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3rd Year CAP Test

Description

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.
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson over 5 years ago
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Resource summary

Question 1

Question
Prior to initiation of Lithium Carbonate treatment, it is important to assess the [blank_start]U&Es[blank_end] of a patient as lithium can cause [blank_start]renal[blank_end] damage
Answer
  • renal
  • liver
  • brain
  • U&Es
  • FBC
  • LFTs
  • Thyroid Function
  • thyroid

Question 2

Question
During pregnancy, blood pressure typically decreases during the [blank_start]2nd semester[blank_end] before returning to pre-pregnancy levels by the [blank_start]3rd trimester[blank_end].
Answer
  • 2nd semester
  • 1st semester
  • 3rd semester
  • 3rd trimester
  • 2nd trimester

Question 3

Question
Spherocytes present on the blood film could indicate which two possible diseases?
Answer
  • Autoimmune Haemolytic Anaemia
  • Hereditary Spherocytosis
  • Pernicious Anaemia
  • Aplastic Anaemia
  • Sickle Cell Anaemia
  • Renal Anaemia

Question 4

Question
Spherocytes on blood film + a positive direct Coomb's test would lead you to which diagnosis? [blank_start]Autoimmune Haemolytic Anaemia[blank_end]
Answer
  • Autoimmune Haemolytic Anaemia

Question 5

Question
Which hormone can be measured to determine whether or not a woman has ovulated?
Answer
  • Progesterone
  • Oestrogen
  • Beta hCG
  • Oxytocin

Question 6

Question
Which hormone is measured to assess the ovarian reserve in women?
Answer
  • Anti-Mullerian Hormone
  • Anti-Wolffian Hormone
  • Progesterone
  • Oestrogen
  • Beta hCG

Question 7

Question
Which of the following is the best diagnostic test for Sickle Cell Disease?
Answer
  • Haemoglobin High Performance Liquid Chromatography
  • Peripheral Blood Immunophenotyping
  • Serum Protein Electrophoresis
  • Bone Marrow Biopsy

Question 8

Question
Fill in the IQ ranges for the different levels of learning disability: Borderline Learning Disability = IQ of [blank_start]70[blank_end] - [blank_start]84[blank_end] Mild Learning Disability = IQ of [blank_start]50[blank_end] - [blank_start]69[blank_end] Moderate Learning Disability = IQ of [blank_start]35[blank_end] - [blank_start]49[blank_end] Severe Learning Disability = IQ of [blank_start]20[blank_end] - [blank_start]34[blank_end] Profound Learning Disability = IQ of <[blank_start]20[blank_end]
Answer
  • 20
  • 34
  • 49
  • 69
  • 84
  • 70
  • 50
  • 35
  • 20

Question 9

Question
Which hormone causes enlargement of the breast mammary glands and prepares them for lactation? [blank_start]Prolactin[blank_end] Which hormone then brings about lactation by causing muscle contraction? [blank_start]Oxytocin[blank_end]
Answer
  • Prolactin
  • Oxytocin

Question 10

Question
Premature ovarian failure can be caused by previous chemotherapy/radiotherapy
Answer
  • True
  • False

Question 11

Question
A diagnosis of premature ovarian failure can be confirmed by a raised level of which hormone?
Answer
  • LH
  • FSH
  • Prolactin
  • Oestrogen
  • Progesterone
  • Beta hCG

Question 12

Question
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? [blank_start]Duct ectasia[blank_end]
Answer
  • Duct ectasia

Question 13

Question
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?
Answer
  • Fat necrosis
  • Galactocele
  • Duct ectasia
  • Fibroadenoma
  • Inflammatory breast cancer

Question 14

Question
Chlamydia Trachomatis is an intracellular organism which produces which two of the following during its reproductive cycle?
Answer
  • Elementary bodies
  • Reticulate bodies
  • Lymphocytic bodies
  • Neutrophilic bodies
  • Reed Sternberg bodies
  • Ruffian bodies

Question 15

Question
Lesions which occur just anterior to the optic chiasma typically cause which type of scotoma bilaterally?
Answer
  • Junctional Scotoma
  • Arcuate Scotoma
  • Centrocaecal Scotoma
  • Pericentral Scotoma

Question 16

Question
Which three of the following are caused by Multiple Myeloma (cancer of the plasma cells)?
Answer
  • Renal Failure
  • Anaemia
  • Bone pain (typically spine)
  • Bone pain (typically upper limb)
  • Bone pain (typically lower limb)
  • Polycythaemia
  • Liver Failure
  • Heart Failure
  • Haemorrhagic Stroke

Question 17

Question
Anterior intercostal veins drain to the [blank_start]internal thoracic vein[blank_end] Posterior intercostal veins drain to the [blank_start]azygous vein[blank_end]
Answer
  • azygous vein
  • internal thoracic vein

Question 18

Question
Treponema Pallidum is also known as [blank_start]Syphilis[blank_end] infection
Answer
  • Syphilis

Question 19

Question
Premalignant change with discoloured growth = [blank_start]Neoplasia[blank_end] Change from one mature cell type to another = [blank_start]Metaplasia[blank_end] Presence of cells of an abnormal type within a tissue = [blank_start]Dysplasia[blank_end]
Answer
  • Dysplasia
  • Metaplasia
  • Neoplasia

Question 20

Question
Before commencing a patient on the oral combined contraceptive pill, which two of the following must be measured?
Answer
  • BMI
  • Blood Pressure
  • Thrombophilia Screen
  • Blood Glucose
  • Cervical Smear

Question 21

Question
Lamotrigine is an anticonvulsant medication which work by inhibiting voltage gated [blank_start]sodium[blank_end] channels, thus lowering the levels of the excitatory neurotransmitter [blank_start]glutamate[blank_end]
Answer
  • glutamate
  • glutamine
  • GABA
  • sodium
  • chloride
  • potassium
  • calcium

Question 22

Question
What is the first area of the brain to be affected by Alzheimer's disease? [blank_start]Nucleus Basalis of Meynert[blank_end]
Answer
  • Nucleus Basalis of Meynert

Question 23

Question
Obstructive Lung condition: FEV1/FVC ratio is [blank_start]Reduced[blank_end] Restrictive Lung condition: FEV1/FVC ratio is [blank_start]Normal[blank_end]
Answer
  • Normal
  • Reduced
  • Reduced
  • Normal

Question 24

Question
An FEV1/FVC ratio of less than [blank_start]70%[blank_end] is required to diagnose [blank_start]an obstructive[blank_end] respiratory condition
Answer
  • 70%
  • 60%
  • 50%
  • an obstructive
  • a restrictive

Question 25

Question
Pain across the posterior triangle of the neck is mediated by the [blank_start]Facial[blank_end] nerve
Answer
  • Facial
  • Trigeminal
  • Glossopharyngeal
  • Vagus
  • Spinal Accessory

Question 26

Question
Unfractioned Heparin is best monitored using the [blank_start]APTT[blank_end]
Answer
  • APTT
  • Prothrombin Time

Question 27

Question
Which of the following is one of the main treatments for endometriosis
Answer
  • Oral Combined Contraceptive Pill
  • Cyproterone Acetate
  • Clomiphene Citrate
  • Chorionic Gonadotrophin

Question 28

Question
In Schizophrenia there is excessive activation of [blank_start]Dopamine[blank_end] receptors
Answer
  • Dopamine
  • Serotonin
  • Noradrenaline

Question 29

Question
Which of the following suggest cardiovascular disease in a newborn infant?
Answer
  • Delay in femoral pulses
  • Early neonatal jaundice
  • Polycythaemia
  • Peripheral Cyanosis
  • Splitting of the second heart sound

Question 30

Question
Which of the following medications reduces the efficacy of the oral contraceptive pill?
Answer
  • Methyldopa
  • Phenytoin
  • Mefenamic Acid
  • Amoxicillin
  • Codeine

Question 31

Question
Which of the following drugs is contraindicated in breastfeeding?
Answer
  • Warfarin
  • Tetracycline
  • Labetalol
  • Amoxicillin
  • Amitriptyline

Question 32

Question
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?
Answer
  • Vasa Praevia
  • Placenta Praevia
  • Uterine Rupture
  • Cervical Tear

Question 33

Question
At which stage does the embryo implant into the uterus?
Answer
  • Pronuclear
  • 8 cell stage
  • Blastocyst
  • Morula
  • Gastrula

Question 34

Question
An incontinence which is exacerbated by coughing or sneezing would be considered to be which type of incontinence? [blank_start]Stress[blank_end] incontinence
Answer
  • Stress

Question 35

Question
A chronic outflow obstruction causing urine buildup in the bladder would lead to which type of incontinence? [blank_start]Overflow[blank_end] incontinence
Answer
  • Overflow

Question 36

Question
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
Answer
  • Sodium Valproate
  • Haloperidol
  • Carbemazepine
  • Amitriptyline
  • Olanzapine

Question 37

Question
The combined oral contraceptive pill is contraindicated in woman with a BMI of
Answer
  • > 30 kg/m2
  • > 35kg/m2
  • >39kg/m2

Question 38

Question
Wilson's Disease is inherited in a [blank_start]autosomal recessive[blank_end] pattern
Answer
  • autosomal recessive
  • autosomal dominant
  • x-linked dominant
  • x-linked recessive
  • mitochondrial

Question 39

Question
Becker's Muscular Dystrophy, like Duchenne's Muscular Dystrophy, is inherited in a [blank_start]x-linked recessive[blank_end] pattern
Answer
  • x-linked recessive
  • x-linked dominant
  • autosomal dominant
  • autosomal recessive
  • mitochondrial

Question 40

Question
Myoclonic Epilepsy with Ragged Red Fibres is inherited in a [blank_start]mitochondrial[blank_end] inheritance pattern
Answer
  • mitochondrial
  • autosomal dominant
  • autosomal recessive
  • x-linked dominant
  • x-linked recessive

Question 41

Question
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
Answer
  • 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

Question 42

Question
A 23 year old woman from Nigeria presents with small volume lymphadenopathy, oral candidiasis and oral hair leukoplakia. What is her most likely diagnosis?
Answer
  • Hodgkin's Disease
  • HIV
  • Tuberculosis
  • Toxoplasmosis
  • Sarcoidosis
  • Non-Hodgkin's Lymphoma

Question 43

Question
A diabetic woman who presents to her GP at 8 week gestation should be started on which supplement regime?
Answer
  • 400μg Folic Acid
  • 5mg Folic Acid
  • 400mg Folic Acid + 10μg Vitamin D
  • 5mg Folic Acid + 10μg Vitamin D

Question 44

Question
Most patients on dialysis require [blank_start]erythropoietin[blank_end] supplementation in order to maintain normal Haemoglobin levels
Answer
  • erythropoietin

Question 45

Question
A brain lesion leaving the individual with an inability to recognise familiar objects (e.g. an apple) is known as [blank_start]nominal[blank_end] aphasia
Answer
  • nominal

Question 46

Question
Nominal aphasia occurs due to a lesion in which part of the brain? The [blank_start]Angular Gyrus[blank_end]
Answer
  • Angular Gyrus

Question 47

Question
Polyuria is defined as greater than [blank_start]2.8 litres[blank_end] of urine passed within a 24 hour period.
Answer
  • 2.8 litres
  • 2.6 litres
  • 2.5 litres
  • 3.0 litres

Question 48

Question
Iron deficiency anaemia diagnosed during pregnancy warrants oral iron supplementation. Iron transfusion should not be given until the haemoglobin levels fall below [blank_start]8.8[blank_end] g/l
Answer
  • 8.8
  • 6.2
  • 9.6

Question 49

Question
In Myasthenia Gravis, the autoantibodies are against [blank_start]postsynaptic[blank_end] acetylcholine receptors
Answer
  • postsynaptic
  • presynaptic

Question 50

Question
[blank_start]Trichomonas Vaginalis[blank_end] is a flagellated protozoan parasite which causes an STI of foul smelling discharge.
Answer
  • Trichomonas Vaginalis

Question 51

Question
Trichomonas Vaginalis is what type of organism?
Answer
  • Bacteria
  • Parasite
  • Virus
  • Fungus
  • Platyhelminthe

Question 52

Question
Clue Cells on microscopy indicates which condition? [blank_start]Bacterial Vaginosis[blank_end]
Answer
  • Bacterial Vaginosis
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