A 51 year old contractor is referred to the clinic with gynaecomastia. The following list are the medications that he has been taking. Which medication is least likely to cause gynaecomastia?Medications list: Carbimazole, Spironolactone, Chlorpromazine, Cimetidine, Methyldopa.
A 39 year old man presents with dysphagia, which he has had for several years. Medical history shows that he has achalasia and has had numerous dilatations. Over the past month, his dysphagia has worsened. At endoscopy, a friable mass is noted in the oesophagus. What is the most likely diagnosis?
A 63 year old man presents with recurrent colicky abdominal pain. A CT scan demonstrates a hernia lateral to the rectus muscle at the level of the arcuate line. What type of hernia would this be classified as?
A 53 year old woman is admitted to the hospital with a femoral shaft fracture that occurred suddenly whilst running outside. On examination, there is no neurovascular deficit distal to the fracture site. However, there is a large firm nodule in the left lobe of the thyroid, with no associated lymphadenopathy. Which of the following is the most likely underlying cause?
A 57 year old male who had previously undergone a sigmoid colectomy for carcinoma returns to the clinic for a follow up. Imaging shows that he has a 3.1cm foci of metastatic disease in segment IV of the liver. What is the most appropriate course of action?
A middle-aged man undergoes an upper gastrointestinal endoscope for a benign oesophageal stricture. During the procedure, he suffers an iatrogenic perforation at the site. Imaging shows a contained leak and a small amount of surgical emphysema. Which of the following is the most appropriate nutritional option?
A 37 year old female is admitted after she vomited blood. An upper gastrointestinal endoscopy is performed and a large ulcer in the first part of the duodenum is noted. Attempts are made to endoscopically clip and inject the ulcer which is bleeding profusely but they are unsuccessful. What is the most appropriate management option?
A 50 year old man presents to the hospital with an episode of alcoholic pancreatitis. He makes progress slowly but steadily. He is reviewed clinically at 7 weeks following admission. On examination, he is seen with a diffuse fullness of his upper abdomen and on imaging, a collection of fluid is found to be located behind the stomach. Tests show that his serum amylase is mildly elevated. Which of the following is the most likely explanation?
A 35 year old man presents to his family doctor with swelling of his face. On examination, the swelling was noted to be to the below and to the left of his nose. When the area is palpated, it feels like the underlying bone is cracking. What is the most likely diagnosis?
A 57 year old male is diagnosed with carcinoma of the caecum. A CT scan is performed and it shows a tumour invading the muscularis propria with some regional lymphadenopathy. What is the best initial treatment?