CAP test

Question 1

Which hormone can be used to measure ovarian reserve prior to IVF

Answer 1

Anti-Mullerian Hormone

Question 2

How is Wilson’s disease inherited and name a facial sign

Answer 2

Autosomal-recessive

Kaiser-Fleischer rings

Question 3

How is an activated neutrophil different from a normal one

Answer 3

Toxic granulation

Question 4

Which blood cell is part of the acute response

Answer 4

Neutrophils

Question 5

Low glucose in cloudy CSF suggests what

Answer 5

Bacterial meningitis –> bacteria use up glucose

Question 6

How is unfractionated heparin monitored

Answer 6

APTT

Question 7

When would LMWH such as dalteparin need to be monitored and how would this be done

Answer 7

In pregnancy or renal impairment

Anti-Xa assay

Question 8

How is Dabigatran excreted and thus name a contra-indication to its use

Answer 8

Via kidneys

GFR <30

Question 9

What must be measured before starting someone on Lithium

Answer 9

U’s and E’s

Question 10

What is spasmodic torticollis and how is it treated

Answer 10

Cervical dystonia –> anti-cholinergics

Question 11

What are the 2 main differential diagnoses if someone has jaundice, anaemia and spherocytes in their blood film

Answer 11

Hereditary spherocytosis

Autoimmune haemolytic anaemia

Question 12

What does a strongly positive Direct Anti-Globulin test suggest

Answer 12

Autoimmune

Question 13

Which kind of headache is only mildly-moderately painful and bilateral

Answer 13

Acute tension headache

Question 14

Which antipsychotic is safest in pregnancy

Answer 14

Olanzapine

Question 15

When does an embryo develop into a blastocyst and what day does it implant in the uterus

Answer 15

Day 5 –> blastocyst

Days 6-10 –> implantation

Question 16

How is hereditary spherocytosis inherited

Answer 16

Autosomal dominant

Question 17

Which artery is at risk of injury during a female laparoscopic sterilisation procedure

Answer 17

Inferior Epigastric

Question 18

What does water under the bridge refer to

Answer 18

The lower end of the ureter passing under the uterine artery before entering the trigone of the bladder

Question 19

What are the infundibulum, ampulla and isthmus of the uterine tubes

Answer 19

Infundibulum –> Broad oocyte receiving part
Isthmus –> narrowing before meeting uterus
Ampulla –> where fertilisation takes place

Question 20

Delay in femoral pulses of a newborn child suggests what pathology

Answer 20

Coarctation of aorta

Question 21

Parasympathetic stimulation of the bladder results in what

Answer 21

Detrusor contraction

Question 22

Define polyuria

Answer 22

More than 2.8L of urine in 24 hours

Question 23

What is a rouleaux formation

Answer 23

Red cells stacking like coins on a blood film

Question 24

Which organism are a flagellated protozoa

Answer 24

Trichomonas vaginalis

Question 25

How does phenytoin reduce contraceptive efficacy

Answer 25

Induces CYP 450 system

Question 26

Which drug causes blue discolouration of the infant’s teeth if taking during breastfeeding

Answer 26

Tetracycline

Question 27

An angular gyrus lesion would cause which type of aphasia

Answer 27

Nominal aphasia –> patient unable to recognise familiar objects

Question 28

What kind of seizure is childhood abuse associated with

Answer 28

Non-epileptic

Question 29

A girl presenting with secondary sexual characteristics but no periods should make you think of what

Answer 29

Imperforate hymen

Question 30

A junctional scotoma will be caused by a lesion in which location

Answer 30

A lateral lesion just anterior to the optic chiasm

Question 31

What is the triad of delirium

Answer 31

Acute onset
Inattention
Drowsiness

Question 32

The venous angle is between which two vessels

Answer 32

Subclavian vein

Internal jugular vein

Question 33

Where do the intercostal veins drain anterior and posteriorly

Answer 33

Anterior –> Internal thoracic vein

Posterior –> Azygous vein

Question 34

Which STI does not gram stain and which two bodies can it have

Answer 34

Chlamydia Trachomatis

Reticulate and elementary bodies