocolysis

Answer 26

atosiban this is second line to nifedipine

Question 27

when is anti d routinely given

Answer 27

28 weeks (if single dose 1500, if not 500) 34 weeks postnatal (and do kleihaeur) after sensitising events

Question 28

what is HbH

Answer 28

formed in alpha thalssaemia Hb with 4 beta globin chains

Question 29

what is laryngotracheobronchitis

Answer 29

croup

Question 30

hypersensitivity to egg is a contraindication to what vaccine

Answer 30

influenza

Question 31

what medication course in kids is a contraindication to live vaccines

Answer 31

steroids 2 weeks pred counts, need to delay for 3 months and immunocompromised till then

Question 32

what 2 ix do you have to do in a kid who had a suspected seizure

Answer 32

BG ECGf

Question 33

first line anti epileptic for absence seizure

Answer 33

ethosuximide

Question 34

what is antistrepsylin o titre and throat swab an ix for

Answer 34

to see if there has been recent streptococcal infection

Question 35

whats pyuria

Answer 35

high WCC in urine

Question 36

US during infection indicated in paediatric UTI when

Answer 36

under 6 months: atypical UTI first UTI recurrent UTIs 6months-3yrs: atypical UTI over 3 yrs: atypical UTI

Question 37

US 6 weeks after paeds UTI when

Answer 37

under 6 months: responds well to abx in 48hrs not atypical or recurrent 6months-3yrs: recurrent UTI 3 yrs over: recurrent UTI

Question 38

DMSA in paeds UTI when

Answer 38

under 6 months: atypical or recurrent 6months-3yrs: atypical or recurrent over 4 yrs: recurrent

Question 39

MCUG in paeds UTI when

Answer 39

ONLY FOR UNDER 6 MONTHS if UTI atypical or recurrent

Question 40

if a child is normal but has a neural tube defect what do they have

Answer 40

meningocele

Question 41

common age for sufe

Answer 41

10-15

Question 42

what is kernicterus

Answer 42

high bilirubin damaging brain/ nervous system

Question 43

how is breast cancer treated in pregnancy

Answer 43

chemo in mid/third trimester and delivery 3 weeks after chemo

Question 44

how to image a PE in pregnancy

Answer 44

v/q scan way less radiation than ctpa ctpa and v/q scan are the only definitive diagnostic tests

Question 45

what murmur is normal in pregnancy

Answer 45

soft systolic flow murmur

Question 46

what position should you put a women in during eclampsia

Answer 46

left lateral

Question 47

is there a way to predict stillbirth in obstetric cholestasis

Answer 47

no

Question 48

when are antenatal steroids offered

Answer 48

24-33+6 weeks GA and in labour, PPROM or planned early birth

Question 49

time frame for giving a woman vzig

Answer 49

within 10 days of contact as long as they dont have sx wait for antibody results to come back as they take 24-48 hrs before vzig is given

Question 50

ECV in a twin pregnancy

Answer 50

NO

Question 51

PUPP vs pemphigoid gestationalis vs prurigo gestationalis vs

Answer 51

PUPP= umbilicus sparing pemphigoid gestationalis= starts at umbilicus prurigo gestationalis= affects limbs more

Question 52

what is testicular volume for start of puberty

Answer 52

>4ml

Question 53

most important differential to rule out in undescended testes

Answer 53

CAH due to salt losing crisis

Question 54

growth charts for downs syndrome

Answer 54

different

Question 55

chondromalacia patellae vs osteochondritis dissecans

Answer 55

chondromalacia patellae= creptius, plays sports osteochondritis dissecans= locking, giving way

Question 56

TORCH infections

Answer 56

congential: toxo other rubella CMV HSV

Question 57

features of TORCH infections

Answer 57

prematurity jaundice microcephaly hepsplenmeg thrombocytopenia anaemia seizures

Question 58

most severe form of spina bifida

Answer 58

myelomeningocele

Question 59

most common meningitis organism

Answer 59

enterovirus

Question 60

marfan syndrome inheritance

Answer 60

autosomal dominant

Question 61

at what age can an infant roll

Answer 61

4 months

Question 62

when is desmo used first line in enuresis

Answer 62

over 7 and short term control needed

Question 63

eczema herpeticum pathogen

Answer 63

HSV

Question 64

what is given in anaphylaxis after adrenaline

Answer 64

give high flow oxygen give IV fluids give IV clorphenamine and hydrocortisone can also give salbutamol nebs can also elevate legs

Question 65

when to take out IUD in PID

Answer 65

mild/moderate: wait 48-72hrs and if not responding to abx take out severe: take out immediately

Question 66

what to discuss in PID diagnosis

Answer 66

dont have sex during treatment future contraception contact tracing

Question 67

vacuum aspiration for TOP when

Answer 67

<14 weeks

Question 68

dilatation and evacuation fro TOP when

Answer 68

13-24 weeks

Question 69

TCAs cause what incontinence

Answer 69

overflow

Question 70

procyclidine is used for what antipsychotic side effect

Answer 70

acute dystonia

Question 71

what medication for depression is associated with hypertension

Answer 71

SNRI

Question 72

social phobia vs anxiety

Answer 72

social= fear of social situations, complain of embarassing themselves anxiety= not limited to an enviroment, more general

Question 73

haloperidol type of antipsychotic

Answer 73

atypical

Question 74

what not to eat on an maoi

Answer 74

cheese

Question 75

what type of therapy is this: It will teach you how your thoughts, feelings, and behaviours influence each other and that negative thoughts and feelings can trap you in a vicious cycle

Answer 75

CBT

Question 76

what type of therapy is this: It involves exploring the relationship between the therapist and client and allows you to understand how the past influences current behaviour

Answer 76

psycodynamic psycotherapy

Question 77

what type of therapy is this: It teaches you how to accept who you are and how to deal with difficult emotions by recognising them and challenging them

Answer 77

DBT

Question 78

what type of therapy is this: It teaches you how to think about thinking and examine your own thoughts and beliefs and assess whether they are useful or realistic

Answer 78

mentalisation

Question 79

what happens to amylase levels in anorexia nervosa

Answer 79

increased (parotids high, they produce amylase)

Question 80

should you prescribe benzos for insomnia

Answer 80

if someone presents with daytime impairment then yes prescribe them some (short course)

Question 81

1st line for ADHD

Answer 81

refer to parent training programme (watchful waiting is only consider!)

Question 82

ADHD criteria

Answer 82

1. meets icd10 or dsm 5 criteria 2. present in more than one environment 3. causes impairment in the childs social, educational, psychological function

Question 83

lithium monitoring

Answer 83

levels weekly until therapeutic level achieved then 3 monthly FBC, UEs and TFTs 6 monthly

Question 84

lithium toxicity level

Answer 84

>1.5

Question 85

for who are acetylcholinesterase inhibitors contraindicated

Answer 85

heart problems

Question 86

what are the acetylcholinesterase inhibitors

Answer 86

donepazil rivastigmine galantamine

Question 87

what is memantine

Answer 87

an NMDA receptor antagonist its used 1st line in severe dementia

Question 88

how do acetylcholinesterase inhibtiors help in dementia

Answer 88

symptomatic they do not slow the progess of the diease

Question 89

what might be cause of recurrent intussusception

Answer 89

meckels diverticulum

Question 90

when reassessing a child after 5 rescue breath what does no signs of life look like

Answer 90

irregular/no breathing pulse <60bpm or no pulse

Question 91

when is the first bought of breast development in a child

Answer 91

4-6 months if they have it before then review them at 4-6

Question 92

talipes equinovarus is

Answer 92

clubfoot

Question 93

vertical talus is

Answer 93

rockerbottom feet

Question 94

clubfoot mx

Answer 94

ponsetti method

Question 95

eczema creams mild to potent

Answer 95

mild= hydrocortisone 1% moderate= betamethasone valerate 0.025% or clobetasol butyrate 0.05% strong= betamethasone valerate 1%

Question 96

cyanosis when feeding that is relieved when crying is

Answer 96

chonal atresia

Question 97

double bubble is a sign of

Answer 97

DUODENAL atresia

Question 98

what type of vomiting does duodenal atresia cause

Answer 98

bilious

Question 99

duodenal atresia mx

Answer 99

duodenostomy

Question 100

GBS abx in pregnancy rules

Answer 100

if colonised on swab abx only needed intrapartum (presence is not harmful) if GBS UTI abx needed immediately and intrapartum

Question 101

antenatal steroid type dose route timing

Answer 101

12mg IM betamethsone 2 doses 24 hrs apart

Question 102

endometrial cancer stage 2 vs 3

Answer 102

2= extends to cervix only 3= extends to ovary/vagina/lymph nodes etc

Question 103

when is aciclovir given to pregnant women with genital herpes

Answer 103

if they get it before 28 weeks then give from 36 weeks onwards if they get it after 28 weeks then give during the infection and then continually prophylactically

Question 104

which part of abortion act is for <24 weeks GA

Answer 104

c and d

Question 105

which part of abortion act is for existing kids

Answer 105

d

Question 106

which part of abortion act is for risk to pregnanct womans life

Answer 106

a

Question 107

which part of abortion act is for risk of grave perm injury to pregnanct woman

Answer 107

b

Question 108

red v amber flags

Answer 108

presence of red= ambulance transfer presence of amber = see face to face/hospital, do not manage at home