MD GP Flashcards
1
Q
Main risk factors for CKD?
A
Diabetes, HTN, age.
2
Q
Rash on legs in IBD?
A
erythema nodosum
3
Q
Ix to monitor statin induced myalgia?
A
CK
4
Q
Chol and Hba1c goals in cvd?
A
aim total cholesterol below 4 and hba1c below 7
5
Q
How many weeks no driving after AMI?
A
2 weeks
6
Q
What are xanthoma and xanchelasma?
A
Cholesterol build ups in skin like little spots - suggest CVD risk.
7
Q
Tx eczema herpeticum?
A
oral antivirals 72 hrs
8
Q
3x causes of delayed meconium passage?
A
Hirchsprungs, CF, anorectal malformation.
9
Q
Pharm mx constipation in paeds:
A
movicol, coloxyl in kids. Lactulose an option. Treat twice as long as constipation has bene present.
10
Q
3 x medication classes for GORD?
A
Antacid
H2 antagonist
PPI
11
Q
Pharm tx for gonorrhea?
A
IM ceftriaxone one dose + one dose of oral azithromycin
12
Q
SGLT2 and surgery?
A
Stop 3 days before.
13
Q
Gout pharm mx:
A
acute - colchicine
prevent: allopurinol
14
Q
Atopic dermatitis is another term for?
A
eczema
15
Q
dactylitis is a typical finding in which disease?
A
psoriasis
16
Q
Psoriasis triggered by strep infection dx?
A
Guttate psoriasis
17
Q
Cafe au lait spots are typically associated with which disease?
A
Neurofibromatosis
18
Q
Teleangiectasia is common in which type of skin cancer?
A
BCC
19
Q
ulcerations and pain are typical features of which skin cancer?
A
squamous cell
20
Q
keratin horn is associated with which skin cancer?
A
squamous cell
21
Q
What is Bowen’s disease?
A
Squamous cell carcinoma in situ
22
Q
Initial Mx melanoma ?
A
wide local excision 5mm margins
23
Q
Biopsy for prostate cancer?
A
Transperineal
24
Q
Score for prostate cancer grading?
A
Gleason score
25
Ix for suspected ovarian torsion?
USS and maybe CA-125
26
Tool to classify diabetes risk?
AUSDRISK
27
What cholesterol level would you defs start a statin?
7.5
28
Exam answer for best SSRI in adolescents?
fluoxetine
29
What is a 'yellow flag' in GP?
Psycho social red flag
30
Screening for bowel cancer in someone with blood in stool?
NOT FOBT - that tests for blood in stool, they've already got that.
Need colonoscopy.
31
How often mammograms?
every 2 years
32
What conditions invalidate a Hba1c result?
Anything causing high cell turnover eg. anaemia, thallasemia etc.
33
12 month vaccinations?
Start the M's
First Meningococcal
First MMR
another pneumoccoal dose
34
Contraindictions for vaccine/
anaphylaxis to ingredients
recent live vaccine
current fever
immunocompromied
35
Ix for DDH?
hip uss and x ray
36
Mx for DDH?
brace
37
best way to ascertain dehydration in child?
fewer wees
38
Brachial plexus injury during a traumatic birth can lead to which complication?
Erb's palsy
39
One palmar crease is a typical sign of which condition?
Trisomy 21
40
An absent red reflex is present in which 2 paediatric diagnoses?
Cataracts and retinoblastoma
41
What kind of drug is indapamide?
Thiazide diuretic
42
What is micturition?
urination
43
Which area of the body is innervated by the sural nerve?
Bottom of foot
44
Which examination must be done in suspected cauda equina?
DRE and lower neuro
45
Ondansetron class?
5HT3 antagonist
46
In what condition would denosumab be preferred over bisphosphonates.
kidney disease.
But in reality bisphosphanates are a nightmare.
47
What is caltrate?
calcium and vit d
48
Clorvescent vs resonium?
Clorvescent - supplies oral potassium
Resonium - inhibits absorption of potassium - lowers potassium slowly
49
What is bumetanide?
alternate to frusemide
50
Which nerves are associated with:
Making a fist
Doing the 'ok' sign
splaying the fingers
extending the wrist
fist - median
ok - median
splay - ulnar
extend - radial
51
Which opiod is best for CKD?
fentanyl
52
Bromhexine use?
Mucolytic. Like glycopyrolate lite.
53
Pain from 60 to 120 degrees of shoulder abduction is consistent with?
Shoulder impingement
54
What is copralalia?
Swearing like tourettes
55
Gold standard imaging for myositis?
MRI muscle
56
3 exams you would do for someone presenting with dysphagia?
- look in their mouth
- cranial nerve exam
- cerebellar exam
57
Symptoms of hyperprolactinemia?
galactorrhea
amenorrhea -> osteopenia
sexual dysfunction
58
Best ix for prolcatinoma?
MRI
59
Other symptoms (aside from those caused by high prolactin) to screen for in a suspected prolactinoma?
- headache
- visual changes/bumping into things
60
What non-pharm treatment could you consider in bipolar or psychosis when people are maxed out on the meds?
ECT
61
Most surgeons won't do a carpal tunnel release without which investigation?
Nerve conduction study
62
Muffled voice + unable to open jaw due to throat point is a red flag for?
Quinsy
63
Most tonsilitis is _____ so does not need _____.
Viral, antibiotics
64
Tumour marker for HCC?
Alpha fetoprotein
65
When to take statin in the day?
Take it with your main meal of the day, whenever that may be.
66
Regular bloods for clozapine review?
WBC and Na+
67
What is varenicline?
Anti-craving for smoking tablet.
68
class of -gliptin drugs?
DDP4 inhibitors
69
tx for mesenteric adenitis?
NSAIDs
70
Which triad is associated with cardiac tampoande?
Beck's triad:
- muffled heart sounds
- hypotension
- JVP up
71
chlorpromazine vs carbamazepine vs carbimazole.
chlorpromazine - first gen antipsychotic for BPAD
Carbamazepine - anti-convulsant/mood stabiliser
carbimazole - for hyperthyroid
72
Over the counter medicine for lowering triglycerides?
fish oil
73
Ages for mammogram?
50-74 will be contacted. Can self refer from age 40.
74
Biopsy type for enlarged prostate?
transperineal biopsy (tends to follow MRI imaging of prostate)
75
PSA over ____ is worrying.
3 - needs repeat
76
What is a PDE-5 inhibitor and what role does it play in prostate cancer?
eg. sildenfail (viagra)
- helps with erections if a prostatectomy has caused impotence
77
Why would past transplant have impact on incidence of skin cancer?
Immunosuppression allowing cancer to flourish.
78
Which Hba1c suggests pre-diabetes?
6.0-6.4
79
Sciatica is usually due to impact at what nerve roots?
L5-S1
80
Nocturnal back pain is a red flag for?
back cancer
81
GP Pysch Mx:
- educate
- mental health care plan
- resources
- pharm mx
- psychotherapy
- safety net/crisis plan
- review
82
A first degree relative have bowel cancer at what age is significant for your risk?
Under 55
83
5 reasons PSA may be falsely elevated?
- sex 48 hrs prior
- heavy exercise 48 hrs prior
- UTI
- recent DRE
- recent prostate biopsy
84
Best contraception for adolescents?
at the workshops they tried to drill into us that teens are shit at taking pills - consider implanon or IUD.
85
Are SSRIs addictive?
no
86
Syphilis vs Herpes lesion?
syphilis is painless, herpes extremely painful.
87
Systemic sclerosis is another name for?
Scleroderma
88
Age range for fibroadenoma vs fibrocystic changes
Under 35 - tend to be fibroadenoma
Over 35 - tend to be fibrocystic changes
89
ottawa ankle + feet rules:
Ankle: scan if pain in malleolar zone AND either inability to weight bear 4 steps, pain in distal tibia or fibula.
Foot: Pain in midfoot AND either pain in fifth metatarsal (pinky toe) or inability to weight bear 4 steps
90
Parasternal heave/thrill is a sign of?
right ventricular hypertrophy (can be secondary to cor pulmonale etc)
91
dermatitis herpetiformis is a rash found in which condition?
celiac - found on knees
92
Promethazine is what type of medication?
anti-histamine
93
First world women rarely go beyond what gestation period before being induced?
40+10 (41+3)
94
Turners vs Klinefelters
Turners - XO - assigned female
Klinefelters - XXY - assigned male usually
95
Which common blood pressure medication class is teratogenic?
ACEi/ARB
96
At approximately what weight should babies be considered for NICU?
1.5kg and under
97
Options to treat a molar pregnancy?
Same as ectopic essentially but can't do conservative.
Methotrexate or D+C.
98
Mx of neonate hypoglycemia?
- 40% dextrose gel
- offer breastfeeds
- IV 10% dextrose
99
Anti-epileptic in neonates?
Phenobarbital
100
Which area of the vagina should the GBS swab be used in?
Lower 1/3
101
High FSH is a sign of?
Ovarian/testicular insufficiency
102
What is anastrazole?
Aromatase inhibitor - good for estrogen responsive cancers.
103
Horseshoe kidney with high FSH suggests which condition?
Turner's syndrome - horse shoe kidney and primary amenorrhea
104
4 Features of fragile X on exam?
Big ears, long face, prominent jaw, mitral prolapse.
105
Which vaccine has been linked to causing Guillian barre?
influenza
106
ITP can be caused by which vaccine?
MMR
107
Which anti-emetic to avoid in kids?
metaclopramide - risk of EPSE
108
Dermoid cysts are a risk factor for what condition?
ovarian torsion
109
Best initial ix to show ITP?
really low platelets
110
What kleihauer test?
Determines amount of fetal blood in maternal circulation eg. following trauma or haemorrhage
111
Receptor responsible for CF?
CFTR
112
Which ion is CF particularly associated with?
Chlorine
113
Which neuro disease is characterised by weakness more impacting proximal muscles than distal?
Duschennes muscular dystrophy
(myositis also acceptable)
Tends to spread to distal areas
114
Unable to release fist, frontal balding and wasting of facial muscles are alls signs of?
Myotonic dystrophy
115
Which two food allergy groups to kids tend to NOT grow out of?
nuts and shellfish
116
Tanner stage 1 vs tanner stage 5?
stage 1 = not started puberty
stage 5 = finished puberty
117
How might a car crash with a headstrike impact paeds fluid management?
CNS insult = 2/3 maintanence due to risk of SIADH
118
Pre-term baby with blood in stool is alarm bells for?
Necrotising enterocolitis
119
Alpha blockade is a treatment in which condition?
Pheochromocytoma
120
Positive fecal occult blood test is associated with about a ____ % risk of colorectal cancer.
5%
121
When is breast exam indicated in screening?
Only if abnormal mammography
122
Risk factors for psychosocial stress in cancer dx?
- young kids
- young age
- marital dysfunction
- living alone
- female
123
Screening for ovarian cx?
USS and CA125
124
Tx for teenager with chlamydia contact?
Stat Oral azithro empirically and then FPU to check. Educate on abstaining from sex for 7 days and testing partners.
125
Is restricted movement in all planes a red flag for back pain?
No, it's very common.
126
Efficacy of CBT vs SSRI?
CBT more effective
127
Key points to hit in SSRI education?
- best used with therapy
- duration - 2 weeks to work, 6 months minimum.
- side effects - sexual, suicide, N+V
- discontinuation
- alcohol/drugs/serotonin syndrome
- not addictive
- review in a week
128
Endometrial ablation purpose?
To reduce heavy bleeding
129
Following an AXR, what is the next ix for malrotation/volvulvus in neonate?
contrast study
130
Early Ix to diagnose COPD?
chest X-ray and spirometry
131
Is spironalactone used for acne in male patients?
no
132
Important mx point about isotretinoin?
can only be prescribed by derm
133
Patients with pre-diagnosed dementia who are experiencing a decline in functioning/worsening behaviour likely have _____. This is best managed by ______ at a _____ environment.
BPSD
behaviour modification strategies
familiar, home.
134
Unimelb's most important mx point for heroin overdose:
risk assessment for suicide
135
Best Mx for MDD in teens especially:
CBT
136
What is paroxetine?
ssri
137
Duration of treatment after first episode psychosis?
Australian Guidelines Early Psychosis recommend 2-5 years of antipsychotic after first episode of psychosis
138
First question for an old guy who can't get an erection to have sex with his wife?
Ask if he can achieve a normal erection in other circumstances.
- differentiates an organic problem from a psych one
139
what is amiloride?
potassium sparing diuretic like spiro
140
Risk level of cancer in patients with schizophrenia?
higher
141
First line achalasia treatment?
manometry
142
Greasy stools in paeds is a red flag for?
CF - pancreatic insufficiency
143
Which cancers are associated with neurofibromatosis?
prostate, breast, leukemia, gliomas and nerve sheath tumours.
144
What is the most common type of nephrotic syndrome seen in kids?
Minimal change disease
145
What does an odds ratio of 1.5 mean?
The odds of disease after being exposed are 1.5 times greater than the odds of disease if you were not exposed (50% increase)
146
Involuntary movements in a 30-50 year old with reducing cognition is consistent with which disease?
Huntingtons
147
Widened lateral ventricles with atrophy of the caudate nucleus is the hallmark of which disease?
Huntingtons
148
Which vaccine on the normal schedule is key for those without a spleen?
pneumococcal
149
Cystoscopy vs retrograde uretoscopy?
retrograde goes all the way up ureter - looking for masses and stones.
150
how often to change CVC dressing?
At least every 7 days
151
Crohn's impact on peri-anal area?
anal fissures, skin tags, deep ulcers, abscesses, fistulas.
152
Lateral bulging of the ear is a warning sign for?
mastoiditis
153
'cystic medial necrosis/degenration' in an aortic dissection is code for?
Dissection caused by Marfans
154
Congenital causes of aortic dissection?
Marfans, Ehlers-Danlos syndrome
Turner syndrome
Bicuspid aortic valve
Coarctation of the aorta
155
Explain the ulnar paradox.
Injury at the wrist causes MORE claw hand than injury at the elbow (tends to just cause a flat hand)
156
How does hyperglycemia impact sodium?
Lots of sugar leads to hyperosmolar blood - water shifts from cells into blood - diluting serum - mild hyponatremia.
157
chlorpromazine?
typical antipsychotic
158
Are patients diagnosed older or younger with schizophrenia more at risk of tardive dyskinesia/EPSE?
OLDER MORE AT RISK - the later diagnosed the more risk.
159
Most common bacteria that causes cellulitis?
strep pyogenes
160
Two most common pathogens in paediatric bacterial conjunctivitis?
Haemophilus influenzae and Streptococcus pneumoniae
161
Barking cough is typical of which condition?
Croup
162
Shellfish/oysters are a typical cause of food-poisoning caused by?
Vibrio
163
Egg salad food poisoning typically caused by?
Staph aureus
164
Deli meats, soft cheeses and unpasteurzied milk are all associated with which bacteria?
Listeria
165
Pathogen that makes honey a risk in infants under 12 months?
Clostridium botulinum
166
Parasite causing liver cysts?
cystic echinococcosis (hyadatid disease)
167
What is schilling test?
test for absorption ability of B12
168
carbamazepine?
anti-epilpetic also used in bipolar.
169
Glutamate is closely associated with which disease?
dementia
170
Parasites common in Pakistan?
Malaria and Leishmania
171
Indomethacin drug class?
NSAID
172
What is Recall bias?
Recall bias refers to a selective memory of past events
173
What is response bias?
People lie or respond incorrectly
174
What is confirmation bias?
Confirmation bias is the tendency to search for, interpret, favor, and recall information in a way that confirms or supports one's prior beliefs or values.
175
Diagnosis behind 'cobblestone conjunctiva'?
CHRONIC allergic conjunctivitis
The papillae in chronic allergic conjunctivitis can lead to a cobblestone appearance of the conjunctiva.
176
Mnemonics i use for leukemia:
Please Carry My Leukemia KIT
= philadelphia (22), CML, Kinase (tyrosine) such as imatinib.
L15P ARMADA
APML, Chrom 15, retinoid, arsenic, DIC, Auer Rods
177
Difference between haemophiliaA and B and their patterns of inheritence.
A - factor 8
B - factor 9
Both are X-linked recessive.
178
Pattern of inheritence for von willebrands?
Can have heaps of patterns, the most common is autosomal dominant (total opposite to haemophilia).
179
First line Mx of von willebrands?
Desmopressin
180
What is Sideroblastic anaemia?
Type of anemia marked by bone marrow making crap 'ringed' RBCs and not utilising iron - leading to high iron and ferritin (same findings as haemochromotosis eg. bronze skin). Can lead to hepatosplenomegaly and leukemia and can be due to genetic risks or B6 (pyridoxine) deficiency.
181
Pain in retinal detachment?
painless
182
Typical Dx in 'blind coming down over eye'?
amaurosis fugax - stroke of the eye. Usually painless.
183
What is leukodystrophy?
rare group of genetic disorders leading to progressive decline in cognition and motor function in paediatric patients. May be present at birth or develop after a few years.
184
Meaning of blurring of the optic disc?
papilloedma - ICP up
185
Two vitamins which can cause bleeding gums?
b12 and vit c
186
When to commence rehab in a traumatic brain injury?
At resolution of post-traumatic amnesia.
187
The Right temporal/parietal area is most important in?
Visual-special information processing. As opposed to left side which does everything like understanding, language etc.
188
What is Tmax in CT perfusion?
Time it takes for blood to reach a certain area of the brain.
189
What is the point of CT perfusion?
To identify penumbra (salvagable area of brain)
190
What complication is essentially universal in those with IDC?
UTI, especially in spinal patients who may present atypically.
191
2nd line for spasticity after baclofen?
diazepam
192
Frequency of buprenorphine patch?
once weekly
193
Best anti-histamine for vestibular nausea?
Cyclizine
194
Convert 30mg of oral morphine to oral oxycodone.
30mg oral morphine = 20mg oral oxycodone
195
Mx of acute dystonic reaction?
continue anti-psychotic, add benzotropine
196
MRI brain finding schizophrenia?
increased ventricular size associated with decreased cortical gray matter volumes widely across the brain.
(Similar to huntingtons though huntingtons will mention caudate)
197
Fear of entering unfamiliar environments due to risk of triggering a panic attack is called?
agoraphobia
198
The 'Z' drugs (zopiclone, zolpiden) are typically used for?
Sleep
199
Name a common illegak empathogen?
MDMA
200
Which mineral is monitored in Lithium use?
calcium (hypercalcemia)
201
What is disulphran?
Medication to help quit alcohol, gives essentially horrific hangovers by stopping alcohol metabolism.
202
High fever, rigidity and raised WBC/CK when starting a new dopamine blocker are signs of:
neuroleptic malignant syndrome
203
Mx of neuroleptic malignant syndrome?
withdraw agent, hydrate, cool down, dialysis if necessary
204
Burning nipple in breastfeeding is often due to?
Fungal infection (will be on baby's tongue too)
205
What happens in the lungs in transition of the neonate?
fluid is absorbed, lungs fill with air, pressure falls, pulmonary circulation activated.
206
What is colporrhapy?
Surgery for cystocele or rectocele prolapse
207
Apical prolapse is best managed how?
Apical prolpase = vaginal prolapse = enterocele.
best managed by hysterectomy (if symptomatic).
208
Main endometrial cancer subtype?
Endometrial carcinoma
209
'bulky uterus' is code for?
adenomyosis
210
Murmur type in ASD
mid-systolic
211
What is Eisenmenger syndrome?
left to right shunt becomes so bad that pulmonary hypertension causes massive right heart pressure reversing shunt and pushing deoxygenated blood into circulation - cyanosis and poor prognosis.
212
Is cerebral palsy progressive?
no - it is non-progressive. So if there are progressive deficits look for a different dx.
213
What is roseola?
HSV viral exanthem
214
What is subglottic stenosis?
cause of stridor due to repeat ETT in paeds
215
omega shaped epiglottis is found in?
laryngomalacia
216
imaging for foreign body?
inspiration and expiration cxr films
217
detrusor overactivity is linked to which type of incontinece?
urge
218
what is IRT test?
Immunoreactive trypsinogen - heelprick in neonates - for CF
219
What type of hypersensitivty is asthma (and the other atopies)?
type 1
220
No anal cleft on birth suggests which condition?
sacro coccygeal teratoma - emergency
221
Timeline for cleft palette repair?
no rush just within the first 9-12 months of life or so.
222
Maculinisation of feminine genitalia in neonates can be due to which endo condition?
CAH
223
'bag of worms' in testicle is a description of which condition?
varicocele
224
Unimelb mx in GP for first presentation t1DM in Gp?
send to ED for mx even if not in DKA
225
Hospital mx of severe hypoglycemia?
10% dextrose IV or glucagon IM if no access
226
Key teen trigger for hypoglycemia?
alcohol
227
mx for a circumfrential burn?
escharotomy
228
What are some signs of a deep burn that will likely need a graft/surgery?
- no pain
- white in colour
- sluggish or absent cap refill
- hard to the touch
- blistering
229
GCS under 15, fractured ribs or tibia, abnormal resp exam findings and thoracic wall trauma are all indicates for a ____ in paeds.
CT
230
Mx for gastric dilatation?
decompress - NGT
231
How useful is FAST scan in kids?
shit
232
Mx for traumatic hollow organ injury in paeds?
laparotomy
233
What is salter-harris fracture?
fracture that impacts paeds growth plate - urgent.
234
what is a pyogenic granuloma?
paeds red spot sort of looks like haemangioma but bleeds profusely
235
profuse itching between fingers and on feet in the whole family is likely due to?
scabies
236
naevus flammeus is also called?
port wine stain
237
naevus simplex is also called?
stork bite - salmon pink. worsens when crying.
238
erythema toxicum neonatorum is present when?
first 7 day of life - red rash across face/eyes
239
Which opioid is not really used in kids?
Codeine - constipation
240
Which mineral deficiency can cause global developmental delay in kids?
iron
241
reversal agent for benzos?
Flumazenil
242
Tx for lichen sclerosis?
steroids
243
Guilt is absent in which psych conditions?
conduct disorder, personality disorders
244
For teens, poor sleep is often code for?
mental health struggle
245
Mx of suicidal teen?
ED. VERY low threshold to send kids to ED.
246
Abx for pyelo in kids?
keflex
247
What is dual disability?
intellectual disability and mental health condition
248
What is ARFID?
Not eating due to sensory issues
249
Reasons to immediately give Abx in otitis media?
under 6 months, only hearing ear, first nations, immunocompromised.
Otherwise wait 48hrs for improvement.
250
post strep psoraisis?
guttate psorisis
251
Which sites are at greatest risk of damage from topical steroids?
thin areas eg. eyelids.
252
Rash on sun affected areas after coming back from tropical holiday?
Fungi - malezzia - pityriasis vesicolour
253
Milia inside a pigmented lesion tend to indicate?
seb k - benign
254
What is Bowen's disease?
Sqcc in situ
255
What abx to give for GBS if penicillin allergy?
erythromycin
256
Bounding peripheral pulses and a continuous machinery murmur in a neonate are signs of?
PDA
257
Pharm therapy for PDA?
Indomethacin - NSAID - constricts PDA.
258
When to refer for derm for acne?
Severe acne needs derm. If risk of bullying/distress/scarring - need derm.
259
Contraindications for LP in older child?
shock/hypotension, instability, coma, raised ICP.
260
Pattern of Roseola (on body and temporally).
Spares face, only on body. Appears once fever of recent illness has ceased.
261
Pathogen of roseola?
HSV6
262
One pharm treatment for haemangioma in a problematic spot like the eye?
Propanolol
263
Timeline for naevus simplex?
Dissapears in a few months
264
Common pathogen cause of nappy rash?
candida
265
Sandpaper rash is a term used for what condition?
Scarlet fever
266
CBT is better than DBT in which personality cluster?
Cluster C
267
Hydrocele vs varicocele in terms of pain?
Both painless
268
How many contraceptive pills can be missed before you are not protected?
Can only miss one and then retake as usual, 2 and over you aren't protected for 7 days.
269
Immediate high risk CVD conditions?
Systolic over 160. Cholesterol over 7.5. Familial hypercholesterol. Diabetes. CKD. Need tx immediately don't watch and wait.
270
How long without heart or breath sounds is classified as dead?
2 mins for both
271
BMI needed for medical admission in eating disorder?
under 12
272
First urological ix in suspected prostate cancer (after PSA)?
Multiparametric MRI
273
Condition that causes meconium ileus and what is felt on exam?
CF
nothing - no masses
274
When does NEC usually occur?
2-3 weeks after birth in preemies.
275
Pharm mx for raised ICP due to brain mets?
dexamethasone
276
Is coarctation cyanotic or not?
Not
277
Timeline of TOF vs transposition?
Transposition - almost immediately after birth as it is duct dependant
TOF takes a few months.
278
What is perseveration of speech?
Focused heavily on one topic even when you try to steer them away.
279
Molar pregnancies cause what endo condition?
hyperthyroid (high T3/4 with low TSH)
280
How often is clozapine follow up in the first 18 months?
weekly
281
CRL over 7 with no fetal heart is consistent with?
Miscarriage
282
Mx for mastitis?
- drain breasts to prevent abcsess
- analgesia
- abx
283
Pure motor or pure sensory strokes are often due to ?
lacunar infarcts
284
Surgery for an intracapsular fracture?
hemiarthroplasty
285
Which bowel complication is associated with trisomy 21?
Hirchsprungs
286
How long does stress need to be going for it to be PTSD?
1 month or else it's just acute stress disorder
287
Pharm mx of moderate acne?
doxycyline
288
Exploiting others is a characteritisc feature of which persoanlity disorder?
Narcisstic
289
Unique risk to bisphosphonates?
Atypical femoral shaft fractures after light falls
290
A hypoglycemic newborn should be managed how?
Encourage breastfeeds/formula
291
Lifestyle mx for gestational diabetes?
no, straight to insulin.
292
First line laxative type?
osmotic laxative
293
Where is ASD murmur best heard and what sound does it make?
Best heard in pulmonary valve region, with a mid-systolic murmur that splits S2.
294
What is mydriasis?
Dilated pupils
295
PID is a contraindication for which common mx?
IUD, even copper
296
mx of placental abruption?
delivery asap
297
'vesicular lesions' is code for which group of pathogens?
pox viruses including chickenpox.
chickenpox can even be in mouth.
298
What is Paget's disease and how does it present differently to mastitis?
Paget's disease = rash, redness and thickening in areolar region of the breast. Pre-malignant. Needs urgent referral. Often in older women.
Mastitis has pinkness in almost entire breast and is associated with breastfeeding.
299
HTN, sweating and bradycardia in a spinal pt are signs of?
Autonomic dysreflexia
300
Transferrin levels in iron deficiecny vs anaemia of chronic disease?
high in iron deficiency
low/normal in chronic.
301
Black shadow on one side of vision with no pain and associated flashes of light and normal neuro is typical of which condition?
retinal detachment
302
303
When to refer female for slow puberty?
Absence of breast development in a girl at age ≥13yrs or primary amenorrhoea at age 15yrs
