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FOP > Misc > Flashcards

Misc Flashcards

1
Q

drops for anterior uveitis

A

atropine and phenylephrine (after infection r/o)

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2
Q

aspirin and warfarin whilst breastfeeding

A

avoid aspirin
warfarin ok

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3
Q

phenytoin SE

A

hairy

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4
Q

which drug causes orange urine

A

rifampicin

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5
Q

epipen dose for 6 and over

A

300 mcg

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6
Q

maternal endocrine issues cause

A

neonatal hypocalcaemia (seizures and jerky)
early if <72h

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7
Q

neonatal resus

A

5 inflation breaths
if HR improves, continue at 30 breaths/min until HR >100
if HR <60 after 30s, CPR 3:1

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8
Q

congenital glaucoma presentation

A

absent red reflex
cloudy eye
tearing
erythema

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9
Q

impetigo rx

A

local - hydrogen peroxide 5 days
widespread - fuscidic acid or fluclox/clari/ery
bullous - fluclox/clari/ery

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10
Q

ROP screen time

A

31 weeks or 4 weeks, whichever is latest

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11
Q

hyperthyroic mum, unclear Ab status

A

TFTs at birth and one week

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12
Q

rectal washouts in

A

Hirschprung’s until surgery

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13
Q

rx for migraines

A

nasal triptan

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14
Q

proper name for slate grey naevus

A

congenital dermal melanocytosis

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15
Q

aspirin OD

A

tinnitus
resp alkalosis with metabolic acidosis
sodium bicarb

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16
Q

early PROM causes

A

oligohydramnios –> pulmonary hypoplasia

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17
Q

NSAIDs + methotrexate =

A

methotrexate toxicity

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18
Q

initial imaging in major trauma

A

CXR, not CT chest

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19
Q

nutriprem can be given until

A

6 months

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20
Q

cooling criteria

A

1) APGAR <=5 or requiring resus at 10 mins
pH <7 or BE <-16 before 60 mins

2) hypotonia or seizures or abnormal reflexes

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21
Q

weight gain in neonates

A

15g/kg/day

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22
Q

IVI in burns

A

% burn x kg x 3

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23
Q

diabetic nephropathy screening

A

early morning ACR

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24
Q

vascular ring

A

dysphagia and wheeze/SOB

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25
Q

subglottic haemangioma

A

increasing SOB and external haemangioma

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26
Q

laryngomalacia

A

breathing and feeding difficulties soon after birth

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27
Q

subglottic stenosis

A

persistent stridor, worse when unwell

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28
Q

NAC criteria

A

1) over tx line
2) OD <24hr ago but levels won’t be back until >8hr AND over 150mg/kg taken
3) OD >24hrs ago + jaundice/RUQ pain/ raised ALT/ INR >1.3 / paracetamol level detectable

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29
Q

when to give chlorphenamine only

A

allergy without anaphylaxis or gastro sx (gastro may mean anaphylaxis in children)

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30
Q

vitamin deficiencies in chronic diarrhoea

A

B12 and folate

31
Q

intermittent acute abdomen

A

malrotation with voluvulus

32
Q

when to check serum bili after TCB

A

> 250

33
Q

who can have TCB

A

> 35/40
24h

34
Q

meningitis prophylaxis for pregnant women

A

ceftriaxone

35
Q

management of chronic regional pain syndrome

A

1) physio and exercise
2) NSAIDS
3) gabapentin/antidepressents

36
Q

management of conduct disorder

A

1) selective prevention programmes for classes of 3-7yo

group parent training for 3-11yo
group social and cognitive problem solving programme for 9-14yo
multimodal programme 11-17yo

37
Q

ODD vs conduct disoder

A

ODD has interpersonal conflict
Conduct disorder has serious violations of rules and other’s rights

38
Q

before autism assessment

A

hearing test

39
Q

SLE mneumonic

A

SOAP BRAIN MD

Serositis
Oral ulcers
Arthritis
Photosensitivity

Blood (aplastic)
Renal
ANA
Immunologic e.g. anti dsDNA
Neurologic

Malar
Discoid

40
Q

criteria for CT head

A

S - seizure
U - unconscious >5min
S - skull #
T - tense fontanelle
A - abuse
I - injury >5cm on <1yo
N - neurology

41
Q

stepping reflex lost at

A

2 months

42
Q

moro reflex lost at

A

4 months

43
Q

righting reflex develops at

A

6 months

44
Q

parachute reflex develops at

A

9 months

45
Q

Babinski lost at

A

9-12 months, limit age 2

46
Q

hypos on fasting

A

MCADD

47
Q

galactosaemia presentation

A

failure to thrive
vomiting
jaundice
cataracts
E coli sepsis

48
Q

CAH inheritance

A

autosomal recessive

49
Q

physical characteristics of AIS

A

sparse pubic and axillary hair
primary amenorrhoea
short vagina - dyspareunia

50
Q

threadworm management

A

mebendazole

51
Q

tapeworm management

A

praziquantel

52
Q

pertussis prevention

A
  • vaccine for pregnant women >16 weeks if unimmunised, regardless of contact status (can heave earlier if also a healthcare worker for infants or pregnant women, or a family member of an infant)
  • clarithromycin for close contacts (erythromycin if pregnant)
  • vaccine for all unimmunised or last immunised over 5 years ago, if close contact
53
Q

active in utero + persistent hiccups

A

non ketotic hyperglycerinaemia (autosomal recessive)

54
Q

anorexia red flags

A

hypothermia <35
bradycardia <40
K+ <3
Na+ <130
BMI <13
abnormal ECG

55
Q

fluid choices for children

A

0.9% saline or plasmalyte for resus

0.9% saline with 5% dex for maintenance

personalised if <7/7 old

56
Q

complication of anterior uveitis

A

posterior synechiae (adhesions between iris and lens)

57
Q

How to administer desferrioxamine

A

IV or SC (not PO)

58
Q

Lead poisoning treatment

A

PO D penicillamine

IV sodium calcium edetate

59
Q

Port wine stain name

A

Naeveus flammeus

Capillary malformation

60
Q

Eye complications in port wine stains

A

Glaucoma - have regular specialist ophthalmology reviews

61
Q

Vigabatrin SE

A

Behaviour
Optic neuritis

62
Q

First line inotrope and why

A

Dopamine - can be given peripherally

63
Q

anorexia bloods

A

high cortisol
low T3/4 with normal TSH
low GnRH, LH and FSH
high GH
low oestrogen

64
Q

head injury posturing

A

decorticate = early = arms bent
decerebrate = late = arms straight

65
Q

differentiating Turner’s and anorexia as cuases of primary amenorrhoea

A

Turner’s has high LH/FSH
Anorexia has low LH/FSH

66
Q

interactions with theophylline causing increased levels

A

ciprofloxacin
clarithromycin/azithromycin/erythromycin
COCP
LIVER ISSUES

many others increase hypokalaemia risk

67
Q

tinea corporis with inappropriate steroid treatment

A

tinea incognita

68
Q

cholera bloods

A

hyperchloraemic metabolic acidosis

69
Q

management of acute pain in chemo patients

A

oromorph (paracetamol masks fever, ibuprofen worsens platelet destruction)

70
Q

who to call first for an absconder

A

safeguarding team

71
Q

recurrent UTI + progressive symptoms

A

U+E to diagnose CKD

72
Q

Retest for James’ allergies

A

2-4 yearly

73
Q

Retest for non James allergies

A

12-18 months <5yo
2-3 yearly when >5yo

FOP (13 decks)

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