A 30-year-old male presents with pain in the testis and scrotum. It began 10 hours previously and has worsened during that time. On examination, he has pyrexia, the testis is swollen and tender and there is an associated hydrocele. What is the most likely diagnosis?
A 30-year-old male undergoes an ileocaecal resection and end ileostomy for Crohn’s disease. One year later he presents with a deep painful ulcer at his stoma site. What is the most likely diagnosis?
A 30-year-old male complains of pain and weakness in the shoulder. He has recently been unwell with glandular fever from which he is fully recovered. On examination, there is some evidence of muscle wasting and a degree of winging of the scapula. Power during active movements is impaired. What is the most likely cause?
A 26-year-old male falls and hits his head against a wall. There is a brief loss of consciousness. When assessed in accident and emergency he is alert and orientated with a GCS of 15. Imaging shows no fracture of the skull. What is his risk of having an intracranial haematoma that requires removal?
A 30-year-old male falls on the back of his hand. On x-ray, he has a fractured distal radius demonstrating volar displacement of the fracture. What eponymous term is used to describe this?
A 30-year-old male falls onto an outstretched hand. On examination, there is tenderness of the anatomical snuffbox. However, forearm and hand x-rays are normal. What is the most appropriate course of action?
A 30-year-old male is playing tennis when he suddenly collapses and has a GCS of 4 when examined. What is the most likely cause?
A 30-year-old female presents with a painless lump in the upper outer quadrant of her left breast. Ultrasound is indeterminate (U3). Two core biopsies show normal breast tissue (B1). What is the most appropriate course of action?
A 26-year-old female presents with a small nodule located on the back of her neck. It is excised for cosmetic reasons. The histology report states that the lesion consists of a sebum filled lesion surrounded by the outer root sheath of a hair follicle. What is the most likely diagnosis?
A 30-year-old male presents with a discharging sinus in his nasal cleft. He is found to have a pilonidal sinus. Which statement is false?