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
Symptoms of croup?
Barking cough, noisy breathing, fever
26
Treatment of croup?
Oral steroids
27
What are extended spectrum beta lactamase producing bacteria sensitive to?
Meropenem
28
How do you calculate pack years?
No of cigarettes per day x years/20
29
What age is ADHD usually diagnosed in?
6-12
30
What type of hearing loss does otosclerosis cause?
Conductive
31
What type of hearing loss is occupational loud noise?
Sensorineural
32
What % of patient have advanced or metasatic cancer on presentation of prostate cancer?
65%
33
What is an alternative antibiotic in penicillin allergic patients?
Doxycycline
34
What effect may lack of thyroxine in utero have?
Decreased IQ or severe abnormalities in development
35
What type of mediation is type 4 hypersensitivity?
T cell mediated
36
Where are all filtered glucose and amino acids reabsorbed?
Proximal tubule
37
Which route it pituitary surgery often preformed through?
Trans-sphenoidal
38
Most common cause of jaundice in neonates?
Physiological
39
When does jaundice due to haemolysis present in neonates?
Within 24 hours of birth
40
When is Kaposi's sarcoma seen and what is it?
Area of purple neoplasia on gingival mucosa | HIV
41
What type of rash is dermatitis herpetiformis?
Itchy and vesicular
42
Which antibody is the dominant one in primary immune responses?
IgM
43
What does immunophenotyping do?
Investigates the patter of antigen expression on or in cells
44
What is light microscopy commonly used for?
Morphological assessment of cells
45
When does BPPV often occur?
On turning in bed
46
Symptoms of imperforate hymen?
Never had a period, abdominal pain
47
Commonest cause of congenital deafness?
Cytomegalovirus in early pregnancy
48
Which staph aureus toxin causes necrolytic skin infections?
Panton valentine leukocidin
49
What stimulate release of PTH?
Fall in calcium
50
Which antibody is present in anti phospholipid syndrome?
Anti-cardiolipin antibody
51
What respiratory disease may occur in systemic sclerosis?
Pulmonary hypertension
52
Management of bronchiolitis?
Oxygen and nasogastric feeding
53
What is normal acuity?
6/6
54
What is the acuity of those only able to read the largest letters?
6/60
55
What is kerion?
An inflamed boggy pustular swelling caused by an immune response to a dermatophyte infection
56
Is pseudomonas aeuriginosa gram positive or negative and what is it resistant to?
Negative | Oral antibiotics
57
What condition might charcot arthropathy be seen in?
Diabetes
58
What is a GI side effect of diclofenac?
GI bleeding
59
What type of drug is diclofenac?
NSAID
60
Name a side effect of hydroxychloroquine?
Retinopathy
61
Which foramen does middle meningeal artery exit skull via?
Foramen spinosum
62
Which foramen does facial nerve exit skull via?
Stylomastoid foramen
63
Cause of a painful neck swelling?
Thyroiditis
64
What might a pituitary tumour compress?
Optic chiasm
65
What is shoulder girdle stiffness suggestive of?
PMR