A 26 year old policewoman is admitted with bloody diarrhoea. She has been passing 10 stools per day, Hb-8.1, albumin-21. Her stool culture is negative and there is evidence of colitis on endoscopy. She has been on intravenous steroids for 5 days and has now developed megacolon. Her haemoglobin is falling and inflammatory markers are static. Which of the following is the best course of action?
A 26-year-old man sustains a Holstein-Lewis fracture of the left arm. Which of the following nerves is at risk of damage?
A three week old baby is referred to surgery by his paediatrician because she has a painful area of macerated tissue at the site of the umbilicus. When he cries, a clear-yellowish fluid is seen to be draining from the umbilicus. Which of the following would be the correct diagnosis?
A 5 year old boy is rushed to the A&E department after accidentally inhaling a Brazil nut. He is seen to be extremely distressed and cyanotic and imaging shows that it is lodged in the left main bronchus. Which of the following is the best course of action?
A 31 year old construction worker visits his doctor after having painful rectal bleeding and he is found to have an anal fissure. Which of the following is least associated with this condition?
An 18 year old military recruit complains of sudden onset of severe pain in the forefoot after several weeks of training exercises. Examination shows tenderness along the second metatarsal and an x-ray done indicates the presence of callus surrounding the shaft of the second metatarsal. What is his diagnosis?
An 18 year old 100m athlete presents with knee pain which worsens on walking down steps and sitting still. Wasting of the quadriceps and pseudolocking of the knee are observed on examination. What is the most likely diagnosis?
A 12 hour old baby is seen to be cyanotic whilst feeding and crying. A diagnosis of congenital heart disease is suspected by the team of doctors. Which of the following is the most likely cause?
A 1 day old premature baby boy is observed to be hypotonic and unresponsive. He was born by emergency caesarean section. Which of the following is most likely the cause?
A 3 month old infant is taken to the hospital after she is observed to have jaundice. Tests show an elevated conjugated bilirubin level. Diagnosis is confirmed by cholangiography during surgery. Which of the following is the best course of action?