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?

A

Psoriasis

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?

A

Claw hand

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
Q

Recurrent acute sinusitis. Investigation?

A

CT scan

anatomy of paranasal sinuses best demonstrated thusly

26
Q

When is lumbar puncture dangerous in a child?

A

Deranged clotting

27
Q

What do meningitis B titres show?

A

Reaction to routine childhood immunisations

TITRES means SECURITIES in french. Security against meningitis B :)

28
Q

What does positive meningitis PCR show?

A

Active infection in CSF

29
Q

Which virus causes croup?

A

Para-influenzae

harsh sounds with breathing: para-breathing sounds, caused by para-influenzae virus

30
Q

Which part of the retina has the highest density of cones?

A

Fovea

31
Q

Why does the fovea have the highest visual resolution?

A

Highest density of cones

32
Q

First step in suspected Grave’s disease?

A

Thyroid function tests

33
Q

What disease has CCP antibodies?

A

Rheumatoid Arthritis

ARTHRitis sounds like ARMY, the CCP in China has a big ARMY

34
Q

Which thyroid hormone is most biologically active?

A

T3

T3 makes you go Reeeeeeee

35
Q

What is the visual acuity of a legally blind person?

A

6/60

or worse

36
Q

What is a spondylolysis?

A

Vertebral stress fracture