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CAP TEST > CAP TEST YEAR 3 > Flashcards

CAP TEST YEAR 3 Flashcards

1
Q

severe fetal distress (bradycardia), relatively small bleed following rupture of membranes

A

vasa praevia

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2
Q

severe abdo pain and heavy bleed, hard tense uterus

A

placental abruption

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3
Q

extrapyramidal side effect causing extremely sore neck/back/ cant move

A

acute dystonia

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4
Q

does metabolic syndrome increase risk of MI

A

yes

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5
Q

what drug improves survival in congestive heart failure

A

ACEi ( also beta blcokers)

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6
Q

faking illness for secondary gain

A

malingering

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7
Q

non epileptic seizures usually have a history of what

A

child abuse

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8
Q

what sort of consent do you need from 14 year old girl wanting TOP who appears to fully understand the procedure

A

written consent

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9
Q

for surgical procedures what sort of consent do you need

A

written consent

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10
Q

what consent do you need for this?

77 year old man needing emergency hip repair

A

no consent as emergency

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11
Q

what consent needed for this?

40 year old brain damanged lady with menorrhagia , husband wants her to get a hysterectomy

A

court of law decides overriding need for consent

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12
Q

unilateral throbbing headache, mod-severe, photophobia, phonophobia, nausea and vomiting

A

migraine

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13
Q

obese lady, headache made worse by coughing and sneezing

A

benign intracranial hypertension

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14
Q

bilateral non pulsating headahce

A

tension headache

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15
Q

compulsory treatment order allows what

A

detention in hospital for 6 months in first instance

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16
Q

what does complusion order allow?

A

enables those subject to criminal proceedings to receive treatment for a mental disorder

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17
Q

what type of hepatitis are most folk in the UK over 60 immune to .

A

Hep A

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18
Q

how is Hep A acquired

A

faeco -oral

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19
Q

teenage girl, breasts and pubes but no periods

A

imperforate hymen

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20
Q

secondary amenorrhoea , had chemo in early life

A

premature ovarian failure

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21
Q

what needs to be assessed before starting the combined pill

A

BP and BMI

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22
Q

what test do you do to see if a girl is ovulating

A

21 day progesterone

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23
Q

what test do you do to test ovarian reserve prior to IVF

A

anti-mullerian hormone

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24
Q

what hormone is low and will help diagnose ectopic

A

HCG

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25
Q

inheritance of sherocytosis

A

autosomal dominant

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26
Q

preg lady at 34 weeks and is iron deficient with Hb of 8.8.. do what?

A

give oral iron

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27
Q

100% glucose and amino acids are absorbed where

A

prox tubule

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28
Q

is tremponema pallidum a bacteria

A

yes

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29
Q

in what trimester do you get a reduced BP

A

second

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30
Q

what happens to vital capacity during preg

A

unchanged

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31
Q

in withdrawel of sedative-hypnotic drugs, there is reduced what?

A

GABA

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32
Q

excessive activation of dopamine receptors

A

schiz

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33
Q

low 5-hydroxytryptamine

A

depression

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34
Q

swallowign difficulties and chest infection

A

worry about aspiration pneumonia

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35
Q

where is the venous angle

A

between subclavian vein and internal jugular vein

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36
Q

anterior intercostal veins drain to where

A

internal thoracic vein

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37
Q

posterior intercostal veins drain to where?

A

azygous vein

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38
Q

risk factors for necrotizing enterocolitis

A

IUGR, premature, hypoxic ischaemic result and absent end diastolic flow at placenta

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39
Q

biceps reflec

A

C5/6

40
Q

knee reflex

A

L3/4

41
Q

ankle reflec

A

S1

42
Q

inheritance of wilsons disease

A

autosomal recessive

43
Q

inheritance of beckers and duchenne disease

A

x linked recessive

44
Q

myoclonic epilepsy with ragged red fibres

A

mitochondrial disease

45
Q

what diseases have clear CSF

A

MS
gullian barre
viral meningitis (sometimes cloudy)

46
Q

oligoclonal bands in CSF

A

MS

47
Q

neurotransmitter involved in appetitive and approach systems

A

dopamine

48
Q

can you take phenytoin and the COCP

A

no

49
Q

what happens to babies if they get tetracycline

A

discoloured teeth

50
Q

how does lamotrigine work

A

blockade of voltage sensitive sodium channels

51
Q

post synaptic acetylcholine receptors

A

myasthenia gravis

52
Q

high or low phosphate in CKD

A

high and it isnt removed very well by dialysis

53
Q

how to monitor LMWH (dalteparin)

A

anti Xa assay

54
Q

how does dabigatrin work?

A

direct thrombin inhibitor- no monitoring needed

55
Q

green nipple discharge, more common in smokers

A

duct ectasia

56
Q

when do you get fat necrosis of the breast

A

obese lady, big breasts

after trauma

57
Q

inflammatory changes to skin on breast but doesnt fix after antibiotics

A

inflammatory breast cancer

58
Q

what part of brain is first to be affected in Alzheimers

A

nucleus basalis of meynert ( main part of cholinergic projections)

59
Q

where does fertilisation normally occur

A

ampulla of uterine tube

60
Q

whilst waiting on an op, patients should be encouraged to do what?

A

physical activity

61
Q

flagellated protozoa

A

trichomonas vaginalis

62
Q

what bag would paper towels go into

A

black bag

63
Q

what bag would an empty med blister pack go into

A

black

64
Q

unused needle goes where

A

sharps bin

65
Q

empty vaccine vial goes where

A

sharps bin

66
Q

used IV dripping goes where

A

orange bag

67
Q

contraindications for HRT

A

angina and MI

68
Q

doesnt gram stain, forms elementary and reticulate bodies, diagnosed by PCR

A

chlamydia

69
Q

best method to confirm presence of HbS

A

haemoglobin high performance liquid chromotography

70
Q

what is dactylitis and what is it a presentation of

A

sore swollen fingers

sickle cell

71
Q

how to assess unfractionated heparin

A

APTT

72
Q

what cranial nerve is responsible for pain across the posterior triangle of the neck

A

facial nerve

73
Q

thinking of the toilet makes her incontinent , she cant get to the toilet on time

A

urge incontinence

74
Q

most folk on haemodialysis need what to keep their Hb level maintained

A

erythropoietin

75
Q

premalignant change with discoloured growth

A

neoplasia

76
Q

increased number of cells

A

hyperplasia

77
Q

change from one mature cell type to another

A

metaplasia

78
Q

when does the blastocyte implant in the uterus

A

around day 6

79
Q

what do you give for partial seizure

A

carbamazapine

80
Q

receptive aphasia

A

wernickes

81
Q

expressive aphasia

A

broca’s

82
Q

nominal aphasia

A

angular gyrus

83
Q

prior to lithium treatment, what tests shoudl you do

A

U&E

84
Q

what should you consider if generalsied lymphadenopathy

A

HIV

85
Q

sky high lymphocyte

A

CLL

86
Q

hemiballismum

A

uncontrolled flailing of limbs

87
Q

causes enlargement of mammary glands and prepares for milk production

A

prolactin

88
Q

lesion just anterior to optic chiasm and causes different visual disturbances in each eye

A

junctional scotoma

89
Q

desire to void normally occurs when the bladder is how full

A

250mls

90
Q

parasympathetic or sympathetic causes contraction of detrusor muscle

A

parasympathetic

91
Q

when ageing, will your body weight remain normal depsite loss of muscle mass

A

yes

92
Q

spherocytes on blood film

A

herediatry spherocytosis or autommine haemolysis

93
Q

sherocytes AND strong direct antiglobulin test

A

autoimmune haemolysis

94
Q

what artery is likely to bleed?

insertion of lateral abdominal port during female laparoscopic sterilisation

A

inferior epigastric artery

95
Q

what artery is likely to bleed?

incision of bartholins abscess

A

internal pudendal artery

96
Q

what artery is likely to bleed?

dissection of lower end of ureter

A

uterine artery

CAP TEST (1 decks)

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