CAP Formative corrections

Question 1

green nipple discharge in smokers indicates what

Answer 1

duct ectasia

Question 2

what does Xanthochromic CSF indicate the presence of

Answer 2

presence of blood

seen in subarachnoid haemorrhage

Question 3

how does a bacterial infection affect glucose levels in CSF

Answer 3

it lowers glucose levels as it uses up the glucose as an energy source

Question 4

what causes raised neutrophils on CSF

Answer 4

bacterial infection

Question 5

what causes raised lymphocytes on CSF

Answer 5

viral and TB meningitis

MS

Question 6

which personality disorder is defined as faking illness for secondary gain

Answer 6

malingering

Question 7

which hepatitis are most over 60’s in the UK immune to

Answer 7

Hep A

Question 8

what NT is reduced in withdrawal from sedative-hypnotic drugs

Answer 8

reduced GABA

Question 9

which mental illness has an excessive activation of dopamine

Answer 9

schizophrenia

Question 10

a lesion where would cause nominal aphasia

Answer 10

angular gyrus

Question 11

which 3 features are essential for a diagnosis of delirium

Answer 11

1. acute onset
2. inattention with fluctuating course
3. drowsiness/ disorganised thinking

Question 12

the COCP is contraindicated over what BMI

Answer 12

39

Question 13

which 2 medications improve survival in Chronic congestive heart failure

Answer 13

1. ACEi

2. beta blockers

Question 14

in which infections are atypical mononuclear cells most often seen

Answer 14

acute viral infections - usually EBV

Question 15

which 2 veins is the venous angle between

Answer 15

the subclavian vein

the internal jugular

Question 16

which venous angle does the thoracic duct drain to

Answer 16

the Left venous angle

Question 17

where does blood drain from anterior and posterior intercostal veins respectively

Answer 17

anterior intercostal - drains into internal thoracic vein

posterior intercostal - drains into the azygous vein

Question 18

true or false - all pregnant woman are recommended to take folic acid 0.4mg AND vit D 0.1mg

Answer 18

TRUE!

TAKE YER VIT D AS WELL

Question 19

which artery may be damaged in removal of a Bartholin’s abscess

Answer 19

internal pudendal artery

Question 20

which investigation should be done before starting lithium

Answer 20

U and E’s - it can cause renal impairment

Question 21

on the OCP, when are additional precautions required

Answer 21

if 2 or more pills are missed

Question 22

metabolic syndrome is associated with which class of drug and what are its features

Answer 22

atypical antipsychotics

hypertension
hypercholesterolemia
insulin resistance

increases risk of MI

Question 23

where do the antibodies target in MG and Lambert eaton syndrome

Answer 23

MG - post synaptic ACh receptors

LES- pre synaptic calcium channels

Question 24

where in the brain is affected 1st in Alzheimer’s disease

Answer 24

nucleus basalis of meynert

Question 25

what is significant about the nucleus basalis of meynert

Answer 25

it is affected 1st in Alzheimer’s disease

it is the main source of cholinergic projection sot the rest of the brain

Question 26

what is one of the main pathalogical problems with Alzheimer’s disease

Answer 26

lack of ACh

Question 27

where does multiple myeloma commonly cause bone pain

Answer 27

the ribs and spine

Question 28

what should be measured before starting the COCP

Answer 28

BMI and BP

Question 29

what is tested to assess ovarian reserve

Answer 29

anti-mullerian hormone

Question 30

what test is best to monitor heparin

Answer 30

APTT

Question 31

what is a contraindication for HRT

Answer 31

active or recent arterial thromboembolic disease (eg- angina or MI)

Question 32

what is the best test to definitively diagnose sickle cell disease

Answer 32

Hb high performance liquid chromatography

Question 33

treatment for gohnorrea

Answer 33

IM ceftriexone