Revision and CAP Test

Question 1

Amnesia Post Head Injury

Answer 1

Need Head CT

Question 2

O2 SATs in Carbon Monoxide Poisoning

Answer 2

Artificially High

Question 3

Frail + Requiring Colon Ix

Answer 3

CT Colonography

Question 4

Effects of Prochlorperazine

Answer 4

Rigidity
Tremor
Bradykinesia
Falls

Question 5

Investigation of suspected osteomyelitis

Answer 5

Blood cultures

Question 6

Prominent Feature

VSD vs ToF

Answer 6

VSD = heart failure 
Tetralogy = cyanosis

Question 7

Type of Fluid Used as Maintenance Fluids in Children

Answer 7

0.9% saline + 5% glucose

Question 8

Alprostadil =

Answer 8

Prostaglandin

Question 9

Example of a Prostaglandin =

Answer 9

Alprostadil

Question 10

Exclamation Point Hairs

Answer 10

Alopecia Areata

Question 11

Association with Oropharyngeal Cancers

Answer 11

HPV

Question 12

Area of brain associated with dressing apraxia

Answer 12

Parietal lobe

Question 13

High random blood glucose + symptomatic

Next investigation

Answer 13

Need no further investigation to confirm T2DM

Question 14

Mitral Regurgitation Post-MI Cause

Answer 14

Papillary Muscle Rupture

Question 15

Investigation of Suspected AD PKD

Answer 15

USS

Question 16

Cause of hypocalcaemia and 2y hyperparathyroidism in CKD

Answer 16

Reduced hydroxylation of vitamin D

Question 17

Microorganisms implicated in Hospital Acquired Pneumonia

Answer 17

Gram negative bacteria

Question 18

Spondylolisthesis =

Answer 18

= anterior slippage of the vertebra

Question 19

Migraine with aura

Prophylaxis

Answer 19

1. Propranolol

2. Topiramate

Question 20

Resting Tremor

Better on Movement

Answer 20

= Parkinsonian tremor

Question 21

Symphseal-Fundal Height =

Answer 21

Gestational Age +/- 3cm

Question 22

Management of Essential Hypertension

Wanting to Get Pregnant

Answer 22

Methyldopa

Question 23

Investigation of Choice

PCOS

Answer 23

Transvaginal USS

Question 24

Sentinel Node Biopsy

Indications for Further Surgery

Answer 24

> 3 Nodes are +VE

Question 25

Chronic Gut Infection HIV =

Answer 25

= cryptosporidium

Question 26

Gram +VE Diplococci =

Answer 26

Streptococcus

Question 27

Diagnosis of Glaucoma =

Answer 27

= tonometry

Question 28

Investigation of Penetrating Eye Injury

Answer 28

CT of Orbits

Question 29

Delusional Disorder vs Other Conditions

Answer 29

Delusions are present irrespective of mood and absence of hallucinations

Question 30

Management of Paranoid Schizophrenia | Acutely Disturbed + Verbally Responsive

Answer 30

Oral lorazepam

Question 31

Acute Dystonia Pathogenesis Management

Answer 31

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

Question 32

Physical Complaints | Multiple Negative Investigations

Answer 32

= somatisation disorder

Question 33

BP Finding in Aortic Dissection

Answer 33

= unequal/different BP in each arm

Question 34

Sphena Varix =

Answer 34

= dilation of saphenous vein at the femoral vein junction | Disappears on lying flat VS hernia which will persist

Question 35

Low BP and adequate fluids management

Answer 35

Need inotropes | e.g. noradrenaline infusion

Question 36

Fragility Fracture | Management Post-Discharge

Answer 36

Bisphosphonates | Calcium and Vitamin D Supplements

Question 37

Investigation of Pale Stools and Dark Urine

Answer 37

Split bilirubin | Indicates a conjugated hyperbilirubinaemia

Question 38

Lack of head lag development stage

Answer 38

3 months

Question 39

Management of acne

Answer 39

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

Question 40

What is Reinke's oedema?

Answer 40

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

Question 41

Management of pain in OA

Answer 41

Lifestyle advice Topical or oral NSAIDs Paracetamol

Question 42

Findings in oesophageal ulceration

Answer 42

Granulation tissue | Necrosis

Question 43

Jarred knee Haemarthrosis Lateral tenderness Pain on straight leg raise

Answer 43

Tibial plateau fracture

Question 44

URTIs with ++ sputum | Young

Answer 44

Bronchiectasis

Question 45

Investigation of suspected pulmonary TB

Answer 45

CXR | Sputum microscopy and smear

Question 46

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

Answer 46

Temporal lobe

Question 47

Depression and thoughts of suicide | GP review?

Answer 47

Need a review within 1 week

Question 48

Gallstones in CBD + dilation | Management

Answer 48

1. Antibiotics and Analgesia | 2. ERCP

Question 49

Pneumothorax >2cm 1. Primary 2. Secondary

Answer 49

``` Primary = aspiration Secondary = chest drain ```

Question 50

IgA vasculitis =

Answer 50

Henoch-Schlein Purpura

Question 51

Pathology Findings - Pemphigoid - Pemphigus

Answer 51

``` Pemphigoid = split at the junction between the epidermis and dermis Pemphigus = intradermal split ```

Question 52

Management of post-partum thyroiditis

Answer 52

B blockers