AFT 2021 Flashcards

1
Q

Which nerve supplies the medial rectus?

A

3rd cranial nerve

SO4 LR6 AO3

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2
Q

Say the eye thing

SO4…..

A

SO4 LR6 AO3

A O Three= Ayy Oi See

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3
Q

Investigation for green bilious vomit in newborn? Investigation please

A

Plain film abdo xray

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4
Q

Possible diagnosis in green bilious vomit in newborn? (2)

A

Malrotation

Volvulus

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5
Q

Classical presentation of pyloric stenosis? (3)

A

Projective vomiting (pyloric-> projectile)
Constipation
Hungry child

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6
Q

When is a child most likely to be affected by pyloric stenosis?

A

Birth- 6 months old

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7
Q

First line investigation in hungry, constipated, projectile vomiting newborn?

A

Ultrasound scan (demonstrates thickened pylorus)

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8
Q

Which nerve lies in close association with the roots of the lower wisdom teeth?

A

Inferior alveolar nerve

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9
Q

Following hip surgery:

No straight leg raise & can’t move hip, but distal sensation and movement normal. Diagnosis?

A

Hip dislocation

patient possibly non-compliant with instruction to remain immobile

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10
Q

Recommended intervention for choking baby?

A
Chest thrusts 
(not abdominal as in adult)
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11
Q

What is the most sensitive technique when looking for chromosomal imbalance?

A

Array Comparative Genomic Hybridisation

ie Array CGH

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12
Q

Most likely cause of new onset double vision in healthy patient following trauma from a punch?

A

Blow out fracture

fractured orbit traps inferior orbital tissue-> diplopia

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13
Q

Gradual painless loss of vision in both eyes, red reflexes diminished, elderly. Diagnosis?

A

Cataract (duh)

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14
Q

Distorted vision followed by sudden painless loss of central vision, elderly. Diagnosis?

A

Wet ARMD

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15
Q

What is required in an open fracture?

A

Debridement (to reduce infection risk)

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16
Q

Why avoid plates and screws in open fracture?

A

Invasive fixation increases infection risk

17
Q

Antibody in Sjogrens? (2)

A

Anti-Ro

Anti-La

18
Q

Papular and pustular rash following steroid treatment. What is it?

A

Acne (duh)

19
Q

Which skin condition is aggravated by beta blockers?

20
Q

Painful neck swelling is usually?

A

Thyroiditis

21
Q

What is thyroitis usually associated with? (2)

A
Intercurrent illness (ie other illness)
Hyperthyroid symptoms
22
Q

What hand pathology does injury to the ulnar nerve result in?

23
Q

What investigation is required in simple nasal fracture?

A

None, decision whether to manipulate fracture is made clinically

24
Q

How is anatomy of paranasal sinuses best demonstrated?

A

On CT scan

25
Recurrent acute sinusitis. Investigation?
CT scan | anatomy of paranasal sinuses best demonstrated thusly
26
When is lumbar puncture dangerous in a child?
Deranged clotting
27
What do meningitis B titres show?
Reaction to routine childhood immunisations TITRES means SECURITIES in french. Security against meningitis B :)
28
What does positive meningitis PCR show?
Active infection in CSF
29
Which virus causes croup?
Para-influenzae | harsh sounds with breathing: para-breathing sounds, caused by para-influenzae virus
30
Which part of the retina has the highest density of cones?
Fovea
31
Why does the fovea have the highest visual resolution?
Highest density of cones
32
First step in suspected Grave's disease?
Thyroid function tests
33
What disease has CCP antibodies?
Rheumatoid Arthritis | ARTHRitis sounds like ARMY, the CCP in China has a big ARMY
34
Which thyroid hormone is most biologically active?
T3 | T3 makes you go Reeeeeeee
35
What is the visual acuity of a legally blind person?
6/60 or worse
36
What is a spondylolysis?
Vertebral stress fracture