CAP Flashcards

1
Q

Which 4 angles are important in the management of hallux valgus?

A

Intermetatarsal angle
Hallux valgus angle
Interphalangeal angle
Distal metatarsal articular angle

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2
Q

What is claw hand deformity suggestive of?

A

Ulnar nerve injury

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3
Q

What provides the sensation for the anatomical snuffbox?

A

Radial nerve

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4
Q

Injury to which nerve causes wrist drop?

A

Radial

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5
Q

Which layer of the skin are keratinocytes found?

A

Epidermis

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6
Q

Where in the skin are hemi desmosomes found?

A

In the derma-epidermal junction

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7
Q

Where in the skin are fibroblasts, lymphatics and ground substance found?

A

Dermis

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8
Q

Symptoms of compartment syndrome?

A

Pain out of proportion, paraesthesia, pallor, paralysis, loss of pulses

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9
Q

What is the pressure in compartment syndrome?

A

> 30mmHg

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10
Q

What is the treatment of compartment syndrome?

A

Fasciotomy

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11
Q

What type of lenses do myopic and hypermetropic eyes need?

A

Myopic - concave

Hypermetropic - convex

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12
Q

What is a common mechanism of injury to the calcaneus (os calcis)?

A

Fall from height

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13
Q

Which nerve may be injured in THR?

A

Common peroneal

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14
Q

What does bullous pemphigoid show on immunofluoresence?

A

IgG and C3 at the basement membrane

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15
Q

Why might diplopia occur in an orbital blowout fracture?

A

Entrapment of the inferior rectus

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16
Q

What might disruption of the sympathetic nerve supply to the eye cause?

A

Miosis

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17
Q

When might a nasal crease by seen?

A

In allergic rhinitis, from rubbing

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18
Q

In a ACL rupture in professional athlete what is the first choice treatment?

A

Reconstruction

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19
Q

Weight loss at the time of T1DM diagnosis is suggestive of?

A

Lipolysis

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20
Q

What urine changes may SLE present with?

A

Proteinurea and haematurea

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21
Q

What investigation should be done in children with UTI?

A

Abdo ultrasound

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22
Q

What visual defect will occur in an optic chiasm tumour?

A

Bi temporal hemianopia

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23
Q

What visual defect do occipital cortex lesions cause?

A

Macular sparing defects on the opposite side

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24
Q

What visual defect do temporal lobe lesions cause?

A

Quadrentonopia on opposite side

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25
Q

Symptoms of croup?

A

Barking cough, noisy breathing, fever

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26
Q

Treatment of croup?

A

Oral steroids

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27
Q

What are extended spectrum beta lactamase producing bacteria sensitive to?

A

Meropenem

28
Q

How do you calculate pack years?

A

No of cigarettes per day x years/20

29
Q

What age is ADHD usually diagnosed in?

A

6-12

30
Q

What type of hearing loss does otosclerosis cause?

A

Conductive

31
Q

What type of hearing loss is occupational loud noise?

A

Sensorineural

32
Q

What % of patient have advanced or metasatic cancer on presentation of prostate cancer?

A

65%

33
Q

What is an alternative antibiotic in penicillin allergic patients?

A

Doxycycline

34
Q

What effect may lack of thyroxine in utero have?

A

Decreased IQ or severe abnormalities in development

35
Q

What type of mediation is type 4 hypersensitivity?

A

T cell mediated

36
Q

Where are all filtered glucose and amino acids reabsorbed?

A

Proximal tubule

37
Q

Which route it pituitary surgery often preformed through?

A

Trans-sphenoidal

38
Q

Most common cause of jaundice in neonates?

A

Physiological

39
Q

When does jaundice due to haemolysis present in neonates?

A

Within 24 hours of birth

40
Q

When is Kaposi’s sarcoma seen and what is it?

A

Area of purple neoplasia on gingival mucosa

HIV

41
Q

What type of rash is dermatitis herpetiformis?

A

Itchy and vesicular

42
Q

Which antibody is the dominant one in primary immune responses?

A

IgM

43
Q

What does immunophenotyping do?

A

Investigates the patter of antigen expression on or in cells

44
Q

What is light microscopy commonly used for?

A

Morphological assessment of cells

45
Q

When does BPPV often occur?

A

On turning in bed

46
Q

Symptoms of imperforate hymen?

A

Never had a period, abdominal pain

47
Q

Commonest cause of congenital deafness?

A

Cytomegalovirus in early pregnancy

48
Q

Which staph aureus toxin causes necrolytic skin infections?

A

Panton valentine leukocidin

49
Q

What stimulate release of PTH?

A

Fall in calcium

50
Q

Which antibody is present in anti phospholipid syndrome?

A

Anti-cardiolipin antibody

51
Q

What respiratory disease may occur in systemic sclerosis?

A

Pulmonary hypertension

52
Q

Management of bronchiolitis?

A

Oxygen and nasogastric feeding

53
Q

What is normal acuity?

A

6/6

54
Q

What is the acuity of those only able to read the largest letters?

A

6/60

55
Q

What is kerion?

A

An inflamed boggy pustular swelling caused by an immune response to a dermatophyte infection

56
Q

Is pseudomonas aeuriginosa gram positive or negative and what is it resistant to?

A

Negative

Oral antibiotics

57
Q

What condition might charcot arthropathy be seen in?

A

Diabetes

58
Q

What is a GI side effect of diclofenac?

A

GI bleeding

59
Q

What type of drug is diclofenac?

A

NSAID

60
Q

Name a side effect of hydroxychloroquine?

A

Retinopathy

61
Q

Which foramen does middle meningeal artery exit skull via?

A

Foramen spinosum

62
Q

Which foramen does facial nerve exit skull via?

A

Stylomastoid foramen

63
Q

Cause of a painful neck swelling?

A

Thyroiditis

64
Q

What might a pituitary tumour compress?

A

Optic chiasm

65
Q

What is shoulder girdle stiffness suggestive of?

A

PMR