Recalls 5

Question 1

What type of drug is methyldopa

Answer 1

Alpha 2 adrenergic AGONIST

Question 2

AGONISTS and ANTAGONISTS

Answer 2

Agonists:
Morphine (Mu)
Benzos (GABA)
Methyldopa (alpha 2 adrenergic)
Cabergoline (dopamine)
Mirabegron (B3 adrenergic)
Salbutamol (B1 and B2)

Antagonists:
Metoclopramide (dopamine)
Labetalol (A1and B1)
Atenolol (B1)
Tolterodine (muscarinic)
Ranitidine (H2)
Doxazocin (A1 adrenergic)

Question 3

What type of drug is Zidovudane

Answer 3

Reverse transcriptase inhibitor

Question 4

What is the main side effect of Dinoprostone

Answer 4

Fever

Question 5

What is the remnant of the mesonephric tubules

Answer 5

epoophoron

Question 6

Chromosome with centromere at one end?

Answer 6

It will be acrocentric because telocentric are nto available in humans

Question 7

Which molecules are transferred across the placenta by:

Active transport
Passive diffusion
Facilitated diffusion
Pinocytosis

Answer 7

Active transport - Amino acids, Ca/Phos/Mg, Iron/iodine
Passive diffusion - urea, oxygen/CO2, free fatty acids, water
Facilitated diffusion - glucose
Endocytosis - Pinocytosis is IgG

Question 8

With irregular cycles, how can you figure out when ovulation is

Answer 8

The luteal phase is always 14 days so in 25 day cycle it would be day 11

Question 9

Most likely kareotype for partial mole

Answer 9

XXY - more likely to be egg + 2 independant sperm than egg + sperm that duplicates

Question 10

Why not to give dextrose IV in HG

Answer 10

Increases demand for vitamin B1 with glucose administration so increases chance of Wericke’s encephalopathy

Question 11

What type of drugs are:

Cyclizine
Ondansetron
Metoclopramide
Prochlorperazine
Promethazine

Answer 11

Cyclizine - H1 antagonist
Ondansetron - serotonin antagonist
Metoclopramide - dopamine antagonist - H1 antagonist
Prochlorperazine - dopamine antagonist
Promethazine

Question 12

Process happening during pregnancy which means brest feeding can happen

Answer 12

lobular hyperplasia

Question 13

Contrast chancre and chancroid

Answer 13

Chancre - hard edges, painless

Chancroid - soft edges, painless

Question 14

When should the prophylactic and therapeutic doses of LMWH be stopped prior to regional anaesthesia

Answer 14

prophylactic - 12h

therapeutic - 24h

Question 15

Mode of inheritance for BRCA

Answer 15

AD

Question 16

What type of drug is:
neostigmine
Vidovudane
Warfarin/coumarin
Ramipril
Celeboxib
Aciclovir

Answer 16

Neostigmine - Anticholinesterase inhibitor
Vidovudane - Reverse transcriptase inhibitor
Warfarin - Vit K antagonist
Ramipril - ACE-i
Celeboxib - COX 2 inhibitor
Aciclovir - HSV specific thymadine kinase inhibitor

Question 17

Which aortic arch is the ligamentum arteriosum a remnant of

Answer 17

6th aortic arch

Question 18

How much millisievert is in CT chest vs CT abdo

Answer 18

CT chest - 7msv
Abdo CT - 10-15msv

Question 19

Regarding breech, what is the bitrochanteric diameter?

What are the diameters of Vertex, OP, Brow and face

Answer 19

10cm

Vertex = 9.5
OP = 11
Brow = 13
Face = 9.5

Question 20

What is the most common inherited bleeding disorder

Answer 20

VWD

Question 21

What does Parvovirus B19 cause

Answer 21

Fetal anaemia
Hydrops
9% risk of loss

Question 22

What is anaemia defined as in first, second and portpartum

Answer 22

First <110

Second <105

PP <100

Question 23

Label this

Answer 23

Question 24

What is evidence based medicine

Answer 24

Using current clinical evidence to treat individual patients

Question 25

What does hypothyroidism do to LH FSH and TSH

Answer 25

high TSH Low LH and FSH because low circulating levels of T3/4 lead to lower levels of those

Question 26

Which clotting factors do not change in pregnancy? Which ones decrease?

Answer 26

Do not change = 2,5,9 Decrease = 11,13

Question 27

Which cells secrete histamine and serotonin

Answer 27

Mast cells and Basophils

Question 28

Label this

Answer 28

Question 29

When is the incubation period and the infective period of VZV

Answer 29

Incubation - 10-21 days Infective - 2 days before the rash and until lesions crusted over

Question 30

What type of variable is gestational age

Answer 30

Interval

Question 31

Which is the safest type of electrical circuit in theatres

Answer 31

isolated

Question 32

What is the deep circumflex iliac artery a branch of? What about the superficial?

Answer 32

The external iliac artery The femoral artery

Question 33

Which essential amino acid not in omega 3 must be taken in via the diet

Answer 33

Histidine

Question 34

What is cervical cancer incidence in uk

Answer 34

1/3000

Question 35

What is used to determine receptor status of breast ca

Answer 35

immunohistochermistry staining

Question 36

What causes grey baby syndrome

Answer 36

chloramphenicol

Question 37

What is used for DNA amplofication

Answer 37

PCR

Question 38

What is the sensory supply to the cervix for a smear test

Answer 38

pelvic splanchnic

Question 39

What is the function of: DNA polymerase RNA polymerase Reverse transcriptase Helicase DNA ligase

Answer 39

DNA polymerase - DNA replication RNA polymerase - builds RNA from DNA Reverse transcriptase - converts RNA into DNA Helicase - unwind DNA and RNA DNA ligase - joins DNA fragments together

Question 40

What is the direct blood supply to the decidua?

Answer 40

Spiral arteries

Question 41

What is the component of the placental barrier at term

Answer 41

syncytiotrophoblast and endothelium

Question 43

Which neurotransmitter is secreted into the adrenal medulla

Answer 43

Acetylcholine

Question 44

What is type 1 an type 2 error

Answer 44

Type 1 = null hypothesis is correct and incorrectly rejected Type 2 = null hypothesis is incorrect and incorrectly accepted

Question 45

How do you work out the % of obese people if the mean is 25 and the SD is 5

Answer 45

Well the SD 1+- above and below the mean is 68%. Therefore between 20-30 is 68%. There is 32 outside of this and therefore 16% obese people

Question 46

In multiparous women with prolapse, which muscle is most likely to be injuryed

Answer 46

pubococcygeus

Question 47

Where is the primary site of ammonioa production

Answer 47

The liver

Question 48

What is the most common benign ovarian tumour

Answer 48

benign teratoma

Question 49

What level would you expect a ureteric stone to be if the patient has groin pain

Answer 49

pelvic brim - where it crosses the iliacs

Question 50

Which structure produces inhibin

Answer 50

Granulosa cells

Question 51

How do you work out the EDD from first day LMP

Answer 51

Start with first day LMP Add 1 year Minus 3 months Add 7 days