CAP TEST YEAR 3 Flashcards
severe fetal distress (bradycardia), relatively small bleed following rupture of membranes
vasa praevia
severe abdo pain and heavy bleed, hard tense uterus
placental abruption
extrapyramidal side effect causing extremely sore neck/back/ cant move
acute dystonia
does metabolic syndrome increase risk of MI
yes
what drug improves survival in congestive heart failure
ACEi ( also beta blcokers)
faking illness for secondary gain
malingering
non epileptic seizures usually have a history of what
child abuse
what sort of consent do you need from 14 year old girl wanting TOP who appears to fully understand the procedure
written consent
for surgical procedures what sort of consent do you need
written consent
what consent do you need for this?
77 year old man needing emergency hip repair
no consent as emergency
what consent needed for this?
40 year old brain damanged lady with menorrhagia , husband wants her to get a hysterectomy
court of law decides overriding need for consent
unilateral throbbing headache, mod-severe, photophobia, phonophobia, nausea and vomiting
migraine
obese lady, headache made worse by coughing and sneezing
benign intracranial hypertension
bilateral non pulsating headahce
tension headache
compulsory treatment order allows what
detention in hospital for 6 months in first instance
what does complusion order allow?
enables those subject to criminal proceedings to receive treatment for a mental disorder
what type of hepatitis are most folk in the UK over 60 immune to .
Hep A
how is Hep A acquired
faeco -oral
teenage girl, breasts and pubes but no periods
imperforate hymen
secondary amenorrhoea , had chemo in early life
premature ovarian failure
what needs to be assessed before starting the combined pill
BP and BMI
what test do you do to see if a girl is ovulating
21 day progesterone
what test do you do to test ovarian reserve prior to IVF
anti-mullerian hormone
what hormone is low and will help diagnose ectopic
HCG
inheritance of sherocytosis
autosomal dominant
preg lady at 34 weeks and is iron deficient with Hb of 8.8.. do what?
give oral iron
100% glucose and amino acids are absorbed where
prox tubule
is tremponema pallidum a bacteria
yes
in what trimester do you get a reduced BP
second
what happens to vital capacity during preg
unchanged
in withdrawel of sedative-hypnotic drugs, there is reduced what?
GABA
excessive activation of dopamine receptors
schiz
low 5-hydroxytryptamine
depression
swallowign difficulties and chest infection
worry about aspiration pneumonia
where is the venous angle
between subclavian vein and internal jugular vein
anterior intercostal veins drain to where
internal thoracic vein
posterior intercostal veins drain to where?
azygous vein
risk factors for necrotizing enterocolitis
IUGR, premature, hypoxic ischaemic result and absent end diastolic flow at placenta
biceps reflec
C5/6
knee reflex
L3/4
ankle reflec
S1
inheritance of wilsons disease
autosomal recessive
inheritance of beckers and duchenne disease
x linked recessive
myoclonic epilepsy with ragged red fibres
mitochondrial disease
what diseases have clear CSF
MS
gullian barre
viral meningitis (sometimes cloudy)
oligoclonal bands in CSF
MS
neurotransmitter involved in appetitive and approach systems
dopamine
can you take phenytoin and the COCP
no
what happens to babies if they get tetracycline
discoloured teeth
how does lamotrigine work
blockade of voltage sensitive sodium channels
post synaptic acetylcholine receptors
myasthenia gravis
high or low phosphate in CKD
high and it isnt removed very well by dialysis
how to monitor LMWH (dalteparin)
anti Xa assay
how does dabigatrin work?
direct thrombin inhibitor- no monitoring needed
green nipple discharge, more common in smokers
duct ectasia
when do you get fat necrosis of the breast
obese lady, big breasts
after trauma
inflammatory changes to skin on breast but doesnt fix after antibiotics
inflammatory breast cancer
what part of brain is first to be affected in Alzheimers
nucleus basalis of meynert ( main part of cholinergic projections)
where does fertilisation normally occur
ampulla of uterine tube
whilst waiting on an op, patients should be encouraged to do what?
physical activity
flagellated protozoa
trichomonas vaginalis
what bag would paper towels go into
black bag
what bag would an empty med blister pack go into
black
unused needle goes where
sharps bin
empty vaccine vial goes where
sharps bin
used IV dripping goes where
orange bag
contraindications for HRT
angina and MI
doesnt gram stain, forms elementary and reticulate bodies, diagnosed by PCR
chlamydia
best method to confirm presence of HbS
haemoglobin high performance liquid chromotography
what is dactylitis and what is it a presentation of
sore swollen fingers
sickle cell
how to assess unfractionated heparin
APTT
what cranial nerve is responsible for pain across the posterior triangle of the neck
facial nerve
thinking of the toilet makes her incontinent , she cant get to the toilet on time
urge incontinence
most folk on haemodialysis need what to keep their Hb level maintained
erythropoietin
premalignant change with discoloured growth
neoplasia
increased number of cells
hyperplasia
change from one mature cell type to another
metaplasia
when does the blastocyte implant in the uterus
around day 6
what do you give for partial seizure
carbamazapine
receptive aphasia
wernickes
expressive aphasia
broca’s
nominal aphasia
angular gyrus
prior to lithium treatment, what tests shoudl you do
U&E
what should you consider if generalsied lymphadenopathy
HIV
sky high lymphocyte
CLL
hemiballismum
uncontrolled flailing of limbs
causes enlargement of mammary glands and prepares for milk production
prolactin
lesion just anterior to optic chiasm and causes different visual disturbances in each eye
junctional scotoma
desire to void normally occurs when the bladder is how full
250mls
parasympathetic or sympathetic causes contraction of detrusor muscle
parasympathetic
when ageing, will your body weight remain normal depsite loss of muscle mass
yes
spherocytes on blood film
herediatry spherocytosis or autommine haemolysis
sherocytes AND strong direct antiglobulin test
autoimmune haemolysis
what artery is likely to bleed?
insertion of lateral abdominal port during female laparoscopic sterilisation
inferior epigastric artery
what artery is likely to bleed?
incision of bartholins abscess
internal pudendal artery
what artery is likely to bleed?
dissection of lower end of ureter
uterine artery
