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Flashcards in Misc Stuff Deck (48):
1

When is Men C given?

3m, 12-13m and 13-15 years

2

When is pneumovax given?

2, 4 and 12-13m

3

When is rotavirus vaccine given?

2 and 3m

4

What is in the 3fold DTaP vaccine?

Diphtheria polio and tetanus

5

What is given alongside DTaP at 2, 3 and 4m?

Haemophilus and pertussis vaccines

6

When is MMR given?

12-13m and 3yrs 4m

7

How do you take a cervical smear?

Rotate cytobrush 5x clockwise

8

What is foot slapping/steppage gait associated with?

Peripheral neuropathy
Foot drop - sciatic/common fibular nerve damage

9

What is a diplegic gait associated with?

Periventricular stroke/lesions - swinging gait (circumduction) on both legs, arms held in mid/low guard position

10

When does uk breast screening take place?

3 yearly from 50-70
Being extended from 47-73

11

What normally happens to thyroid hormones in pregnancy?

T3 and T4 increase
TSH unchanged

12

What causes maternal T3/4 to increase physiologically in pregnancy?

Action of hCG

13

2 most significant complications of hypothyroidism in pregnancy? (1 Fetal 1 maternal)

CCF
Congenital hypothyroidism

14

What will happen to pre-existing hypothyroid disease in pregnant women?

Thyroxine requirements will increase

15

What is transient gestational thyrotoxicosis?

Due to increasing BhCG

16

What is postpartum thyroiditis? RFs?

Rebound autoimmune disease following birth looks a bit like Hashimotos; transient hyper then hypo may persist
Thyroid peroxidase enzymes (TPAs) are associated early in pregnancy, alongside hyperemesis

17

What normally happens to CVS in pregnancy?

CO up by 30-50% due to increase in SV and HR
Peripheral vascular resistance decreases
BP normally falls by roughly 30/15 second trimester

18

What normally happens to respiratory system in pregnancy?

Tidal volume increases, increasing vital capacity
Resp rate unchanged or marginally increased

19

What pH state is the body in during pregnancy? (Due to change in tidal volumes)

Respiratory alkalosis compensated by drop in bicarbonate

20

Why does reflux occur in pregnancy?

Progesterone releases LES

21

What imaging is required for kids presenting with UTIs?

All kids under 12 presenting with 1st UTI
Under 1s have whole shabang
1-3s have US and DMSA
Over 3s have US +/- DMSA

22

What monitoring is required for VUR in kids with UTIs?

Monitor with 4 yearly MAG3 Cystography as normally subsides
+/- Abx prophylaxis

23

What warrants lifelong BP monitoring in the context of paeds UTIs?

Confirmed scarring via DMSA/MCG

24

Triad of organ systems affected by Wegeners? (Granulomatosis with polyangiitis GPA) What antibody letter thingy is it mediated by?

Lungs
URT/sinuses (chronic sinusitis, cough, haemoptysis)
Kidneys - blood, protein
Mediated by ANCA

25

What is Conns syndrome?

Aldosterone secreting adrenal tumour causing hypernatraemia and fluid retention (mega BP) alongside hypokalaemia

26

What is the test for acromegaly?

Oral glucose suppression test - if glucose doesn't suppress GH (IGF1) = acromegaly

27

What are the 2 manoeuvres used in checking baby hips?

Barlow (posterior and adduction pressure to click out)
Ortolani (anterior and abduction pressure to click in)

28

What type of immune vasculitis is HSP?

IgA

29

What is the tetrad of infectious tenosynovitis?

Kanavels tetrad:
Digit held in flexion
Fusiform swelling
Pain on extension
Flexor sheath tenderness

30

What is Rosacea?

Chronic inflammatory skin disease causing mega hyperreactivity of arteries so loads of red face and telangiectasias in response to heat, stress etc
Accompanied by papules and pustules but no commedones

31

What is Holmes Adie pupil?

Loss of parasymp so one big pupil that is slow to respond to light
More common in women in 30s/40s

32

What is Argyll Robertson pupil?

Neurosyphillis - bilateral small inward gazing pupils, non reactive to light but quick in response to accommodation

33

What triggers haemolysis in G6PD?

Oxidative drugs e.g. Aspirin, Nitrofurantoin
Infection

34

Rx for Ménière's?

Restrict salt, caffeine, alcohol etc. and fluid

35

What criteria is used to define acute rheumatic fever?

Jones criteria

36

What is the difference between Hordeolum and Chalazion?

Hordeolum is an acute painful infection of gland etc on eyelid
Chalazion is chronic painless hard lump

37

Rx for SUFE?

Percutaneous screw fixation

38

4 rotator cuff muscles and functions?

Supraspinatus - abduction
Infraspinatus - external rotation
Teres minor - external rotation
Subscapularis - internal rotation

39

BLT Kosher Pickle of common cancer mets to bone?

Breast
Lung
Thyroid
Kidney
Prostate

40

Define chronic bronchitis?

Productive cough for >3m in at least 2 consecutive years

41

What is Boerhaeves syndrome? Common signs?

Complete lower esophageal rupture - mega bleeding, CP, shock
Crunching sound on heart auscultation due to pneumomediastinum and also surgical emphysema

42

3 things characterising nephritic syndrome?

Hypertension
Haematuria
Oliguria

43

Commonest cause of nephritic syndrome?

Bergers IgA nephropathy

44

Tetrad of nephrotic syndrome?

Oedema
Hypoalbuminaemia
Proteinuria
Hyperlipidaemia

45

What causes infection and abscess in the context of long term IUD insertion?

Actinomycosis

46

Rash that starts as small herald patch before spreading from this?

Pityriasis rosea

47

Rash characterised by blistering which spreads under pressure, more common on arms and legs and in older women with autoimmune background?

Pemphigus

48

Rash presenting with itchy blisters and tense bullae in older people (flexures) anywhere on the body?

Pemphigoid