Y4 Zero to finals mix 3 Flashcards

(102 cards)

1
Q

Adrenarche

A

1st stage of pubic hair development

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2
Q

Scarlet fever symptoms

A

Torso sandpaper rashSpares soles and palmsBack to School 24h post starting Abx

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3
Q

Impetigo School

A

No School until crusted over

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4
Q

Necrotising enterocolitis signs

A

Rigler sign| Football sign

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5
Q

Kawasaki tx

A

Aspirin, IVIG

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6
Q

Viral ilness + purpura

A

Idiopathic thrombocytopenic purpura

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7
Q

Newborn Hearing tests

A

Otoacoustic emission test| Auditory brainstem response tezt

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8
Q

Dehydration fluids

A

Maintenance + 50ml/kg over 4h

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9
Q

Fragile X syndrome

A
X linked dominant Elongated face Protruding earsOtitis mediaMacrocephalyLearning difficulty
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10
Q

Vesicoureteric reflux ix

A

Micturating cystourethrogram

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11
Q

Noonan syndrome

A

Webbed neck| Pectus excavatum

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12
Q

Patau syndrome

A

Small eyes| Polydactyly

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13
Q

Asthma paeds tx

A

SABASABA + ICSSABA + ICS + LTRASABA + ICS + LABA

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14
Q

Formuła baby allergy

A

1) Extensive hydrolysyed formuła| 2) amino acid formuła (CMPA severe)

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15
Q

Congenital diaphragmatic hernja

A

Displaced apex beat + decreased się entry + scaphoid abdomen

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16
Q

Achondroplasia

A
Short statuę ADshort limbs and fingers Large head Trident hands
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17
Q

Distended abdo + bilious vomiting

A

Intestinal malrotation

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18
Q

Threadworm tx

A

Mebendazole

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19
Q

William syndrome

A
Elf faceFriendlySocialShirt statureElongated philtrum
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20
Q

Pyloric stenosis ABG

A

Hypochloremic hypokalemic metabolic alkalosis

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21
Q

Newborn resuscitation

A
Dry beboAssess tone RR HR5 Inflantom breathsReasses<60bpm 3:1
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22
Q

Whooping cough tx

A

Clarithromycin/azithromycin/erythromycinNo School for 48h on AbxOr 21 days - if No treatment

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23
Q

Kocher criteria for septic arthritis

A

> 38.5Can’t weight bearWBC >12 ESR >40

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24
Q

ADHD drugs

A

Methylphenidate (stunted growth)| Lisdexamohetamine

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25
Girl with haemophilia
Turner syndrome
26
Bebo laxatives
MovicolMovicol + SennaSenna + Lactulose/Docusate
27
Nephrotic syndrome
Proteinuria 1g/m3 Hypoalbuminaemia <25g/LOedema
28
Shaken baby syndrome
Retinal haemoorhage Subdural hematomaEncephalopathy
29
GORD bebo tx
2 week alginate therapy| 4 week omeprazole trial
30
Scarlet fever vs Kawasaki
Scarlet: phenoxymethylpenicillin and DOES NOT AFFCT CONJUNCTIVA AND LIPS
31
Triceps reflex
C7| Radial nerve
32
Stills disease
Pink rashJoint PainFever Increased Serum Ferritin and LeukocytesNegative RF, ANA
33
Hip fx staging
I stableII complete, undisplacedIII displaced (AVN)IV complete disruption of bone (AVN)
34
Brown sequard syndrome
Ipsilateral paralysis and propioception loss| Contralateral Pain and temp
35
Osteonyelitis in sickle cell
Salmonella
36
Reactive arthritis skin lesions
Circinate balanitis| Keratoderma blenorrhagica
37
Ehlers Danlos syndrome
```AD connective tissue Increased skin elasticityJoint hypermobolity Aorthic regurgPectum excavatum```
38
Biceps attachments
Long tendon: glenoid| Short tendon: coracoid
39
Anti phospholipid syndrome
```VTEfoetal lossThrombocytopeniaRaised APTTlivedo reticularis```
40
Simmonds triad
Test for Achilles rupture PalpationSqueezeDeclination at rest
41
Osteogenesis imperfecta / brittle bone disease
```ADType 1 collagen abnormalityBlue scleraDeafnessNormal bloods!!!```
42
Compartment syndrome pressure
20mmHg abnormal| 40mmHg diagnostic
43
Methrotrexate and other drugs
Do not give with co-trimoxazole or trimethoprin: causes bone marrow surpression
44
Osteomalacia
Raised ALP| Low Ca, PO
45
Pott’s fx
Bimalleolar fx| Eversion foot
46
Monteggia fx
Ulnar fxFOOSHProximal radioulnar joint dislocation
47
Galeazzi fx
FooshDistal radioulnar jointRadial shaft fx
48
Drugs that induce lupus
IsoniazidPhenytoinHydralazine
49
Mirtazapine
NaSSA| increased sedation and appetite
50
Smoking cessation drug
Bupropion
51
GAD tx
1) SSRI2) SSRI/SNRI3) Pregabalin
52
Panic disorder tx
CBT or SSRI| End step: clomipramine/imipramine
53
Othello syndrome
Delusional jealousy that partner is unfaithful
54
Dystonic reactions and tx
TorticollisDysarthiaOculogyric crisisTx Procyclidine
55
Adolescent/children SSRI
Fluoxetine
56
New onset psychosis ix
CT head
57
Torticollis
Wry neck Sustained muscle contraction Neck hyperextension
58
Oculogyric crisis
Upward eye deviation| Clenched jaw
59
PTSD symptoms
>4 weeks<4w is Acute stress reactionHyperarousalRe experiencingAvoidance of remindersEmotional numbing
60
Treatment of PTSD
Trauma focused CBTEMDRVenlafaxine/SSRI/Risperidone
61
OCD tx
CBT| ERP exposure and response prevention
62
Conversion dislrder
Drop arm test| Psych stress manifested as physical symptoms
63
Dissociative disorder
Erasing certain disorders
64
Tardive dyskinesia tx
Tetrabenazine
65
Flight of ideas
Leaps from one topic to another but with link
66
Knights move thinking
No asdociations between ideas
67
grief stages
```DenialAngerBargainingDepressionAcceptance```
68
Capgras syndrome
Pt believe someone significant in life has been replaced by imposter
69
Fregoli syndrome
Pt believes multiple people are one person changing appearance
70
Circumstantiality vs tangentiality
Wonder off but circumstaniality DOES RETURN TO QS/TOPIC
71
Clang assoc
Topics are related by sounding familiar
72
Clerambault syndrome
Delusions someone famous is in love with them
73
Wernickes
NystagmusOphthalmoplegiaAtaxia
74
Korsakkofs syndrome
Confabulation| Anterograde/retrograde amnesia
75
Paranoid personality
SensitiveUnforgivingQuestions loyalty
76
Schizoid prrsonality disorder
Lack of interest, indifference| Negative symptoms schuzoprenia
77
Schizotypal
Magical weird thinking
78
Clozapine se
```If >48h missed, must be retitratedReduce dose if stopped smokingReduce seizure thresholdHypersalivationConstipationAgranulocytosis/neurtropemia```
79
Central Vision loss
Age related macular degeneration
80
Peripheral Vision loss
Primary open angle glaucoma
81
Retinal detachment symptoms
Peripheral curtain over VisionSpider websFloaters and Flashing lightsStraight lines appear curved
82
Flashers and floaters
Vitreous detachment
83
Red saturation Vision
Vitreous haemorrhage
84
Red desaturation
Optic neuritis
85
Retinal detachment
Flashers and floaters
86
Acute angle closure glaucoma tx
IV acetazolamide
87
Global aphasia
No speech, no comprehension
88
Conductive aphasia
Fluent speech and comprehensionAware of errors Poor repetition
89
MCA Broca’s aphasia
No speech but comprehension (expressive)
90
MCA Wernicke’s area
Speech but no comprehensionReceptive Word salad, neologisms
91
Normal pressure hydrocephalus
Urinary incontinence + gait + dementia
92
Cushing triad
Raised ICPraised pulse pressure + bradycardia + irregular breath
93
Brain abscess
IV cephalosporin and metronidazole
94
Anterior circulation infarct
Total 3Partial 2Unilateral hemiparesisHomonymous hemianopiaDysphagia
95
Otitis externa in diabetics
Ciprofloxacin for pseudomonas
96
Audio gram
```1) anything below 20? NO normal, YES step 22) is there a gap between air and bone?YES conductive/mixed, NO sensorineural3) one or both below 20? ONE conductive, BOTH mixed```
97
Burns fluids
% surface area x weight x 41/2 administered in 8h
98
Curlings ulcer
Stress ulcer causing haematmesis
99
Guttae psoriasis vs Pityriasis rosacea
Guttae (strep throat, tear drop rash, 2-3mth resolve) Pityrasis (resp/viral infection, Herald patch, 6 weeks resolve)
100
India ink stain
Cryptococcus neoformans| in HIV
101
CMV treatment
Gancyclovir or Valgancyclovir
102
Toxoplasma gondii tx
Sulphadiazine and pyrimethamine