Tài liệu EMQs and MCQs for Medical Finals doc

[...]... the patient that this is normal ٗ c Needle aspiration and send fluid for culture and cytology ٗ d Referral to a breast surgeon for excision and biopsy ٗ e Short course of oral prednisolone and 2-week review 14 P1 QUESTIONS 35 A 33-year-old gentleman presents with upper abdominal pain and vomiting Blood tests demonstrate a raised white cell count and an amylase of 300 IU/L Of the following differentials,... 16-year-old girl presents to accident and emergency having taken 35 paracetamol tablets that morning She is tearful and upset and history taking is difficult as she does not answer questions easily Her past medical history is of depression and self-harm and childhood eczema Examination is unremarkable and blood tests reveal an Hb of 10.8, slightly low albumin with normal urea and electrolytes AST, bilirubin,... is brought to accident and emergency from the warden-controlled accommodation where she resides She was found in her apartment by the warden sitting on the floor and very confused Past medical history is remarkable for pernicious anaemia, type II diabetes and vitiligo On examination she is disorientated and scores 3/10 on the abbreviated mental test (AMT) Her abdomen feels lumpy and she is bradycardic... underwater seal ٗ e Perform an emergency tracheostomy 17 P1 QUESTIONS 46 A 63-year-old gentleman presented to casualty with chest pain and shortness of breath He described the chest pain as right sided and intermittent The pain and shortness of breath were exacerbated by deep respiratory effort but ameliorated by shallow breathing He has no risk factors for coronary artery disease He has a past medical history... child is brought to his GP by his mother who is concerned about poor weight gain He is at the 15th centile for height and weight and his past medical history includes admissions to hospital for recurrent chest infections and an episode of gastroenteritis Developmental parameters are normal except for slightly reduced hearing in the right ear, which is slightly erythematous Which one of the following... abdominal pain and diarrhoea He has had 10 bouts of diarrhoea since the morning and states that the pain is severe He has noticed that his bowels have become much more watery over the past 2 months and that he has been increasingly breathless Recently he has stopped taking alcohol as he has noticed that on occasion his face and neck become violently red and he feels hot and nauseated and attributes... are called to see her on the wards as she has become dyspnoeic, irritable and complaining of pain Observations record a blood pressure of 110/60, pulse 66 and regular and saturations of 94% on 2L of oxygen Her past medical history is of ischaemic heart disease and hypertension treated with daily aspirin, atenolol, simvastatin and frusemide Which of the following post-operative complications is the most... with chest pain and a widened mediastinum is: ٗ a 4 limb blood pressure measurements ٗ b LFT’s ٗ c Lateral chest x-ray ٗ d CT chest ٗ e ECG 7 A 16-year-old man presents to hospital complaining of abdominal pain, nausea and vomiting He has been feeling unwell for the last 3 days since he ‘caught a cold’ from his younger sister His past medical history is remarkable only for childhood eczema and type I diabetes... fever, became unwell and complained of an ache in her left flank Detailed questioning reveals a 7k weight loss since her return 3 weeks ago and diarrhoea that has been manifest on and off over the same period On examination she is tender in the renal angle and a mid-stream urine result demonstrates a sterile pyuria What is the next step in management for this woman? ٗ a Treat for a fungal pyelonephritis... tired and uncooperative during physical examination Abdominal examination reveals a lumpy quality to the abdomen and areas of erythema ab igne on both shins A keen medical student notes some unusual hair loss over her eyebrows and scalp 68 A 52-year-old man presents to hospital with shortness of breath ٗ and cough productive of green sputum He complains that he has been feeling weak, thirsty and thinks . class="bi x0 y0 w0 h0" alt="" EMQs and MCQs for Medical Finals This page intentionally left blank EMQs and MCQs for Medical Finals Jonathan Bath MBBS BSc. subjects, EMQs and MCQs for Medical Finals provides a comprehensive review of these topics as well as providing exposure to frequently encountered question formats