A 35 year old IV drug abuser arrives at the clinic with localized spinal pain. It is worse on movement and has been occurring for the last 2 months. The pain is refractory to analgesic treatment and is felt excruciatingly at rest too. He has no history of tuberculosis. Which of the following is the most likely diagnosis?
A 32 year old presents with symptoms of an anal fistula. The clinician examines him in the lithotomy position and the external opening of the fistula is identified in the 7 o’clock position. At which of the following locations is the internal opening most likely to be found?
A 35 year old man presents with venous varicosities which are suspected to have resulted due to Klippel-Trenaunay syndrome. Which of the following would not be associated with this condition?
A 33 year old man with fulminant ulcerative colitis underwent a subtotal colectomy. Which type of stoma would most likely be fashioned?
A 35 year old woman with cholecystitis is admitted for laparoscopic cholecystectomy. She has reported feeling unwell for the last 10 days. During the procedure, while attempting to dissect the distended gallbladder, only the fundus is visualized and dense adhesions make it difficult to access Calot’s triangle. Which of the following would be the next best course of action?
A 35 year old woman presents to her family physician complaining of perianal discomfort. She is diagnosed with pruritis ani. Which of the following would not be associated with this condition?
A 32 year old man is suffering from recurrent bouts of severe pain that is localized to the anus. The pain lasts momentarily for a few seconds and completely resolves between attacks. Which of the following would be the most suitable approach to this patient’s management?
A 32 year old woman who works as a teacher presents with a swollen, oedematous leg. She hails from Africa, from an area that is poorly sanitized and prevalent with mosquitoes. She travelled to England two weeks back. Which of the following is the most likely diagnosis?
A 35 year old woman with uncontrolled hypertension presents with a thyroid nodule. Family history is significant for total thyroidectomies of both sisters. Which of the following would be the most likely underlying pathology of her thyroid lesion?
A 35 year old gardener presents to the clinic complaining of a lesion on the dorsum of his right hand that has been present for the last 10 days. He had been pruning rose bushes before the lesion occurred. Examination shows a raised ulcerated lesion that bleeds easily on contact. What is the most likely diagnosis?