MSFinals-5050
A 67-year-old woman who was recently diagnosed with hypertension and atrial fibrillation experienced gingival hyperplasia. Which medication is the most probable cause of this side effect?
Archives: Medical Student Finals
MSFinals-5051
A 70-year-old woman comes to your clinic complaining of ankle swelling. She has started taking a new medication for her blood pressure. She believes that this medication is responsible for her ankle oedema and wants you to investigate. What is the medication most likely to have caused her ankle swelling?
MSFinals-5052
A 32-year-old female patient presents with an overdose of an unknown quantity of an unknown drug, which she took 4 hours earlier. During your assessment, she complains of severe ‘ringing’ in her ears. She has a resting respiratory rate of 24/min. Chest examination is clear.
Which one of the following drugs is she most likely to have taken?
MSFinals-5053
A 7-month-old baby weighing 8.5 kg has been admitted to the hospital due to a respiratory infection. The doctor has prescribed an intravenous antibiotic for the baby. The loading dose recommended is 3 mg/kg, and the maintenance dose is 0.75 mg/kg to be given every 12 hours. What is the correct dosing regimen to prescribe for this baby?
MSFinals-5054
A 7-year-old boy weighing 26 kg has been diagnosed with epilepsy and needs to be prescribed an anticonvulsant medication called Fitamil. The medication must be taken twice daily and the dosage is based on weight. The loading dose is 4 mg/kg and the maintenance dose is 0.8 mg/kg to be given every 12 hours. What is the correct dosing regimen for this child?
MSFinals-5055
A 63-year-old man who is receiving treatment for alcoholism presents with a week-long history of pins and needles in his right arm. He continues to consume over 20 units of alcohol per day and is taking disulfiram and citalopram. On examination, there are no signs of weakness, abnormal movements, or changes in tone, and his sensation is intact in all dermatomes. A blood test reveals a clinically significant result of Mg2+ 0.5 mmol/L (0.65 – 1.05). The patient is prescribed oral magnesium sulfate, and his doctor informs him of a potential side effect of the medication. What side effect is the patient likely to be warned about?
MSFinals-5056
A 17-year-old girl presents to the Emergency Department on a Saturday night with complaints of palpitations and feeling unwell. Her friends report that she had a negative reaction to the alcohol they consumed and deny any use of illegal substances. Upon examination, she appears anxious and is holding onto her chest. Her pupils are dilated, and her pulse rate is 110/min, blood pressure 135/92 mmHg. She mentions feeling nauseous. Which of the following substances could be responsible for her symptoms?
MSFinals-5034
A 67-year-old man complains of intense epigastric pain that spreads to his back. He reports the pain to be excruciating, with a severity of 9/10. He also experiences nausea and vomiting. His serum amylase levels are elevated, leading you to suspect acute pancreatitis.
What would be your initial approach to managing his acute pain?
MSFinals-5035
A 68-year-old man with a history of uncontrolled hypertension experiences painful swelling in his right knee after starting a new medication prescribed by his GP. What is the most conclusive test to confirm his diagnosis?
The definitive investigation to confirm his diagnosis is crucial in determining the appropriate treatment plan for this patient.
MSFinals-5036
A 28-year-old male arrived at the emergency department with a humeral shaft fracture after falling from a rooftop during a party. He admits to taking recreational drugs before the incident but is unsure of what he consumed. After receiving analgesia, he undergoes surgery to fix his fracture with a coaptation splint and functional brace. The next day, he reports suprapubic pain and difficulty urinating, leading to a diagnosis of acute urinary retention. What drug is the probable cause of his urinary retention?