CAP Test

Question 1

What is the treatment for MODY?

Answer 1

Sulfonylureas alone

Question 2

An 84 year old male presents with a sudden painless loss of central vision in his right eye. He has been aware of distorted vision from this eye for the past few days. Ophthalmoscopy reveals a large solitary haemorrhage at the fovea in the affected eye.

Answer 2

Wet age related macular degeneration. This causes the loss of central vision due to degenerative damage to the macula. In the wet from neovascularisation causes haemmorhage and eventual scarring in the macula. This is painless and results in a sudden loss of central vision

Question 3

Where does the aquesous humour of the eye drain via?

Answer 3

The trabecular meshwork

Question 4

What is the first line antihypertensive for someone over 55 with known ankle oedema?

Answer 4

Bendroflmathiazide

Question 5

What is the first line treatment for paroxysmal AF?

Answer 5

Bisoprolol

Question 6

What bloods do you need before you start lithium?

Answer 6

U & E (can’t disrupt kidney function)

TFTs (Can disrupt thyroid)

Question 7

What is the treatment for non severe C Difficile?

Answer 7

Oral metronidazole

Question 8

What is the treatment for severe C Difficile?

Answer 8

Oral vancomycin

Question 9

How do you differentiate between severe and non severe C Diff?

Answer 9

One or more of the following:

1. Temperature over 38.5
2. Ileus, colonic dilatation over 6cm
3. WBC over 15 x 10^9
4. Acute rise in serum creatanine
5. Persisting C Diff

Question 10

What is the treatment fro salmonella Typhi?

Answer 10

IV Ceftriaxone

Question 11

How does lamotrigine work?

Answer 11

Blocks voltage sensitive sodium channels. This blocks the release of glutamate which is the main excitatory neurotransmitter

Question 12

At what age is a childs height measured instead of their length?

Answer 12

2 years

Question 13

What kind of organism is strep pneumonia?

Answer 13

Gram positive diplococci

Question 14

What causes bronchiolitis?

Answer 14

Respiratoyr Syncitial vrus

Question 15

What is cervical dystonia?

Answer 15

A dystonia is a sustained abnormal posture caused by persistent contraction of large trunk or limb muscles. Cervical dystonia, AKA spasmodic torticollis, is typified by the head turning to one side due to contraction of the sternocleidomastoid muscle. The aetiology and pathology are unknown. It can be treated with anticholinergics, phenothiazines and injections with Botulinum toxin. A spasm is an uncontrolled contraction of a muscle

Question 16

ST elevation in V2 - V5

Answer 16

Anterior MI

Question 17

ST elevation in V1 - V3

Answer 17

Anteroseptal

Question 18

ST elevation in V4 - V6, aVL

Answer 18

Anterolateral

Question 19

A woman has induction of labour at 42 weeks gestational age. Following an artificial rupture of membrane, there is a prolonged fetal bradycardia to 50 beat per minute. Some fresh vaginal bleeding is noted and on examination the uterus is soft and non-tender.

Answer 19

Vasa praevia is a rare condition where cord vessels cross the fetal membranes. It presents with severe fetal distress with a relatively small intrapartum bleed following rupture of membranes.

Question 20

What is the average age of onset of bipolar disorder?

Answer 20

21

Question 21

What is the correct initial management for a conscious choking baby?

Answer 21

5 chest thrusts (cannot perform abdominal thrusts in a baby)

Question 22

A 71 year old lady suddenly develops atrial fibrillation at a rate of 150bpm. Her blood pressure is 125/70mmHg. She has a history of chronic obstructive pulmonary disease (COPD) and is on regular inhalers for this.

Answer 22

Amioderone as the patient is cardiovasculary stable.