CAP test Flashcards
A child with a non-blanching rash, headache, neck stiffness and a high blood pressure, what should you suspect
Meningitis –> septic shock
High BP due to hyperdynamic condition
What kind of lens is needed to correct myopic vision and why
A concave lens
Because the light is focussed in front of the retina
At what age is congenital deafness typically recognised
2 Years
Before the age of 2 years, what is the commonest cause of congenital deafness
Congenital Cytomegalovirus in early pregnancy
What hormone triggers ovulation
LH surge
What can cause gradual vision loss in a patient with diabetes
Retinopathy
Cataract
What can cause sudden vision loss in a patient with diabetes
Retinal haemorrhage
What antibiotics can you give for persistent/severe sinusitis + 2nd line
Penicillin V
Doxycycline
What antibiotics can you give for a sore throat + 2nd line
Penicillin V
Clarithromycin
What antibiotic can you give for epiglottitis + if allergic
Ceftriaxone
Chloramphenicol
Which antibody is highly diagnostic for SLE
Anti-dsDNA
What supplies energy for the first 4 seconds, until 15 seconds, until 4 mins, until 77mins and over 4 days
ATP --> 4 seconds Phosphocreatinine --> 15 seconds Free glucose --> 4 mins Glycogen stores --> 77mins Fat stores --> 4+ days
What are the possible causes of bile coloured, non-projectile vomit and what is the investigation
Malrotation or Volvulus
Abdominal X-ray
What are the possible causes of projectile vomit from a hungry child and what is the investigation
Pyloric stenosis
Abdominal ultrasound will show a thickened pylorus
What is the mandatory first step for a high energy open fracture
Debridement
What is the management of a low impact, undisplaced distal radius fracture
Cast immobilisation for 5 weeks
How can you differentiate between dermatitis herpetiformis and linear IgA disease
Dermatitis Herpetiformis will show granular IgA at the dermal papillae
Linear IgA will show linear IgA in the basement membrane
What is a diagnostic blood test which can be done for a toddler with hypovolaemic shock and a non-blanching rash
Meningococcal PCR
What test should be done before considering lumbar puncture in a child with suspected meningitis
Clotting screen to prevent an unnecessary risk of meningococcal septicaemia
Which molecule is a precursor for T3 but not T4 and explain
DIT + MIT = T3
DIT + DIT = T4
Which cranial nerve passes directly through the cavernous sinus
CN VI
Pathology of the cavernous sinus is most likely to affect which cranial nerve and how will this present
CN VI
Convergent squint and reduced abduction