End of Year 4 Mock

Question 1

3 features of autism of DSM V?

Answer 1

problems with social interaction
impaired non-verbal communication
problems developing and maintaining friendships

Question 2

what professionals can contribute to a diagnosis of ASD?

Answer 2

community psychitric nurse/CAHMS nurse/ASD nurse, SALT, OT, educational psychologist, teacher

Question 3

what are two developmental features associated with poor prognosis in ASD?

Answer 3

low IQ<50
no communicative speech before 5

Question 4

three behavioural strategies for childhood constipation?

Answer 4

scheduled toileting, bowel habit diary, reward systems, addressing psychosocial issues

Question 5

what is the role of a health visitor?

Answer 5

offer supprt and encouragement to families through early years from pregnancy to primary school.

Question 6

what are some physical signs of physical abuse in adults?

Answer 6

looking unkempt, cachexia, pressure sores, dehydration, injuries

Question 7

what are some behavioural signs of physical abuse in an adult?

Answer 7

becoming quiet and withdrawn, being aggressive for no obvious reason, not wanting to be left alone, appearing depressed

Question 8

what are three risks associated with elder abuse?

Answer 8

social isolation, memory problems, being dependent on carer, if carer has addiction,

Question 9

what would you do if patient on anticoagulant has a subdural bleed?

Answer 9

refer to neuro surgery, stop anticoagulant and check with haematology about possibility of reversal agent

Question 10

signs of anorexia nervosa?

Answer 10

thin hair, dry skin, lanugo hair, peripheral oedema, enlarged parotid glands,resting bradycardia, hypotension

Question 11

side effects of long term steroid use

Answer 11

DM, osteoporosis, muscle wakness, mood changes, increased risk of infection, weight gain, hypertension

Question 12

BPPV pathophysiology

Answer 12

otoliths form and move around the semicircular canals which makes the brain think the head is rotating which contradicts messages from the eyes- this
causes vertigo

Question 13

chlamydia organism name

Answer 13

chlamydia trachomatis

Question 14

poor prognostic factors in breast Ca

Answer 14

large size tumour, high grade, axillary lymph node spread, oestrogen receptor negative, HER2 positive

Question 15

indications for BRCA testing referral?

Answer 15

one close relative with breast Ca <50, 2or more close relatives with breast Ca, one close relative with bilateral breast cancer, one close male relative with breast cancer

Question 16

red flags for upper GI cancer?

Answer 16

dysphagia, persistent vomiting, haematemesis, malaena, abdominal mass

Question 17

staging investigations for gastric cancer?

Answer 17

PET CT to look for metastatic spread
staging laparoscopy to detect peritoneal disease and invasion through gastric wall

Question 18

cutaneous side effects of topical steroids?

Answer 18

skin atrophy, telangiectasia, striae, acne, excessive hair growth, perioral dermatitis, masks skin infections