MCCQE1 Questions and answers |
Updated RATED A+| NEW EDITION
Fitz-Hugh-Curtis syndrome - answer- Perihepatic infection which results in liver capsule
(aka Glisson's capsule) inflammation from pelvic infections such as gonorrhea &
chlamydia
Rocephin - answer- Ceftriaxone 125mg
Koilocytosis - answer- Nuclear enlargement with atypical peri nuclear halo
Cefixime - answer- Fixime 400mg
Fixime 400mg - answer- Cefixime
U wave represents - answer- repolarization of the purkinje fibers. Seen in 1)
Hypokalaemia. 2) Hypercalcaemia. 3) Thyrotoxicosis. 4) Digitalis use. 5) anti
arrhythmics.
Absolute Contradictions to HRT - answer- A - acute liver disease. B - Bleeding,
undiagnosed. C - Cancer of breast or uterus. D - DVT or PE
procidentia - answer- Complete protrusion of uterus through vagina
Krukenberg tumor - answer- Metastatic tumor (usually GIT or breast) to ovaries.
"Signet-ring" cells.
CIN - answer- cervical intraepithelial neoplasia
CIN I - answer- low grade squamous intra-epithelial lesion (LSIL)
LSIL - answer- Low grade squamous intra-epithelial lesion (CIN I = Cervical
intraepithelial neoplasia)
HSIL - answer- high-grade squamous intraepithelial lesion (CIN II OR III = Cervical
intraepithelial neoplasia)
ascus - answer- atypical squamous cells of undetermined significance
AGUS - answer- Atypical Glandular Cells of Undetermined Significance
CIS - answer- carcinoma in situ
,LEEP - answer- loop electrosurgical excision procedure
Which cervical lesions can you repeat PAP in 6 months? - answer- ASCUS or CIN I
(LSIL) . Rest require colposcopy
Shagreen patches - answer- Dark leathery (orange-peel) patches on lower back. Found
in tuberous sclerosis. A genetic neuroproliferative disorder.
acrochordons - answer- "skin tags"; overgrowths of normal skin that form a stalk and
are polyp-like
Stein-Leventhal syndrome - answer- PCOS
Crede's manouver - answer- Fundal pressure to assist with delivery
Johnson's manouver - answer- Post partum prolapsed uterus. Fist on fundus, pushing
up through vagina. Hold fist in place until uterine contraction is felt.
O'Sullivan's technique - answer- Postpartum uterine prolapse. Warm saline is poured
into the vagina to create increased hydrostatic pressure to force the uterus back into the
pelvic area.
Chandelier sign - answer- Positive Cervical excitatory tenderness (CET) (I.e. PID)
Tocolysis - answer- Anti-uterine contraction. (Greek toko = childbirth and lysis -
loosening)
Chadwick's sign - answer- Bluish purple discoloration of the cervix, vagina, and labia
during pregnancy as a result of increased vascular congestion. (6 weeks)
Hegar's sign - answer- softening of the lower uterine segment or isthmus (6-8 weeks)
Goodell's sign - answer- softening of the cervix and the vagina caused by increased
vascular congestion (4-6 weeks)
Kleihauer-Betke Test - answer- Quantifies fetal cells in maternal circulation so
appropriate dose of Rhogam can be given in Rh negative mothers
Placenta accreta - answer- Placenta invades At myometrium
Placenta Increta - answer- Placenta invades Into myometrium
Placenta Percreta - answer- Placenta invades Passing through myometrium
Dystocia - answer- Abnormal progression of labour
, Cleidotomy - answer- Deliberate fracture of clavicle (to aid in shoulder dystocia delivery)
Zavanelli maneuver - answer- Replacement of fetus into uterine cavity followed by
Caesarian section
Brant maneuver - answer- Firm traction on umbilical cord with opposite hand applying
Supra public pressure to prevent uterine prolapse.
Lochia - answer- Normal post partum vaginal discharge (rubric -> serous -> alba. Foul
odor = infection)
Keinbock's Disease - answer- Avascular necrosis of the lunate carpal bone
Mobius Syndrome - answer- Congenital paralysis of face (Stone face) +/- limb defects
due to intrauterine Misoprostol exposure (possibly BZD too)
Indications for caesarean - answer- CAMPO PVP CAMP (CaCx/Active HSV/Maternal
comps eg eclampsia or AFLP/Previous uterine Surgery/Obstruction//Placenta Previa/
Veno Previa/ Placenta Abruptio/ Congenital abn's/Abnormal heart rate
<110or>160/Malpresentation/Prolapsed cord
Maternal mortalities in Pregnancy - answer- BEACHES
(Bleeding/emboli-thrombotic/amniotic embolism/Cardiac/HELLP/Ectopic
Pregnancy/Sepsis/Stroke
Pre-eclampsia/eclampsia adverse signs - answer- DROPCHILD = D - DBP>100{>110}.
R - Renal comp (urine<500). O - Oligohydramnios. P - Proreinuria {3-5g}. C - CVA. H-
HELLP (Haemolysis, Elevated liver enzymes and low platelets). I - IUGR. L - Left
Ventricular Failure. D - DIC
CHARGE Syndrome - answer- Congenital Abnormality = C - Coloboama, H - Heart
abnormality, A - Atresia choanae. R - Retarded mentally, G - Genital abnormalities, E -
Ear malformations
Mentzer's index - answer- In microcytic hypochromic anaemia, the MCV:RBC ratio > 13
= iron deficiency and < 13 = Thalassemia
Burton line - answer- Lead poisoning - Thin grey/blue line found on edge of gums
WAGR syndrome - answer- Wilms' Tumour, Aniridia, Genital anomalies and Retardation
(Mental)
Beckwith-Wiedemann syndrome - answer- Wilms' tumour + enlargement of body
organs, hemihypertrophy, renal medullary cysts and adrenal cytomegaly.
Updated RATED A+| NEW EDITION
Fitz-Hugh-Curtis syndrome - answer- Perihepatic infection which results in liver capsule
(aka Glisson's capsule) inflammation from pelvic infections such as gonorrhea &
chlamydia
Rocephin - answer- Ceftriaxone 125mg
Koilocytosis - answer- Nuclear enlargement with atypical peri nuclear halo
Cefixime - answer- Fixime 400mg
Fixime 400mg - answer- Cefixime
U wave represents - answer- repolarization of the purkinje fibers. Seen in 1)
Hypokalaemia. 2) Hypercalcaemia. 3) Thyrotoxicosis. 4) Digitalis use. 5) anti
arrhythmics.
Absolute Contradictions to HRT - answer- A - acute liver disease. B - Bleeding,
undiagnosed. C - Cancer of breast or uterus. D - DVT or PE
procidentia - answer- Complete protrusion of uterus through vagina
Krukenberg tumor - answer- Metastatic tumor (usually GIT or breast) to ovaries.
"Signet-ring" cells.
CIN - answer- cervical intraepithelial neoplasia
CIN I - answer- low grade squamous intra-epithelial lesion (LSIL)
LSIL - answer- Low grade squamous intra-epithelial lesion (CIN I = Cervical
intraepithelial neoplasia)
HSIL - answer- high-grade squamous intraepithelial lesion (CIN II OR III = Cervical
intraepithelial neoplasia)
ascus - answer- atypical squamous cells of undetermined significance
AGUS - answer- Atypical Glandular Cells of Undetermined Significance
CIS - answer- carcinoma in situ
,LEEP - answer- loop electrosurgical excision procedure
Which cervical lesions can you repeat PAP in 6 months? - answer- ASCUS or CIN I
(LSIL) . Rest require colposcopy
Shagreen patches - answer- Dark leathery (orange-peel) patches on lower back. Found
in tuberous sclerosis. A genetic neuroproliferative disorder.
acrochordons - answer- "skin tags"; overgrowths of normal skin that form a stalk and
are polyp-like
Stein-Leventhal syndrome - answer- PCOS
Crede's manouver - answer- Fundal pressure to assist with delivery
Johnson's manouver - answer- Post partum prolapsed uterus. Fist on fundus, pushing
up through vagina. Hold fist in place until uterine contraction is felt.
O'Sullivan's technique - answer- Postpartum uterine prolapse. Warm saline is poured
into the vagina to create increased hydrostatic pressure to force the uterus back into the
pelvic area.
Chandelier sign - answer- Positive Cervical excitatory tenderness (CET) (I.e. PID)
Tocolysis - answer- Anti-uterine contraction. (Greek toko = childbirth and lysis -
loosening)
Chadwick's sign - answer- Bluish purple discoloration of the cervix, vagina, and labia
during pregnancy as a result of increased vascular congestion. (6 weeks)
Hegar's sign - answer- softening of the lower uterine segment or isthmus (6-8 weeks)
Goodell's sign - answer- softening of the cervix and the vagina caused by increased
vascular congestion (4-6 weeks)
Kleihauer-Betke Test - answer- Quantifies fetal cells in maternal circulation so
appropriate dose of Rhogam can be given in Rh negative mothers
Placenta accreta - answer- Placenta invades At myometrium
Placenta Increta - answer- Placenta invades Into myometrium
Placenta Percreta - answer- Placenta invades Passing through myometrium
Dystocia - answer- Abnormal progression of labour
, Cleidotomy - answer- Deliberate fracture of clavicle (to aid in shoulder dystocia delivery)
Zavanelli maneuver - answer- Replacement of fetus into uterine cavity followed by
Caesarian section
Brant maneuver - answer- Firm traction on umbilical cord with opposite hand applying
Supra public pressure to prevent uterine prolapse.
Lochia - answer- Normal post partum vaginal discharge (rubric -> serous -> alba. Foul
odor = infection)
Keinbock's Disease - answer- Avascular necrosis of the lunate carpal bone
Mobius Syndrome - answer- Congenital paralysis of face (Stone face) +/- limb defects
due to intrauterine Misoprostol exposure (possibly BZD too)
Indications for caesarean - answer- CAMPO PVP CAMP (CaCx/Active HSV/Maternal
comps eg eclampsia or AFLP/Previous uterine Surgery/Obstruction//Placenta Previa/
Veno Previa/ Placenta Abruptio/ Congenital abn's/Abnormal heart rate
<110or>160/Malpresentation/Prolapsed cord
Maternal mortalities in Pregnancy - answer- BEACHES
(Bleeding/emboli-thrombotic/amniotic embolism/Cardiac/HELLP/Ectopic
Pregnancy/Sepsis/Stroke
Pre-eclampsia/eclampsia adverse signs - answer- DROPCHILD = D - DBP>100{>110}.
R - Renal comp (urine<500). O - Oligohydramnios. P - Proreinuria {3-5g}. C - CVA. H-
HELLP (Haemolysis, Elevated liver enzymes and low platelets). I - IUGR. L - Left
Ventricular Failure. D - DIC
CHARGE Syndrome - answer- Congenital Abnormality = C - Coloboama, H - Heart
abnormality, A - Atresia choanae. R - Retarded mentally, G - Genital abnormalities, E -
Ear malformations
Mentzer's index - answer- In microcytic hypochromic anaemia, the MCV:RBC ratio > 13
= iron deficiency and < 13 = Thalassemia
Burton line - answer- Lead poisoning - Thin grey/blue line found on edge of gums
WAGR syndrome - answer- Wilms' Tumour, Aniridia, Genital anomalies and Retardation
(Mental)
Beckwith-Wiedemann syndrome - answer- Wilms' tumour + enlargement of body
organs, hemihypertrophy, renal medullary cysts and adrenal cytomegaly.
