paper 2 didn't know Flashcards by zoe coyne

aplastic crisis in sickle cell

sudden fall in haemoglobin
caused by infection with parovirus
bone marrow suppression causes a reduced retic count

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sequestration crisis

sickling within organs (spleen, lungs) causes pooling of blood with worsening anaemia
- increased retic count

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metformin before surgery

if taken once or twice a day - take as normal

if taken 3 times a day - omit lunchtime dose

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when should warfarin be stopped

5 days before surgery
- check INR day before surgery
- give oral vit K if INR >=1.5

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methotrexate antidote

folinic acid

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low lying placenta found at 20 week scan?…

rescan at 32 weeks

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what imaging should children with kawasaki disease get

echocardiogram

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first line antibiotic for otitis media

amoxicillin

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which UTI drug can’t be given in breastfeeding

nitrofurantoin

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what is Z score adjusted for

age
gender
ethnic factors

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what muscles are wasted in carpal tunnel

THENAR eminence

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when should serum progesterone be taken for infertility checks

7 days before period

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when can ulipristal acetate be used

5 days of UPSI

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when can levonorgestrel be used

within 3 days

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copper coil - when can be used as emergency contraception

5 days?

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fasting glucose over 7 in pregnancy

INSULIN

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what is letrozole

an aromatase inhibitor

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when can a child with scarlet fever return to school

24 hours after antibiotics

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tympanic membrane in glue ear

retracted

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The management of acute chest syndrome in sickle cell disease includes

pain relief
oxygen therapy
antibiotics
transfusion

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Mx of intussusception

air insufflation

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indications for induction of pregnancy

prolonged pregnancy, e.g. 1-2 weeks after the estimated date of delivery
prelabour premature rupture of the membranes, where labour does not start
maternal medical problems
diabetic mother > 38 weeks
pre-eclampsia
obstetric cholestasis
intrauterine fetal death

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what age can a child be prescribed methylphenidate for ADHD

5 years

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is obesity a risk factor for osteoporosis

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T score results

between -1 and -2.5 indicates osteopenia less than -2.5 indicates osteoporosis

when do you get dynamic hip screw

STABLE intertrochanteric fracture

what needs to be monitored throughout treatment with magnesium sulphate

reflexes and resp rate

what is the diagnostic imaging for a breast lump in under 35

ultrasound in over 35 it's mammogram

diagnosis of spinal stenosis

MRI - to confirm and exclude other scary causes like malignancy

breast feed on anti-epileptics?

yes

presentation of a ductal papilloma

- young patients - blood stained discharge - usually no palpable lump

presentation of mammary duct ectasia

- Dilatation breast ducts. - Most common in menopausal women - Discharge typically thick and green in colour - Most common in smokers

at how many weeks of no movement should a referral be made to maternal med

24 weeks

Mx autoimmune haemolytic anaemia

steroids +/- rituximab

name a dopamine agonist

ropinirole

what are rasagiline and selegiline

used to manage parkinson's when co-beneldopa doesn't work - MOA-B inhibitors

what tests for down's syndrome should be done between weeks 11-14

nuchal translucency serum b-hcg PAPP-A

when can the quadruple test for downs be done

between 15-20

how many days of flucloxacillin for mastitis

how do you manage the irregular bleeding from implant

3 month course of COCP

most common cause of discitis

stapha aureus

is smoking a risk factor for hyperemesis gravidarum

no - it decreases the risk

whats a blast cells

immature granulocyte - myeloid line

time until all contraceptions effective

instant: IUD 2 days: POP 7 days: COC, injection, implant, IUS

x-ray features of ank spond

sacroiliitis: subchondral erosions, sclerosis squaring of lumbar vertebrae 'bamboo spine' (late & uncommon) syndesmophytes: due to ossification of outer fibers of annulus fibrosus****

rules around flight and pregnancy

single - > 37 weeks = no twin - > 32 weeks = no

school exclusion for hand foot and mouth disease?

PHQ-9 score of < 16 - first line medication

less severe depression - guided self help

PHQ-9 score of > 16 - first line medication

CBT and an antidepressant

presentation of tumour lysis syndrome

- hyperkalaemia - hyperphosphataemia - hyperuricaemia - hypocalcaemia - acute renal failure

labour with intrahepatic cholestasis of pregnancy

increases the risk of stillbirth; therefore induction of labour is generally offered at 37-38 weeks gestation

what's the most common cause of bacterial otitis media

haemophilus influenza

first line management otitis externa

topical antibiotic with a steroid

Mx beta thal major

repeated transfusion - this can cause iron overload - so much also give desferrioxamine

what does desferrioxamine do

removes iron from the body

how many ann arbor stages are there

most common complication of TOP

infection

what comes before the rash in roseola infantum

fever

x-ray signs of ankylosing spondylitis

S's - sacroiliitis - squaring - syndesmophytes - subchondral erosions - sclerosis

what does positive HiNTs exam mean

its positive when the examiner shakes the patients head and they get a corrective saccade (like nystagmus) VERSTIBULAR NEURITIS if negative then posterior circulation stroke

which lung cancer is found peripherally

adenocarcinoma

what investigation should be done for all patients with suspected rheumatoid arthritis

X-rays of the hands and feet

is rheumatoid ANA positive

reversal agent for dabigatran

idarucizumab

protective factors for endometrial cancer

- multiparity - COCP - smoking

when do rhesus negative women get their anti-D

28 and 34 weeks

child under 3 months with a UTI?

refer immediately to hospital

what does expectant management for ectopic involve

safety netting advice and ask to return in 48 hours for b-hCG levels

patient with CF presents with: steatorrhoea, weight loss despite good appetite, vitamin deficiencies management?

pancreatic enzyme replacement therapy

which leukaemias have most splenomegaly

CML and CLL can happen in ALL and AML but not as often and not as big | maybe don't trust this

management of seborrhoic dermatitis in babies (cradle cap)

baby shampoo and baby oil

when can you not use an IUS in fibroids

if its distorting the uterine cavity

first line Mx menorrhagia in fibroids

IUS (first line) tranexamic acid COCP

knee locking and giving way

meniscal tear

acl tear presentation

popping noise/sensation and rapid swelling od the knee lateral knee and joint line tenderness

first line med for anxiety

sertraline

paper 2 didn't know Flashcards

(77 cards)