Archives: Medical Student Finals

MSFinals-6647

A 50-year-old lady with claudication is evaluated and an ABPI test is conducted. The outcome reveals an ABPI reading of 1.3. What medical conditions could potentially cause this abnormal result?

MSFinals-6648

A 65-year-old male is scheduled for a routine appendectomy due to recurrent appendicitis. He has a history of hypertension but is otherwise healthy. As part of his pre-operative evaluation, what is his ASA classification?

MSFinals-6649

A 32-year-old snowboarder presents to the Emergency department complaining of pain and swelling around the first metacarpophalangeal joint (MCP joint) following a fall during practice.
Upon examination, there is significant swelling and bruising on the ulnar side of the joint.

What is the most probable injury that the patient has sustained?

MSFinals-6650

A 50-year-old female complains of intermittent pain from her lower back to her groin and has visible blood in her urine. She is experiencing discomfort and cannot find a comfortable position. Upon examination, there are no indications of peritonitis. Which diagnostic test is most likely to be effective?

MSFinals-6651

A 65-year-old man comes to the clinic complaining of lethargy. He denies any other systemic symptoms. During the physical examination, a non-pulsatile mass is palpated in the right lower quadrant of his abdomen, which does not move with respiration. Additionally, he has pale conjunctivae. What is the best course of action for management?

MSFinals-6652

A 50-year-old man comes to the emergency department complaining of high fever and severe pain in the upper abdomen. He appears disheveled and admits to consuming 50 units of alcohol per week. Despite experiencing symptoms for two days, he delayed seeking medical attention due to a fear of hospitals. What is the most appropriate test to order for the most probable diagnosis?

MSFinals-6653

A 67-year-old man is admitted to the colorectal ward after undergoing resection of a large adenocarcinoma in his descending colon. The surgery involved a left hemicolectomy and removal of two loops of small bowel and a partial cystectomy due to tumour invasion. He is currently five days post-operation and is managing well with adequate pain control. However, his catheter has drained 2000ml in the last 24 hours, and his abdominal surgical drain is still producing 200-300 ml of clear yellow fluid per day. There is a concern that his bladder wall repair may be leaking urine. What investigation should be ordered to provide the most definitive result in assessing the healing of the bladder suture line?

MSFinals-6654

A 9 month old boy is brought to the clinic by his mother who is worried about the location of his testes. She has only noticed them during bath time and not at any other time. What could be the possible diagnosis for this concern?

MSFinals-6655

Which one of the following is not typically observed in coning caused by elevated intracranial pressure?