Matthew Coulson
Quiz by , created more than 1 year ago

Questions based on the main points I took away from the third year CAP test. Mostly things I struggled with but otherwise simply points I want to remember for the main exams.

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Matthew Coulson
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3rd Year CAP Test

Question 1 of 52

1

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Prior to initiation of Lithium Carbonate treatment, it is important to assess the ( U&Es, FBC, LFTs, Thyroid Function ) of a patient as lithium can cause ( renal, liver, brain, thyroid ) damage

Explanation

Question 2 of 52

1

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During pregnancy, blood pressure typically decreases during the ( 2nd semester, 1st semester, 3rd semester ) before returning to pre-pregnancy levels by the ( 3rd trimester, 2nd trimester ).

Explanation

Question 3 of 52

1

Spherocytes present on the blood film could indicate which two possible diseases?

Select one or more of the following:

  • Autoimmune Haemolytic Anaemia

  • Hereditary Spherocytosis

  • Pernicious Anaemia

  • Aplastic Anaemia

  • Sickle Cell Anaemia

  • Renal Anaemia

Explanation

Question 4 of 52

1

Fill the blank space to complete the text.

Spherocytes on blood film + a positive direct Coomb's test would lead you to which diagnosis?

Explanation

Question 5 of 52

1

Which hormone can be measured to determine whether or not a woman has ovulated?

Select one of the following:

  • Progesterone

  • Oestrogen

  • Beta hCG

  • Oxytocin

Explanation

Question 6 of 52

1

Which hormone is measured to assess the ovarian reserve in women?

Select one of the following:

  • Anti-Mullerian Hormone

  • Anti-Wolffian Hormone

  • Progesterone

  • Oestrogen

  • Beta hCG

Explanation

Question 7 of 52

1

Which of the following is the best diagnostic test for Sickle Cell Disease?

Select one of the following:

  • Haemoglobin High Performance Liquid Chromatography

  • Peripheral Blood Immunophenotyping

  • Serum Protein Electrophoresis

  • Bone Marrow Biopsy

Explanation

Question 8 of 52

1

Fill the blank spaces to complete the text.

Fill in the IQ ranges for the different levels of learning disability:
Borderline Learning Disability = IQ of -
Mild Learning Disability = IQ of -
Moderate Learning Disability = IQ of -
Severe Learning Disability = IQ of -
Profound Learning Disability = IQ of <

Explanation

Question 9 of 52

1

Fill the blank spaces to complete the text.

Which hormone causes enlargement of the breast mammary glands and prepares them for lactation?

Which hormone then brings about lactation by causing muscle contraction?

Explanation

Question 10 of 52

1

Premature ovarian failure can be caused by previous chemotherapy/radiotherapy

Select one of the following:

  • True
  • False

Explanation

Question 11 of 52

1

A diagnosis of premature ovarian failure can be confirmed by a raised level of which hormone?

Select one of the following:

  • LH

  • FSH

  • Prolactin

  • Oestrogen

  • Progesterone

  • Beta hCG

Explanation

Question 12 of 52

1

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A 40 year old patient, smoker of 25 years, presents to the GP with green nipple discharge from the right breast with a painless lump below her nipple. What is your immediate working diagnosis?

Explanation

Question 13 of 52

1

A 38 year old woman presents to her GP with a 2cm lump in the upper outer quadrant of her right breast. She was involved in a car accident 2 months ago however states that she was not injured during this.
What is your immediate working diagnosis?

Select one of the following:

  • Fat necrosis

  • Galactocele

  • Duct ectasia

  • Fibroadenoma

  • Inflammatory breast cancer

Explanation

Question 14 of 52

1

Chlamydia Trachomatis is an intracellular organism which produces which two of the following during its reproductive cycle?

Select one or more of the following:

  • Elementary bodies

  • Reticulate bodies

  • Lymphocytic bodies

  • Neutrophilic bodies

  • Reed Sternberg bodies

  • Ruffian bodies

Explanation

Question 15 of 52

1

Lesions which occur just anterior to the optic chiasma typically cause which type of scotoma bilaterally?

Select one of the following:

  • Junctional Scotoma

  • Arcuate Scotoma

  • Centrocaecal Scotoma

  • Pericentral Scotoma

Explanation

Question 16 of 52

1

Which three of the following are caused by Multiple Myeloma (cancer of the plasma cells)?

Select one or more of the following:

  • Renal Failure

  • Anaemia

  • Bone pain (typically spine)

  • Bone pain (typically upper limb)

  • Bone pain (typically lower limb)

  • Polycythaemia

  • Liver Failure

  • Heart Failure

  • Haemorrhagic Stroke

Explanation

Question 17 of 52

1

Anterior intercostal veins drain to the
Posterior intercostal veins drain to the

Drag and drop to complete the text.

    azygous vein
    internal thoracic vein

Explanation

Question 18 of 52

1

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Treponema Pallidum is also known as infection

Explanation

Question 19 of 52

1

Premalignant change with discoloured growth =
Change from one mature cell type to another =
Presence of cells of an abnormal type within a tissue =

Drag and drop to complete the text.

    Dysplasia
    Metaplasia
    Neoplasia

Explanation

Question 20 of 52

1

Before commencing a patient on the oral combined contraceptive pill, which two of the following must be measured?

Select one or more of the following:

  • BMI

  • Blood Pressure

  • Thrombophilia Screen

  • Blood Glucose

  • Cervical Smear

Explanation

Question 21 of 52

1

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Lamotrigine is an anticonvulsant medication which work by inhibiting voltage gated ( sodium, chloride, potassium, calcium ) channels, thus lowering the levels of the excitatory neurotransmitter ( glutamate, glutamine, GABA )

Explanation

Question 22 of 52

1

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What is the first area of the brain to be affected by Alzheimer's disease?

Explanation

Question 23 of 52

1

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Obstructive Lung condition: FEV1/FVC ratio is ( Reduced, Normal )
Restrictive Lung condition: FEV1/FVC ratio is ( Normal, Reduced )

Explanation

Question 24 of 52

1

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An FEV1/FVC ratio of less than ( 70%, 60%, 50% ) is required to diagnose ( an obstructive, a restrictive ) respiratory condition

Explanation

Question 25 of 52

1

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Pain across the posterior triangle of the neck is mediated by the ( Facial, Trigeminal, Glossopharyngeal, Vagus, Spinal Accessory ) nerve

Explanation

Question 26 of 52

1

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Unfractioned Heparin is best monitored using the ( APTT, Prothrombin Time )

Explanation

Question 27 of 52

1

Which of the following is one of the main treatments for endometriosis

Select one of the following:

  • Oral Combined Contraceptive Pill

  • Cyproterone Acetate

  • Clomiphene Citrate

  • Chorionic Gonadotrophin

Explanation

Question 28 of 52

1

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In Schizophrenia there is excessive activation of ( Dopamine, Serotonin, Noradrenaline ) receptors

Explanation

Question 29 of 52

1

Which of the following suggest cardiovascular disease in a newborn infant?

Select one of the following:

  • Delay in femoral pulses

  • Early neonatal jaundice

  • Polycythaemia

  • Peripheral Cyanosis

  • Splitting of the second heart sound

Explanation

Question 30 of 52

1

Which of the following medications reduces the efficacy of the oral contraceptive pill?

Select one of the following:

  • Methyldopa

  • Phenytoin

  • Mefenamic Acid

  • Amoxicillin

  • Codeine

Explanation

Question 31 of 52

1

Which of the following drugs is contraindicated in breastfeeding?

Select one of the following:

  • Warfarin

  • Tetracycline

  • Labetalol

  • Amoxicillin

  • Amitriptyline

Explanation

Question 32 of 52

1

A woman has induction of labour at 42 weeks gestation via artificial rupture of membranes. After this, there is a prolonged foetal bradycardia of 50 BPM and some fresh vaginal bleeding. The uterus is soft and non-tender
What is your diagnosis?

Select one of the following:

  • Vasa Praevia

  • Placenta Praevia

  • Uterine Rupture

  • Cervical Tear

Explanation

Question 33 of 52

1

At which stage does the embryo implant into the uterus?

Select one of the following:

  • Pronuclear

  • 8 cell stage

  • Blastocyst

  • Morula

  • Gastrula

Explanation

Question 34 of 52

1

Fill the blank space to complete the text.

An incontinence which is exacerbated by coughing or sneezing would be considered to be which type of incontinence?
incontinence

Explanation

Question 35 of 52

1

Fill the blank space to complete the text.

A chronic outflow obstruction causing urine buildup in the bladder would lead to which type of incontinence?
incontinence

Explanation

Question 36 of 52

1

Simple partial seizures are characterised by brief periods (1-2 mins) of an inability to speak + altered hearing + loss of spacial awareness.
Simple Partial Seizures are typically treated via which of the following medications

Select one of the following:

  • Sodium Valproate

  • Haloperidol

  • Carbemazepine

  • Amitriptyline

  • Olanzapine

Explanation

Question 37 of 52

1

The combined oral contraceptive pill is contraindicated in woman with a BMI of

Select one of the following:

  • > 30 kg/m2

  • > 35kg/m2

  • >39kg/m2

Explanation

Question 38 of 52

1

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Wilson's Disease is inherited in a ( autosomal recessive, autosomal dominant, x-linked dominant, x-linked recessive, mitochondrial ) pattern

Explanation

Question 39 of 52

1

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Becker's Muscular Dystrophy, like Duchenne's Muscular Dystrophy, is inherited in a ( x-linked recessive, x-linked dominant, autosomal dominant, autosomal recessive, mitochondrial ) pattern

Explanation

Question 40 of 52

1

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Myoclonic Epilepsy with Ragged Red Fibres is inherited in a ( mitochondrial, autosomal dominant, autosomal recessive, x-linked dominant, x-linked recessive ) inheritance pattern

Explanation

Question 41 of 52

1

If a woman has forgotten to take one of her oral contraceptive pills and remembers only the day after she was meant to take it, she should

Select one of the following:

  • Take the missed pill now and take the next one as usual

  • Take a double dose now and the next dose as usual

  • Take a double dose now and miss the next dose

  • Forget the missed pill and take the next pill as usual

Explanation

Question 42 of 52

1

A 23 year old woman from Nigeria presents with small volume lymphadenopathy, oral candidiasis and oral hair leukoplakia. What is her most likely diagnosis?

Select one of the following:

  • Hodgkin's Disease

  • HIV

  • Tuberculosis

  • Toxoplasmosis

  • Sarcoidosis

  • Non-Hodgkin's Lymphoma

Explanation

Question 43 of 52

1

A diabetic woman who presents to her GP at 8 week gestation should be started on which supplement regime?

Select one of the following:

  • 400μg Folic Acid

  • 5mg Folic Acid

  • 400mg Folic Acid + 10μg Vitamin D

  • 5mg Folic Acid + 10μg Vitamin D

Explanation

Question 44 of 52

1

Fill the blank space to complete the text.

Most patients on dialysis require supplementation in order to maintain normal Haemoglobin levels

Explanation

Question 45 of 52

1

Fill the blank space to complete the text.

A brain lesion leaving the individual with an inability to recognise familiar objects (e.g. an apple) is known as aphasia

Explanation

Question 46 of 52

1

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Nominal aphasia occurs due to a lesion in which part of the brain?
The

Explanation

Question 47 of 52

1

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Polyuria is defined as greater than ( 2.8 litres, 2.6 litres, 2.5 litres, 3.0 litres ) of urine passed within a 24 hour period.

Explanation

Question 48 of 52

1

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Iron deficiency anaemia diagnosed during pregnancy warrants oral iron supplementation. Iron transfusion should not be given until the haemoglobin levels fall below ( 8.8, 6.2, 9.6 ) g/l

Explanation

Question 49 of 52

1

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In Myasthenia Gravis, the autoantibodies are against ( postsynaptic, presynaptic ) acetylcholine receptors

Explanation

Question 50 of 52

1

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is a flagellated protozoan parasite which causes an STI of foul smelling discharge.

Explanation

Question 51 of 52

1

Trichomonas Vaginalis is what type of organism?

Select one of the following:

  • Bacteria

  • Parasite

  • Virus

  • Fungus

  • Platyhelminthe

Explanation

Question 52 of 52

1

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Clue Cells on microscopy indicates which condition?

Explanation

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