Stuff I have got wrong is the past 3 Flashcards
(39 cards)
Which HRT increases the risk of breast cancer the most?
Combined HRT
not oestrogen only
What is the most common cause of necrotising fasciitis?
Strep pyogenes
What is the MOST common complication from surgery to remove a fibroid?
Adhesions
What is used to highlight abnormal cervical cells during colposcopy?
Acetic acid
What nerves does chant Marie tooth affect?
PNS/ lower motor neurones
sx = weakness, high foot arches, LMN signs
What nerves does hereditary spastic paraparesis affect?
Upper motor neurone
sx = spasticity, hyperreflexia and gait disturbance
What percent occlusion should carotid endarterectomy be performed?
> 50% + symptoms of stroke
What is the likely STI if 6 polymorphs are seen on microscopy?
Chlamydia (if no -ve diplococci to suggest gonorrhoea then assume chlamydia)
When should a referral to a fertility service be made if a couple is having difficulty conceiving?
- Under 35 = 12 months
- Over 35 = 6 months
How is recurrent thrush treated?
- Induction regime = fluconazole every 3 days for 3 doses (1 dose every 3 days)
- Maintenance = weekly fluconazole for 6 months
What is a blood finding in anorexia nervosa (5)?
- Raised serum cholesterol
- Raised growth hormone
- Raised cortisol
- Low sex hormone levels
- Deranged electrolytes (most are low)
What is the most common benign brain tumour in children?
(Pilocytic astrocytoma)
What antibiotic most commonly reduces the seizure threshold?
Ciprofloxacin
What two hormones can be given to treat turners syndrome?
- Growth hormone (somatotropin) - to increase growth
- Oestrogen - secondary sexual characteristic
What is the imaging for orbital cellulitis?
CT orbit with contrast
What is the likely metabolic disturbance seen in hyperventilation?
Hypocalcaemia
often found in panic attacks
How should mild postnatal depression be managed initially?
Psychological therapy first, then SSRIs
What is klumpkes palsy?
Injury to lower brachial plexus + horners syndrome
often due to forced abduction of arm
What is the lesion associated with INO (e.g. if the person looks to the right and only their right eye can look that way - their left eye can’t adduct - what and where is the associated lesion)?
Left medial longitudinal fasciulus
*so ipsilateral to the eye unable
What is the first line investigation for non suspicious menorrhagia in a young woman?
FBC
What condition is associated with bilateral vestibular schwannomas?
Neurofibromatosis 2
What severe skin reaction is allopurinol known to cause?
Stevens johnson syndrome
If you vomiting within what time period requires emergency contraception to be taken again?
Within 3 hours
How should those with secondary dysmenorrhoea be managed?
Referral to gynaecology
