3rd Year CAP Test

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

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].

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

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

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

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

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

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]

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]

Premature ovarian failure can be caused by previous chemotherapy/radiotherapy

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

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]

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?

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

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

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

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]

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

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]

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

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]

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

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

An FEV1/FVC ratio of less than [blank_start]70%[blank_end] is required to diagnose [blank_start]an obstructive[blank_end] respiratory condition

Pain across the posterior triangle of the neck is mediated by the [blank_start]Facial[blank_end] nerve

Unfractioned Heparin is best monitored using the [blank_start]APTT[blank_end]

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

In Schizophrenia there is excessive activation of [blank_start]Dopamine[blank_end] receptors

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

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

Which of the following drugs is contraindicated in breastfeeding?

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?

At which stage does the embryo implant into the uterus?

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

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

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

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

Wilson's Disease is inherited in a [blank_start]autosomal recessive[blank_end] pattern

Becker's Muscular Dystrophy, like Duchenne's Muscular Dystrophy, is inherited in a [blank_start]x-linked recessive[blank_end] pattern

Myoclonic Epilepsy with Ragged Red Fibres is inherited in a [blank_start]mitochondrial[blank_end] inheritance pattern

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

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

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

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

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

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

Polyuria is defined as greater than [blank_start]2.8 litres[blank_end] of urine passed within a 24 hour period.

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

In Myasthenia Gravis, the autoantibodies are against [blank_start]postsynaptic[blank_end] acetylcholine receptors

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

Trichomonas Vaginalis is what type of organism?

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