2018 CAP

Question 1

spirometry of asthma

Answer 1

all decreased excepy FVC

Question 2

24 female asthmatic becomes increasingly breathless and wheezy and requires her reliever 4 times on most days and on at least 3 nights per week with coughing. She is taking salbutamol only. Serial peak flow measurement shows 30% diurnal variability what is the management

Answer 2

inhaled corticosteroids

Question 3

50 year old female comes to ED with palpitations, anxious and sweaty, smokes 10-15 cigarettes a day an is on no regular medication. Normal examination. HR 170bpm, BP -115/70 mmHg. T waves inverted after the QRS complex, QRS complicit duration is 100 ms ho who you manage

Answer 3

valsalve manuerve

Question 4

muscle which is crossed on its anterior surface by the ureter

Answer 4

psoas major

Question 5

muscle stimulated to construct by nerve fibres within the pelvic splanchnic nerves

Answer 5

detrusor

Question 6

parasympathetic nerves stimulate

Answer 6

smooth muscle

Question 7

how is norovirus detected

Answer 7

PCR stool

Question 8

pre malignant change with discoloured growth

Answer 8

neoplasia

Question 9

a 25 year old man with a short history of severe epigastric pain and vomiting, tender right upper quadrant with guarding but is able to walk to the toilet unaided he has no contraindications to an MI - what is the investigation of choice and sudupected diagnosis

Answer 9

erect CXR and hollow viscus perforation

Question 10

the artery is located inferior to the retroinguinal space

Answer 10

femoral