Amk Practice Questions - Childhood, Adolescence, Young Adult

49 Questions | Total Attempts: 226

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Amk Practice Questions - Childhood, Adolescence, Young Adult

It’s time to answer some Amk Practice Questions – Childhood, Adolescence, Young Adult are all topics under the microscope in this quiz as we offer a handful of scenarios and see if you can tell us what happens next. How much do you know? Let’s find out.


Questions and Answers
  • 1. 
    Martin Richards, 23, arrives in A & E intoxicated with a lacerated wrist after putting his fist through a window during a fight. On inspection you find a clean but apparently deep 2cm long transverse laceration on the palmar aspect of the wrist, 2cm proximal to the wrist crease. Martin complains of numbness over the lateral aspect of the palm. He has a full range of movement in the affected hand.What is the most likely nerve to have been damaged?
    • A. 

      Palmar cutaneous branch of median nerve

    • B. 

      Lateral cutaneous nerve of forearm

    • C. 

      Superficial branch of radial nerve

    • D. 

      Cutaneous branch of ulnar nerve

    • E. 

      Medial cutaneous nerve of forearm

  • 2. 
    A 26 year old rugby player presents to his GP. He tells you that whilst he was playing a game at the weekend he felt his shoulder 'give way', although it did not remain out of joint. He has come to see you today as he is experiencing a tingling sensation on the lateral aspect of his upper arm. On examination he has an area of numbness over the lateral aspect of the deltoid and is having trouble abducting his shoulder.Which structure has been damaged?
    • A. 

      Axillary nerve

    • B. 

      Musculocutaneous nerve

    • C. 

      Posterior interosserous nerve

    • D. 

      Long throacic nerve

    • E. 

      Radial nerve

  • 3. 
    • A. 

      Ulnar

    • B. 

      Radial

    • C. 

      Median

    • D. 

      Axillary

    • E. 

      Musculocutaneous

  • 4. 
    Following an attempt to self harm, a 14 year old girl is admitted to the emergeny department with a series of mostly superficial lacerations on the dorsal aspect of her left forearm. However, one laceration is particularly deep. It is 2cm lateral to the medial epicondyle of her humerus, 2cm distal to her ante cubital fossa and approx. 4cm long with no foreign bodies. She complains of numbness in her thumb, index, middle and part of her ring finger. She is unable to fully flex thumb, index or middle fingers.Which is the most likely nerve to have been damaged?
    • A. 

      Median nerve

    • B. 

      Medial cutaneous nerve of forearm

    • C. 

      Cutaneous branch of median nerve

    • D. 

      Ulnar nerve

    • E. 

      Superficial branch of radial nerve

  • 5. 
    • A. 

      Dupuytren's contracture

    • B. 

      Ulnar nerve compression

    • C. 

      Radial nerve compression

    • D. 

      De Quervain's Tenosynovitis

    • E. 

      Carpal Tunnel Syndrome

  • 6. 
    Ellie James is a 59 year old woman who has come to see you, her GP, because of numbness in the thumb, index and middle finger of her left hand. It began 12 months ago and occured at night. In the morning she found herself having to move her arms around to get rid of the numbness. More recently she has had numbness during the day, tingling and pain in a similar distribution.You perform Tinnel's and Phalen's tests and make a diagnosis of Carpal Tunell Syndrome.Which neurovascular structure is being compressed and causing her symptoms?
    • A. 

      Median nerve

    • B. 

      Ulnar nerve

    • C. 

      Radial nerve

    • D. 

      Radial artery

    • E. 

      Ulnar artery

  • 7. 
    The biceps brachii, coracobrachialis and the brachialis muscles are innervated by which structure?
  • 8. 
    The triceps brachii and anconeus muscles are innervated by which structure?
  • 9. 
  • 10. 
    The serratous anterior is innervated by which structure?
  • 11. 
    The trapezius muscle is innervated by which structure?
  • 12. 
    The latissimus dorsi muscle is innervated by which structure?
  • 13. 
    The deltoid muscle is innervated by which structure?
  • 14. 
    The supraspinatus and infraspinatus muscles are innervated by which structure?
  • 15. 
    The teres minor muscle is innervated by which structure?
  • 16. 
    Name the bones of the wrist. Where do you start naming from?
  • 17. 
    Describe the positions of innervation by nerves C3-T4.
  • 18. 
    Wrist drop is a classical sign of damage to which nerve?
  • 19. 
    In the hand, which muscles does the ulnar nerve supply?
  • 20. 
    List the 4 stages of bone repair.
  • 21. 
  • 22. 
  • 23. 
  • 24. 
  • 25. 
    Growth hormone doesn't act directly on the target cells. What does?
  • 26. 
  • 27. 
    Growth hormone excess in childhood (before epiphyseal plates have sealed) leads to which condition?
  • 28. 
    Growth hormone excess in adolescence (after epiphyseal plates have sealed) leads to which condition?
  • 29. 
    Other than growth hormones, which 4 hormones are essential for normal growth?
  • 30. 
  • 31. 
  • 32. 
    Give a named example of a trycyclic antidepressant.
  • 33. 
  • 34. 
  • 35. 
  • 36. 
  • 37. 
  • 38. 
  • 39. 
  • 40. 
  • 41. 
    Chest wall movement is reduced on the left side, no mediastinal displacement, dull percussiv note, bronchial breath sounds, increased vocal resonance and fine crackles point to which one of the following?
    • A. 

      Left pneumothorax

    • B. 

      Left sided consolidation

    • C. 

      Fibrosis

    • D. 

      Left pleural effusion

    • E. 

      Right pleural effusion

  • 42. 
    Chest wall movement is reduced on the left side, mediastinal displacement to the right, stony dull percussive note, reduced or absent breath sounds, reduced or absent vocal resonance point to which one of the following?
    • A. 

      Left pneumothorax

    • B. 

      Left sided consolidation

    • C. 

      Fibrosis

    • D. 

      Left sided pleural effusion

    • E. 

      Right sided pleural effusion

  • 43. 
    A patient who has been diagnosed with emphysema is submitted to a number of lung function tests. Which of the following would you expect to be reduced?
    • A. 

      Functional residual capacity

    • B. 

      Vital capacity

    • C. 

      Lung compliance

    • D. 

      Residual volume

    • E. 

      Total lung capacity

  • 44. 
    A patient comes to see you at the GP surgery for a review of her asthma. She is 33 years old and has been asthmatic for 10 years. She tells you she currently uses her salbutamol inhaler (short acting beta-2 agonist) up to 4 times a day and takes the max dose of her Qvar inhaler but still regularly feels wheezy.Which medication would you now prescribe in addition?
    • A. 

      Oral steroids

    • B. 

      Theophylline

    • C. 

      Ipratropium bromide

    • D. 

      Leukotriene receptor antagonist

    • E. 

      Long acting beta-2 agonist

  • 45. 
    Katie, an 8 year old school girl, comes to see her GP with a history of wheezing and coughing. These symptoms occure in cold weather and after exercise but not everyday.As a result of peak flow measurement over 2 weeks and exercise tests a diagnosis of asthma is made.What is the most appropriate first step in the management of childhood asthma?
    • A. 

      Leukotriene receptor antagonist

    • B. 

      Short acting beta 2 agonist

    • C. 

      Oral corticosteroids

    • D. 

      Inhaled corticosteroids

    • E. 

      Long acting beta 2 agonist

  • 46. 
    A 6 year old boy is admitted to A&E because of acute exacerbation of his asthma. Pulse rate 120, resps 36. He is barrel chested and using accessory muscles to breathe. He is breathless, wheezing and only talking in short sentences. GCS is 14. Widespread wheeze heard on ascultation of chest. Peak expiratory flow rate is 46% of predicted and O2 sats are 94% on air.What aspect of this patient's presentation is most concerning?
    • A. 

      Peak expiratory flow rate

    • B. 

      O2 sats

    • C. 

      Use of accessory muscles

    • D. 

      Respiratory rate

    • E. 

      Wheeze on ascultation

  • 47. 
    Managing an asthma attack. High flow O2 administered and a large bore IV cannula inserted. What is the next most important step in managing the patient?
    • A. 

      Administer nebulised salbutamol

    • B. 

      Send for VQ scan

    • C. 

      Oral prednisolone

    • D. 

      IV heparin

    • E. 

      Send for chest xray

  • 48. 
    Katie is 4 years old and her asthma is currently being treated with a short acting beta 2 agonist. She has been more breathless at school recently and her father wants her asthma to be more cotrolled, What is the next step in the management of this patient.
    • A. 

      Add an inhaled steroid

    • B. 

      Add an oral steroid

    • C. 

      Maintain present treatment

    • D. 

      Add an inhaled long acting beta 2agonist

    • E. 

      Monitor with peak flow readings

  • 49. 
    An asthmatic presents in A&E in acute respiratory distress. What's the most appropriate primary intervention on admission of this patient?
    • A. 

      IV hydrocortisone 200mg

    • B. 

      Nebulised salbutamol 5mg every 15-30 mins as required

    • C. 

      Allow patient to self medicate using their own 'blue' inhaler

    • D. 

      O2 therapy at highest flow rate available

    • E. 

      IV magnesium sulphate 1.2-2g every 20 mins as required