CAP TEST YEAR 3 Flashcards by Molly Redford

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

vasa praevia

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severe abdo pain and heavy bleed, hard tense uterus

placental abruption

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

acute dystonia

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does metabolic syndrome increase risk of MI

yes

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what drug improves survival in congestive heart failure

ACEi ( also beta blcokers)

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faking illness for secondary gain

malingering

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non epileptic seizures usually have a history of what

child abuse

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

written consent

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for surgical procedures what sort of consent do you need

written consent

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what consent do you need for this?

77 year old man needing emergency hip repair

no consent as emergency

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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

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

migraine

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obese lady, headache made worse by coughing and sneezing

benign intracranial hypertension

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bilateral non pulsating headahce

tension headache

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compulsory treatment order allows what

detention in hospital for 6 months in first instance

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what does complusion order allow?

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

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

Hep A

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how is Hep A acquired

faeco -oral

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teenage girl, breasts and pubes but no periods

imperforate hymen

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secondary amenorrhoea , had chemo in early life

premature ovarian failure

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what needs to be assessed before starting the combined pill

BP and BMI

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

21 day progesterone

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

anti-mullerian hormone

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what hormone is low and will help diagnose ectopic

HCG

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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

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

neurotransmitter involved in appetitive and approach systems

dopamine

can you take phenytoin and the COCP

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

CAP TEST YEAR 3 Flashcards

(96 cards)