MSFinals-5009
A 50-year-old patient experiencing acute coronary syndrome is administered 300 mg of aspirin. How does aspirin work to produce an antiplatelet effect?
Archives: Medical Student Finals
MSFinals-5010
A 25-year-old woman with a history of severe depression and multiple paracetamol overdoses is brought in by her partner, who reports having found her on the floor of her bedroom 2 days after an argument between them. The partner is worried and asks about the patient’s prognosis. What factor is most strongly linked to a poor prognosis for this patient?
MSFinals-5011
A 29-year-old woman with a history of depression arrives at the Emergency Department after ingesting 50 paracetamol tablets the previous day. Upon admission, blood tests are conducted. What result would suggest the highest need for a liver transplant?
MSFinals-5012
A 72-year-old man is admitted to hospital with palpitations and is subsequently diagnosed with atrial fibrillation. His cardiologist commences him on apixaban. He has no other long-term medical problems and his renal function is within a normal range.
Which of the following parameters is used in the regular monitoring of patients on apixaban?
MSFinals-5013
A 55-year-old man, who has recently started a new relationship, presented with depression. He reported a decrease in libido, which was affecting his relationship. The physician decided to initiate testosterone therapy after conducting some blood tests.
Which of the following routes should not be used to administer testosterone?
MSFinals-5014
A 25-year-old man is rushed to the emergency department after admitting to swallowing an unknown amount of pills following an argument with his partner. He cannot recall the name or purpose of the pills and estimates that he began taking them over an hour ago. On examination, his GCS is 14/15, blood pressure is 100/70 mmHg, and heart rate is 160/min. His respiratory rate is 30/min, and his pupils are dilated but reactive to light. An ECG reveals tachycardia and QRS widening (120ms). What is the most appropriate first-line treatment option for this likely diagnosis?
MSFinals-5015
A 45-year-old man who works for a pest control company presents to the Emergency Department with profuse diarrhoea, vomiting and hypersalivation. On examination, you observe bilateral constriction of the pupils, excess lacrimation, salivation and muscle fasciculations. His heart rate is 34 bpm and his blood pressure is 86/52 mmHg. He is promptly transferred to the intensive care unit for suspected acute organophosphate poisoning. What is the most suitable course of action for this patient?
MSFinals-5016
A 38-year-old man presents to the Emergency Department after consuming mushrooms given to him by a friend. He reports experiencing abdominal pain and muscle cramps, as well as slurred speech and unsteadiness on his feet. He also describes seeing objects in the room moving, despite them being stationary. The patient begins to vomit while in the ER.
Investigations reveal a slightly low white cell count and hemoglobin level, but otherwise normal results.
What is the most appropriate course of management for this patient?
MSFinals-5018
A 32-year-old male with a history of intentional overdose was urgently admitted to the hospital after ingesting 50 regular-strength aspirin tablets. He has a past medical history of anxiety and depression. On admission, he presented with increased respiratory rate of 25 breaths per minute, blood pressure of 111/77 mmHg, and heart rate of 110 beats per minute. He was also sweating profusely with a temperature of 38.1ºC. What is the best initial course of action for his management?
MSFinals-5019
A 56-year-old woman is brought to the emergency department after ingesting a significant amount of prescription drugs. She was discovered at home with empty bottles of imipramine nearby. Despite appearing drowsy, she informs the doctor that she took the medications about 8 hours ago.
During the examination, the patient is found to be hypotensive, tachycardic, and drowsy. An ECG reveals a QRS width of 162ms. What treatment should be given?