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mock paper 2 Flashcards

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1
Q

hiccups in pallaitive care

A

chlorpromazine or haloperidol

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2
Q

lateral epicondylitis worse when

A

worse on resisted wrist extension/suppination whilst elbow extended

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3
Q

how does anoxeria tx differ from children to adults

A

Anorexia focused family therapy is the first-line treatment for children and young people with anorexia nervosa

adults is individual therapy

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4
Q

acute flares of rheumatoid arthritis managed how

A

oral or IM steriods

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5
Q

when prescribing allopurinol what else should you prescribe as cover

A

NSAID or colchicine ‘cover’ should be used when starting allopurinol

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6
Q

Management of placental abruption when the fetus is alive,

A

<36 weeks and not showing signs of distress is to admit and administer steroids
fetal distress: immediate caesarean

Fetus alive and > 36 weeks
fetal distress: immediate caesarean
no fetal distress: deliver vaginally

Fetus dead
induce vaginal delivery

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7
Q

what contraceptive method associated with wieght gain

A

injectable

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8
Q

what does the progesterone compoent in HRT cause icnreased risk of

A

breast cancer

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9
Q

cervical cancer screening post pregnancy how long

A

3 motnhs

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10
Q

increase temp, pyrexia, low blood pressure, crackles on lungs ( misleading) what is it

A

TRALI

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11
Q

OM with perforation in a child what is mx

A

oral abx

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12
Q

how do we manage premenstrual syndrome - mood and irritable before period

A

sertrlaine

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13
Q

typical blood picture of DIC

A

DIC typical blood picture:
↓ platelets
↓ fibrinogen
↑ PT & APTT
↑ fibrinogen degradation products

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14
Q

uterine fibroids what xan shirnk them

A

GnRH agonists such as triptorelin

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15
Q

post op ileus what is importnat to check

A

UandE

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16
Q

how long do you stop methotrexate pre conception

A

6 months

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17
Q

On writing this prescription, which of the following should be printed in both figures and words?

A

quantity of tablets prescribed

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18
Q

first line acute stress disorder

A

Trauma-focused cognitive-behavioural therapy (CBT) should be used first-line for acute stress disorders

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19
Q

agent for ansethesia best in truama as does not cause drop in BP

A

ketmaine

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20
Q

after membrane sweep what is next in terms of induction of labour

A

vaginal prostoglandin

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21
Q

volatile liquid anaesthetics( urane) can cause what

A

malignant hyperthermia

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22
Q

CML - esoinohlia and basophilia with immature ganulocytes tx

A

imatinibb

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23
Q

preamture ovarian failure means

A

means post menopuausal so would have anastrzole

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24
Q

A woman gives birth via normal vaginal delivery. The midwife notices the baby has an umbilical hernia, a large, protruding tongue, flattened face, and low muscle tone.

A

Down’s syndrome is suggested by ↑ HCG, ↓ PAPP-A, thickened nuchal translucency

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25
his patient is presenting in early labour at 36+4 weeks gestation with a transverse foetal lie. Despite the patient being in the early stages of labour - amniotic sac in tack whaat can you offer
extenral cephalic version
26
Hyoscine hydrobromide or hyoscine butylbromide is generally used first-line to manage secretions in a palliative care setting what class
muscariinc receptor antagonist
27
schizophrenia illness now well how long till can drive
Patients with schizophrenia must not drive and must notify the DVLA, until stable and well for 3 months and following a suitable psychiatristy report
28
anti-emetic for intracranial causes of nausea and vomiting
cyclizine
29
All breech babies at or after 36 weeks gestation require USS for DDH screening at 6 weeks regardless of mode of delivery
true
30
mum with maternal diabetes what should be offered post preg
Mum will require repeat testing of her blood glucose at 6-13 weeks post-birth due to her gestational diabetes. This is done using a fasting plasma glucose test
31
athetoid movements and oro-motor problems what cp
dyskinetic cerebral palsy spastic most common
32
rare complication of VZR
nec fasc
33
psych disorder with typically involves loss of motor or sensory function
conversion disorder
34
dpression first line in kids
Fluoxetine is the SSRI of choice in children and adolescents
34
35
post c section at what date do you dliver another c section
Planned Vaginal birth after Caesarean (VBAC) is an appropriate method of delivery for pregnant women at >= 37 weeks gestation with a single previous Caesarean delivery
36
preterm prelabour rupture of membranes, what should be give
iM steriods
37
sickle cell managemetn indicated in ciriss
exchange transfusion indications include: acute vaso-occlusive crisis (stroke, acute chest syndrome, multiorgan failure, splenic sequestration crisis rapidly reduce the percentage of Hb S containing cells
38
polymyalgia rheumatica ck is normal what are other reuslts
ESR ↑, CRP ↑, anti-CCP normal, CK normal
39
Failure of adequate uterine contractions
uterine atony
40
are oral antifungals ci in preg so what do you give instead for cnadia
pessary
41
42
43
44
pseduomonas in CF what do you prescribe to treat
Prescribe oral ciprofloxacin
44
reduced foetal mvoemetn
handhled doppler 1st line then USS if no headbetat , if heartbeat then CTG
44
1st line tx for endometriosis
nsaid
45
Low serum calcium, low serum phosphate, raised ALP and raised PTH
osteomalacia
46
chronic sx in vestibular neurontis what do you give
vestibular rehab
47
contaception post birth
3week unless breasfeeding then 6 weeeks as woman takes longer to ovulate
48
consetn for child 1 or 2 parents
1
49
bowel colic palliative tx
hyoscine butylbromide
50
osteomalacia fatures of bone pain, waddling adn weka how do we treat
start vitamin D3 supplementation
51
is trimehtoprim saf ein preg
yes
52
causes of cyanosis in neonatal period how do yhey differ
tetralogy of Fallot (TOF) transposition of the great arteries (TGA) tricuspid atresia TOF - VSD 4 things total - Ejection systolic mumru tanposition - single s2 sun , prminent right ventrilce , egg on side
53
clomipramine is a TCA - what is side effects fo thsi
weight gain dry mouth blurred vsion UR
54
increased urianry freq and thirst side effects of what drug
lihtium
55
atypical endometrial hyperplasia tx
total hysterectomy with bilateral salpingo-oophorectomy,
56
acute haemolytic reaction
fluid resus and termiante transfusion
57
difference between anaplyxia and acute haemolutci reation
anaphlaxia - iga deficiecnt- low BP , wheezing and angioedem needing oxygen fluids and adrenaline acute haemolytic reaction - abo - fever abdo pain and low BP - stop - send blood and supportive care through fluid resus
58
chemo pts are at increased rate of what condtion to formation of urate
gout
59
CLL can change too
non-hodgkins
60
non hodgkins features compared to hodgkins
non-h - painless lyphadenopahtet , nin tender and rubbery b sx and extradnoldal disease h - alcohol induced pain b sx earlier
61
before starting rituximab what should pt be screened for
hep b
62
acute sinusitis when are steriods offered after pain relief and nasal decognestatns
10 days
63
ectopic pregnancies where are at increased risk of rupture
isthmus
64
how does lidocaine work
blocks Na channels
65
foetal heart beat on USS how should we manage ectopic
laproscopic surgery and surgical mx
66
first line OE
Topical antibiotics with or without steroid
67
dantrolene treats what
malignant hyperthermia
68
all post tonsillectomy haemorrhaes should be assessed by
ENT infectio - abx and admission
69
why do women with postiive preg test or cervical motion tenderness need to be assessed immedeiayty
rule out ectopic
70
Cyanosis or collapse in first month of life, hypercyanotic spells. Ejection systolic murmur at left sternal edge
tetrallogy of fallot
71
stressincontince mx
stress - gonna shit yourslef so need to do pelvic floor exercises to strenghtening - if dose not work - need dulex - duloxetine
71
expectant management is not suitable if evidence of infection or increased risk of haemorrhage in miscarriage so what do you do
dilation and curretaeg
72
whooping cough tx
macrolides if within 3 w
73
polycythaemia tx for reeduced thrombotic events
aspirin
74
itp tx
pred
75
what diabetic drugs can be taken as nomral during the whole peri-operative period
Surgery / diabetes: DPP IV inhibitors (-gliptins) and GLP-1 analogues (-tides) can be continued on the day of surgery
76
DIC is associated with what on film
schistocyts as microangiopathic haemolytic anaemia
77
how long should anti-depressants be continued following remission of sx
6 months
78
Dyskinetic cerebral palsy results from damage to the
basal ganglia and the substantia nigra
79
medial thalamus and mammillary bodies of the hypothalamus affected in
wernickes and korsakoffs( antero-retrogrdade amnesia)
80
ndifferent to praise or criticism, emotionally cold and has a lack of desire for companionshi
schizoid personality disorder Antisocial personality disorder is incorrect. Characteristics associated with antisocial personality disorder are failure to conform to social norms and laws, deception, impulsiveness, and aggressiveness. He does not have any of these features. avoidnt fear of rejection or critisicim schizotypal - odd beliefs
81
previous c section scar at - when should next c eciton be
37weeks
82
persistent foetal bradycardia, in the context of a frequency of contractions that is higher than expected. This represents a foetal compromise, what category c esction
30 mins cat 1
83
placenta preavia when do you rescarn after 20w scan
32w nd if still every 2 weeks then c section at 37-38
84
over 60 resp rate at any age
refer into hosp as abnormal
85
what alternative drug can be used in OCR for mod/severe OCD
For moderate/severe OCD, clomipramine may be used as an alternative first-line drug treatment to an SSRI if the person prefers clomipramine or has had a previous good response to it, or if an SSRI is contraindicated

Year 5 Random bits (2 decks)

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