Revision and CAP Test Flashcards

1
Q

Amnesia Post Head Injury

A

Need Head CT

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2
Q

O2 SATs in Carbon Monoxide Poisoning

A

Artificially High

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3
Q

Frail + Requiring Colon Ix

A

CT Colonography

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4
Q

Effects of Prochlorperazine

A

Rigidity
Tremor
Bradykinesia
Falls

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5
Q

Investigation of suspected osteomyelitis

A

Blood cultures

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6
Q

Prominent Feature

VSD vs ToF

A
VSD = heart failure 
Tetralogy = cyanosis
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7
Q

Type of Fluid Used as Maintenance Fluids in Children

A

0.9% saline + 5% glucose

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8
Q

Alprostadil =

A

Prostaglandin

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9
Q

Example of a Prostaglandin =

A

Alprostadil

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10
Q

Exclamation Point Hairs

A

Alopecia Areata

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11
Q

Association with Oropharyngeal Cancers

A

HPV

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12
Q

Area of brain associated with dressing apraxia

A

Parietal lobe

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13
Q

High random blood glucose + symptomatic

Next investigation

A

Need no further investigation to confirm T2DM

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14
Q

Mitral Regurgitation Post-MI Cause

A

Papillary Muscle Rupture

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15
Q

Investigation of Suspected AD PKD

A

USS

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16
Q

Cause of hypocalcaemia and 2y hyperparathyroidism in CKD

A

Reduced hydroxylation of vitamin D

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17
Q

Microorganisms implicated in Hospital Acquired Pneumonia

A

Gram negative bacteria

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18
Q

Spondylolisthesis =

A

= anterior slippage of the vertebra

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19
Q

Migraine with aura

Prophylaxis

A
  1. Propranolol

2. Topiramate

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20
Q

Resting Tremor

Better on Movement

A

= Parkinsonian tremor

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21
Q

Symphseal-Fundal Height =

A

Gestational Age +/- 3cm

22
Q

Management of Essential Hypertension

Wanting to Get Pregnant

A

Methyldopa

23
Q

Investigation of Choice

PCOS

A

Transvaginal USS

24
Q

Sentinel Node Biopsy

Indications for Further Surgery

A

> 3 Nodes are +VE

25
Q

Chronic Gut Infection HIV =

A

= cryptosporidium

26
Q

Gram +VE Diplococci =

A

Streptococcus

27
Q

Diagnosis of Glaucoma =

A

= tonometry

28
Q

Investigation of Penetrating Eye Injury

A

CT of Orbits

29
Q

Delusional Disorder vs Other Conditions

A

Delusions are present irrespective of mood and absence of hallucinations

30
Q

Management of Paranoid Schizophrenia

Acutely Disturbed + Verbally Responsive

A

Oral lorazepam

31
Q

Acute Dystonia
Pathogenesis
Management

A

= can occur with excess haloperidol
Results in a haloperidol: ACh imbalance
Need an anti-cholinergic e.g. procyclidine

32
Q

Physical Complaints

Multiple Negative Investigations

A

= somatisation disorder

33
Q

BP Finding in Aortic Dissection

A

= unequal/different BP in each arm

34
Q

Sphena Varix =

A

= dilation of saphenous vein at the femoral vein junction

Disappears on lying flat VS hernia which will persist

35
Q

Low BP and adequate fluids management

A

Need inotropes

e.g. noradrenaline infusion

36
Q

Fragility Fracture

Management Post-Discharge

A

Bisphosphonates

Calcium and Vitamin D Supplements

37
Q

Investigation of Pale Stools and Dark Urine

A

Split bilirubin

Indicates a conjugated hyperbilirubinaemia

38
Q

Lack of head lag development stage

A

3 months

39
Q

Management of acne

A

Topical retinoids
Topical antibiotics
Oral antibiotics e.g. lymecycline
Oral retinoids - only in refractory acne, issued in secondary care

40
Q

What is Reinke’s oedema?

A

= vocal fold irritation, occurs as a result of voice misuse, smoking or GORD

41
Q

Management of pain in OA

A

Lifestyle advice
Topical or oral NSAIDs
Paracetamol

42
Q

Findings in oesophageal ulceration

A

Granulation tissue

Necrosis

43
Q

Jarred knee
Haemarthrosis
Lateral tenderness
Pain on straight leg raise

A

Tibial plateau fracture

44
Q

URTIs with ++ sputum

Young

A

Bronchiectasis

45
Q

Investigation of suspected pulmonary TB

A

CXR

Sputum microscopy and smear

46
Q

Which part of the brain is responsible for short term memory?

A

Temporal lobe

47
Q

Depression and thoughts of suicide

GP review?

A

Need a review within 1 week

48
Q

Gallstones in CBD + dilation

Management

A
  1. Antibiotics and Analgesia

2. ERCP

49
Q

Pneumothorax >2cm

  1. Primary
  2. Secondary
A
Primary = aspiration 
Secondary = chest drain
50
Q

IgA vasculitis =

A

Henoch-Schlein Purpura

51
Q

Pathology Findings

  • Pemphigoid
  • Pemphigus
A
Pemphigoid = split at the junction between the epidermis and dermis 
Pemphigus = intradermal split
52
Q

Management of post-partum thyroiditis

A

B blockers