EXAMPLE EXAM QUESTION

Question 1

Petechaie are best described as

Answer 1

tiny purple, red, or brown spots on the skin

Question 2

Infective endocarditis will generally be treated with which group of medications?

Answer 2

Antibiotics

Question 3

Which of the following is not an independent risk factor of coronary artery disease?

Answer 3

Corneal Arcus

Question 4

An acidotic state is likely due to present with what breathing pattern?

Answer 4

Kussmalls

Question 5

Bronchiectasis is likely to result in which type of sputum?

Answer 5

Yellow-green purulent

Question 6

How many more times likely is a child with a congenital heart defect likely to suffer a stroke than a child with nil co-morbidities?

Answer 6

19

Question 7

You ask your patient to shrug there shoulders. Which cranial nerve are you testing for?

Answer 7

11

Question 8

A sharp unilateral periorbital pressure is likely to be which sort of headache?

Answer 8

Cluster

Question 9

If a patient is suffering from an itchy, painful external ear canal, the course of treatment is likely to be what?

Answer 9

Ear drops

Question 10

Which of the following does not form part of the centor critera?

Answer 10

Presence of cough

Question 11

A boggy swelling over the point of the elbow without a history of trauma is likely to be what?

Answer 11

Olecranon bursitis

Question 12

The Mills test is used to identify which of the following?

Answer 12

Lateral epicondylitis

Question 13

Swelling in the posterior region of the knee without a pulsation is likely to be which of the following?

Answer 13

Bakers cyst

Question 14

A palpable serous fluid filled cavity <1cm is otherwise known as

Answer 14

Vesicle

Question 15

A butterfly appearance to a facial rash may be due to which of the following?

Answer 15

Lupus

Question 16

During pregnancy, implantation bleeding typically happens at what period following fertilisation?

Answer 16

5 -12 days

Question 17

Pregnancy increase the risk of DVT development by around which figure?

Answer 17

5 - 10 x

Question 18

Which of the following delays the stages of healing?

Answer 18

Anti-coagulants

Question 19

Intra-abdominal abscesses are a complication of Crohn’s disease?

Answer 19

True

Question 20

what two muscles of the rotator cuff are prone to impingement? why?

Answer 20

supraspinatus and infraspinatus

these muscles help innovate abduction. overhead activities

Question 21

what can a GP referral do for a shoulder injury?

Answer 21

start non invasive treatments e.g.
- physiotherapy
- corticosteroid injections
- surgery referral

Question 22

what connects the radius to the humerus allowing for pronation and supination?

Answer 22

Annular ligament

Question 23

nursemaids elbow is aka and most common in who

Answer 23

Pulled elbow and Children

Question 24

Olecranon bursitis is…

Answer 24

inflammation of the bursae

Question 25

Tennis elbow is more commonly known as? pathophysiology of the injury?

Answer 25

Lateral epicondylitis repetitive strain injury

Question 26

conservative treatment for Olecranon bursitis

Answer 26

Aseptic - resolves in 8 weeks Septic - requires antibiotics + close monitoring

Question 27

Treatments of a septic joint

Answer 27

Effusion may be drained persistent cases need corticoid steroid injections

Question 28

name the 8 Carpal bones

Answer 28

Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate

Question 29

most commonly injured carpal bone?

Answer 29

Scaphoid - size and prominence

Question 30

Where is the sesamoid bone located?

Answer 30

between the metacarpal and proximal phalanges in the thumb

Question 31

Which heart sound is purely pathological

Answer 31

S4 - Thrills

Question 32

What are the 5 P’s of peripheral artery disease

Answer 32

Pallor Paralysis Parastesia Pain Pulse

Question 33

What system assessment would you not complete auscultation last and why

Answer 33

Abdominal Created bowel sounds from false movement

Question 34

What should a patient say when assessing tactile felremitus

Answer 34

99

Question 35

What lymph glands are located over the ears

Answer 35

Pre auricular

Question 36

What joint is closest to the tip of the finger

Answer 36

Distal interpharangeal

Question 37

What type of deformity presents in a patient with rickets

Answer 37

Valgus deformity

Question 38

3 cranial nerves responsible for eye movements

Answer 38

Trochlear, occularmotor, abducens

Question 39

How do you correctly document a lub dub sound with no adventitious sound on the heart valve auscultation

Answer 39

S1+S2+0

Question 40

Which breathing pattern associated with metabolic acidosis

Answer 40

Kussmauls

Question 41

3 vocal consolidation sounds when assessing breathing sounds

Answer 41

Egophany Bronchophany Wispered petriloquy

Question 42

Which heart valve prevents blood returning to the right atrium during contractions

Answer 42

Tricuspid

Question 43

How many grades of heart murmur are there

Answer 43

6

Question 44

Which respiratory sound should be heard over the trachea over someone in good health

Answer 44

Bronchial sound

Question 45

What tests for the LCL ligament

Answer 45

Varus stress test

Question 46

What is the nerve ending affecting the funny bone?

Answer 46

Ulna nerve

Question 47

What muscle and nerve does the regimental badge sign test?

Answer 47

Axillary nerve Deltoid muscle

Question 48

Where do you test for a scaphoid fracture?

Answer 48

Snuffbox

Question 49

What cranial nerve is responsible for tounge twisters?

Answer 49

Hypoglossal

Question 50

How far should a tongue depressor go into the mouth?

Answer 50

1/3rd

Question 51

What are the 4 muscles of the rotator cuff?

Answer 51

Supraspinatus Infraspinatus Subscapularis Teres minor

Question 52

What tests for the MCL ligament?

Answer 52

Valgus test

Question 53

What tests the nerves in the hand?

Answer 53

Kumars sign

Question 54

What tests for cerebella function?

Answer 54

The Rhombergs Test

Question 55

What are the 3 tests for vocal sounds?

Answer 55

Bronchophany, Egophany and Whispered Pectoriloquy

Question 56

What is the threshold for a raised ICP?

Answer 56

Between 3-5cm

Question 57

What are the two tests for pyelonephritis?

Answer 57

Kidney tenderness on palpation CVA tenderness

Question 58

what is the eye test chart called?

Answer 58

Snellen

Question 59

what are the 6F's of abdominal distention?

Answer 59

* fat * fluid * flatus * faeces * foetus * fulminant mass

Question 61

What three inputs does the cerebellum utilise to allow us to balance?

Answer 61

vestibular, visual, and proprioception

Question 62

what are the sinuses most likely to be inflamed in the case of siusitis

Answer 62

maxillary and the anterior ethmoid sinuses.

Question 63

Whispered pectoriloquy is a test for what in the lungs?

Answer 63

evaluate for the presence of lung consolidation

Question 64

The Valgus stress test is in association with what ligament?

Answer 64

Medial collateral ligament

Question 65

On auscultation of the heart valves, an S4 sound is always pathological. True or false?

Answer 65

True

Question 66

Adam has fallen on his outstretched hand whilst his wrist was dorsiflexed, he appears to have a something fracture what is something in this case?

Answer 66

Colles

Question 67

Arabella has cut her hand on a trowel whilst gardening. Her family are opposed to vaccinations and she does not think she has ever had any. Under these circumstances, what vaccine should you advise her to consent to receiving? The _____________ vaccine.

Answer 67

Tetnus

Question 68

You meet Terrence whilst on placement at a HASU. Terrence has a right sided facial drop. He has no headache and no other neurological deficit. A CT scan shows no indication of ischaemia. You are asked to give Terrence the good news that he is not having a CVA or a TIA and that the likely diagnosis is .............

Answer 68

Bells palsy

Question 69

You are on placement in a UCC when you are asked to help keep eighteen month old Ronan still for otoscopy. Ronan is very, very distressed and pulling at his ear. He is also pyrexic. The ENP tells you that his tympanic membrane is bulging and there is fluid behind it. Your diagnosis (using correct, medical terminology) for this patient is

Answer 69

Otitis media

Question 70

The most likely valve to be affected with endocarditis in the case of an intravenous drug user is the _____________ valve.

Answer 70

tricuspid

Question 71

Which muscles comprise the rotator cuff?

Answer 71

Supraspinatus Infraspinatus Subscapularis Teres minor

Question 72

Where does the axillary nerve originate from?

Answer 72

C5 & C6

Question 73

The cross body adduction test assesses for which two impingements?

Answer 73

supraspinatus & acromioclavicular joint

Question 74

Which nerves does the Kumar's Test assess?

Answer 74

Radial, medial and ulnar

Question 75

Inability to oppose the thumb and index finger indicates damage to which nerve?

Answer 75

medial

Question 76

Approximately how long does it take a ruptured tympanic membrane to heal?

Answer 76

3 months

Question 77

Ottawa Ankle Rules?

Answer 77

Any one of the following: Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR Bone tenderness at the navicular bone (for foot injuries), OR An inability to bear weight both immediately and in the emergency department for four steps.

Question 78

Parasternal heaves felt at the left sternal edge indicate what pathology?

Answer 78

Right ventricular enlargement

Question 79

Which foreign object would Urgent Care Centre staff be unwilling to remove from eighteen month old Morag's ear? Group of answer choices a lego head b squashed pea c spider d battery

Answer 79

D

Question 80

The presence of ptosis and nystagmus indicate a problem with which cranial nerve?

Answer 80

CN III

Question 81

Apixaban, Aspirin, Atenolol, Prednisolone, Ramipril, Salbutamol and Simvastatin.

Question 82

A patient presents with a two-day history of a sore throat. Upon inspection of the oral cavity you visualise unilateral bulging and a deviated uvula away from the bulging lesion. Which condition is most likely?

Answer 82

Peritonsillar abscess

Question 83

Which of the following is the most common type of headache experienced? Group of answer choices Cluster Caffeine related Migraine Tension type headache

Question 84

Which of the following is NOT a NICE recommendation for transport to hospital following a head injury? Group of answer choices Regular corticosteroids Persistent vomiting Previous neurosurgery Any clotting or bleeding disorders

Answer 84

Regular corticosteroids

Question 85

During auscultation of the abdominal arteries, you hear a bruit, which of the following disease processes could this signify? Group of answer choices Liver cirrhosis Sickle-cell anaemia Malaria Abdominal aortic aneurysm

Question 86

Overflow diarrhoea is associated with which condition? Group of answer choices Crohn's disease Norovirus Gastroenteritis Bowel obstruction

Answer 86

Bowel obstruction

Question 87

An ataxic gait is associated with with region of the brain? Group of answer choices Cerebellum Frontal lobe Occipital lobe Temporal lobe

Question 88

You assess a patient and notice that he has xanthelasma and corneal arcus. This indicates to you that the patient has what?

Answer 88

high colestrol