plab other mock Flashcards
(28 cards)
rhesus -ve mum
-had many antepartum bleedings in prev pregnancy (already sensitised)
-in this pregnancy fetus has reduced foetal movements at 33 weeks
-what investigation you doing
assess fetal middle cerebral artery on US
-allows estimation of fetal haemoglobin concentrations and therefore severity of fetal anaemia
US abnormal then can do fetal cord blood sampling
investigations for seondary PPH
-High vaginal swab (rule out endometritis)
-Bloods GBC + CRP
-TVUS if suspected retained products of conception
antibiotic endometritis
co amoxiclav
gentamycin + clyndamycin
OR
Gent + cefotaxime + metranidazole
investigation for cervical polyps or ectropian that causes bleeding
colposcopy
good anaesthetic to use if respiratory compromise?
spinal
patient has high pCO2, low bicarb, normal paO2
PH acidotic
BP 100/50
pulse 120 bpm
-what you gonna do next
increase ventilation
-can help blow off some more CO2
when would a child need treatment for burns?
if >10% total body surface burned
when would you use cyclical (sequential) HRT
peri menopausal (had period less than a year ago)
what clotting factors does prothrombin complex contain
II, VII, IX and X
parkinsons patient develops nausea + vomiting
which is best antiemetic?
-Metoclopromide
-Haloperidol
-Prochlorperazine
-Cyclizine
-Domperidone
Cyclizine
-the others all work on dopamine receptor
Cyclizine is a H1 antagonist and so is safe
if cyclizine not available can use levomepromazine
ileus vs mechanical bowel obstruction sounds
ileus= completely absent bowel sounds
mechanical bowel obstruction= early will have high pitched bowel sounds
WPW ECG changes
-delta waves
-pre excitation pattern
-prolonged QRS
-shortened PR
what fractures require a collar and cuff sling?
-fracture of clavicle or humerus
-Supracondylar fracture
-Radial head or neck fracture
what injuries get a high arm sling/ broad arm sling?
injuries to fingers, hand, wrist or distal forearm
what is a case- control study
observational study (no intervention put in place to alter course of disease)
compares patients who already have a disease or outcome of interest (case) with patients eho do not have the disease or outcome (control) and looks back retrospectively to compare risk factors present in each group
helping determine the relationship between risk factor and disease
testing for genital herpes
PCR (viral swab) for herpes simplex virus
management of palliative cancer induced bone pain?
1st= radiotherapy
2nd= biphosphonates + NSAIDs
what is a statistically significant P value?
<0.05
-above o.o5 means that the study could not reliably compare the 2 drugs
safe laxatives in pregnancy?
Ispaghula= 1st line
Lactulose (osmotic- hard stools)
Senna (stimulant- soft stool difficult to pass)
most common nerve injured in fracture of acetebulum
sciatic
antibodies in drug induced lupus (someone on TB treatment)
anti histone
latin name scabies
sarcoptes
investigations for hearing <6 months
1st= Otoacoustic emssions (OAE)
-this is done to all newborn babies in uk
OAE abnormal or normal and parents still have concners= Audiological brainstem response (ABR)
investigations for hearing 6-18 months
Distraction testing
