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Flashcards in 4th Year CAP Deck (58)
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1

What strongly suggests congenital heart disease in a newborn?

delay in femoral pulses

2

What is smasmodic torticollis also known as?

cervical dystonia

3

Describe cervical dystonia.

Head turns to one side due to contraction of sternocleidomastoid muscle, patient finds it difficult to keep head facing forward

4

What is blepharospasm?

spasm of eyelid

5

What is hemiballismus?

uncontrolled flailing of the limbs

6

What causes bronchiolitis?

RSV

7

Treatment for campylobacter in an otherwise well individual?

supportive care only

8

Treatment for salmonella typhoid?

IV ceftriaxone

9

Rapidly contracting human muscle cells start producing lactic acid - why?

because the cells must convert NADH to NAD+

10

What certificate is needed is a psychiatrist wants to give ECT to a patient with severe depression, but the patient doesn't want it as he believes it will kill him?

certificate of designated medical practitioner

11

What type of hearing loss occurs is otosclerosis?

conductive hearing loss

12

In what condition do the vessels cross fetal membranes, causing severe fetal distress and intrapartum bleeding following rupture of membranes?

vasa previa

13

What are responsible for elevating the section of the respiratory tract containing the vocal cords?

longitudinal muscles of the pharynx

14

Which muscles are just superficial to the transversus abdominus?

internal obliques

15

What muscle acts as a respiratory accessory muscle and is attached to rib 1?

Scalenus anterior

16

6 week histoy of sore throad and hoarse voice?

laryngopharyngeal reflux

17

Paraproteins associated with?

multiple myeloma

18

Which neurotransmitter is most involved in appetitive and approach
systems?

Dopamine

19

Treatment of MODY Diabetes?

Low dose sulfonylureas eg gliclazide

20

A 16 year old man presents with a 48 hour history of cramping lower
abdominal pain, associated with diarrhoea and vomiting. The pain is worst
just prior to defecation. On examination he has a temperature of 37.5, heart
rate of 84bpm and his abdomen is soft but generally tender

Gastroenteritis

21

A 40 year old lady presents with a 3 day history of progressive, sharp, right
upper abdominal pain. She states that the pain radiates to her right shoulder
and is worse on inspiration. On examination she has a temperature of 38.9,
heart rate of 102bpm and is tender in her right upper quadrant

Cholecystitis

22

A 21 year old man presents with a 6 hour history of severe, constant, central
abdominal pain. He has vomited twice and describes shaking
uncontrollably at times. On examination he is bent over with the pain, his
temperature is 38.5 and heart rate 128bpm.

Appendicitis

23

What allows detention of a patient in hospital for 6 months in the first instance?

compulsory treatment order

24

. A 78 year old female presents with a gradual painless loss of vision in both
eyes. Visual acuities are 6/12 in the right and 6/18 in the left eye. Red
reflexes are diminished on examination

cataracts

25

An 84 year old male presents with a sudden painless loss of central vision
in his right eye. He has been aware of distorted vision from this eye for the
past few days. Ophthalmoscopy reveals a large solitary haemorrhage at the
fovea in the affected eye.

wet age related macular degeneration

26

A long-sighted 52 year old male presents with a sudden loss of vision in his
left eye which is painful and red. He has noticed halos around lights, is
nauseated and has vomited. On examination the pupil is mid-dilated and
non-reactive.

Acute closed angle glaucoma

27

Highest mortality rate out of bipolar, schizoaffective disorder, depression and anorexia nervosa?

Anorexia nervosa (approx 18% mortality rate)

28

A change from one mature cell type to another is known as what?

metaplasia

29

abnormal cell
proliferation?

neoplasia

30

A 30 year old presents with itchy blisters on extensor surfaces.
Immunofluorescence reveals granular IgA at the dermal papillae.
What is the most likely diagnosis?

dermatitis herpetiformis