passmed facts

Question 1

why should cooked liver be avoided in pregnancy?

Answer 1

contains high levels of Vit A, a teratogen

Question 2

how many days until COCP, injection, implant, mirena take to work?

Answer 2

7 days

Question 3

how many days for POP to be effective?

Answer 3

2 days

Question 4

how many days for IUD to be effective?

Answer 4

instantly

Question 5

what is the first line treatment for menorrhagia for woman who doesn’t want kids?

Answer 5

mirena coil

Question 6

why is cooked liver avoided in pregnancy?

Answer 6

high levels of Vit A (teratogenic)

Question 7

what cancer does COCP increase risk of?

Answer 7

breast and cervical

Question 8

what cancer does cocp decrease risk of?

Answer 8

ovarian and endometrial

Question 9

what is the most common type of epithelial cell tumour in gynae?

Answer 9

serous cystadenoma

Question 10

which cyst, if ruptured, causes pseudomyxoma peritoniei?

Answer 10

mucinous cystadenoma

Question 11

do you investigate transient synovitis in child less than 3?

Answer 11

yes!

Question 12

which ssri in breastfeeding?

Answer 12

sertraline or paroxetine

Question 13

how is a termination done?

Answer 13

mifepristone and prostaglandins

Question 14

which conditions display anticipation?

Answer 14

huntington’s
fragile X
myotonic dystrophy
(trinucleotide repeats (except friedrich’s ataxia)

Question 15

what antibiotic for BV?

Answer 15

oral metronidazole

Question 16

what antibiotic for trichomonas vaginalis?

Answer 16

oral metronidazole

Question 17

what are the symptoms of trichomonas vaginalis?

Answer 17

musty frothy green discharge
erythematous cervix with pinpoint areas of exudation
(strawberry cervix)

Question 18

what causes ITP?

Answer 18

can be preceded by viral illness (self-limiting) such as EBV

Question 19

what is the first line treatment of PMS?

Answer 19

COCP

Question 20

what is the effect of tamoxifen on the endometrium?

Answer 20

tamoxifen increases risk of endometrial hyperplasia as it has pro-oestrogenic effects

Question 21

what is tamoxifen used for?

Answer 21

oestrogen receptor positive (ER+ve) breast cancer

tamoxifen has anti-oestrogenic effects on the breast, and pro-oestrogenic effects on the endometrium

Question 22

what medication is used to induce labour?

Answer 22

vaginal prostaglandin (PGE2)

Question 23

stepwise treatment approach for asthma in under 5?

Answer 23

1. salb
2. salb + ICS
3. salb + ICS + LTRA
4. refer to specialist

Question 24

stepwise treatment approach for asthma in over 5?

Answer 24

1. salb
2. salb + ICS
3. salb + ICS + LTRA
4. salb + ICS + LABA

Question 25

what is a loud single S2 sound associated with?

Answer 25

transposition of the great arteries

Question 26

what does pda murmur sound like?

Answer 26

continous, upper left sternal edge

Question 27

does cocp increase risk of brca as hrt?

Answer 27

yes adding progesterone to oestrogen increases risk progesterone alone does not increase risk in hrt

Question 28

how is fetal heartbeat assessed in a woman who can't feel baby moving?

Answer 28

handheld doppler

Question 29

which intracranial haemorrhage is the most common in neonates?

Answer 29

intraventricular

Question 30

which haemorrhage in shaken baby syndrome?

Answer 30

subdural haemorrhage

Question 31

what age do children hop on one leg?

Answer 31

3-4 years

Question 32

pectus excavatum, elfin features, PULM STENOSIS - what condition?

Answer 32

noonan's

Question 33

what is the most common cardiac pathology associated with duchenne's?

Answer 33

dilated cardiomyopathy

Question 34

which placental abnormality is associated with IVF?

Answer 34

placenta praevia

Question 35

overlapping fingers, rocker bottom feet, low set ears, what?

Answer 35

edward (18)

Question 36

what is the initial treatment for menorrhagia in woman with fibroids who doesn't want kids?

Answer 36

IUS (mirena)

Question 37

what age is palmar grasp?

Answer 37

5-6 months

Question 38

what age is drawing a circle?

Answer 38

3 years

Question 39

what age is building a tower of 3-4 blocks?

Answer 39

18 months

Question 40

how does maternal ITP affect neonate?

Answer 40

baby may require platelet transfusions

Question 41

what can cause haemorrhage in the newborn?

Answer 41

prolonged ventouse delivery causes cephalohaematoma/subgaleal haemorrhage

Question 42

is a single prolonged deceleration lasting for more than 3 minutes normal?

Answer 42

no

Question 43

would you admit a child with grunting to hospital?

Answer 43

must do

Question 44

what is the most common type of benign ovarian cyst?

Answer 44

follicular cyst

Question 45

how is scarlet fever rash described?

Answer 45

sandpaper | rough dry erythematous

Question 46

What age do children hop on 1 leg?

Answer 46

3-4

Question 47

how to differentiate between cephalohaematoma and caput succedaneum?

Answer 47

cephalohaematoma does not cross suture lines and develops after birth caput succedaneum does cross the suture lines and is present at birth

Question 48

how long does it take for caput succedaneum to resolve?

Answer 48

few days (does cross suture lines)

Question 49

how long does it take for cephalohaematoma to resolve?

Answer 49

few months (does not cross suture lines)

Question 50

does Caput Succedaenum Cross Suture lines?

Answer 50

yes