Archives: Medical Student Finals

MSFinals-4849

A 50-year-old woman arrives at the emergency department with her partner in the late evening. She admits to taking an unknown amount of paracetamol tablets between 1pm and 2 pm yesterday and now regrets it. She did not seek medical attention until her partner convinced her to do so today. The patient has no medical history and feels fine, but there is tenderness in the right upper quadrant upon abdominal examination. Blood test results are pending. What is the best course of action for her treatment?

MSFinals-4850

Drug X activates a receptor Y to produce a cellular response. Drug Z, when administered, binds to a distinct site on Y and halts the cellular response, even in the presence of drug X. What term could be used to describe drug Z?

MSFinals-4851

What is the most frequent side effect of fenofibrate therapy in the management of dyslipidemia in patients?

MSFinals-4852

A 10-year-old girl is brought to the Emergency department by her father. She claims to have swallowed 20 tablets of ferrous sulphate that she found in the family medicine cabinet.

What are the symptoms of acute iron poisoning?

MSFinals-4853

A 67-year-old man presents with sepsis due to a non-healing diabetic ulcer. He underwent a below-knee amputation in theatre and is now on his second day of recovery. Despite receiving regular paracetamol (1g four times daily) and morphine 10 mg as needed (maximum 4-hourly), he is requesting morphine every 4 hours and still experiencing pain. The patient has a medical history of type 2 diabetes mellitus, asthma, and hypertension. What is the most appropriate treatment option for this individual?

MSFinals-4854

A 42-year-old woman presented to the Emergency Department with a swollen and tender left leg. She had been diagnosed with a deep vein thrombosis (DVT) on her right leg 3 months ago and was prescribed warfarin, which has maintained her INR at 2.0–3.0. The Doppler scan confirmed a positive DVT on her left leg this time, and she has been referred to haematology for further investigations. What is the most appropriate plan for her anticoagulation?

MSFinals-4855

A 52-year-old woman visits her GP with a complaint of cough that began a week ago. She reports no production of sputum or blood. The patient has a medical history of type II diabetes mellitus, essential hypertension, and psoriasis.
She has not traveled recently and has not been in contact with anyone with similar symptoms. She notes that she was recently given a new prescription medication.
Which of the following medications is the most probable one prescribed?

MSFinals-4856

A 19-year-old male is admitted after intentionally consuming 50 grams of paracetamol. After 24 hours, he is evaluated for a possible liver transplant. What factor would be the strongest indicator for the need of a liver transplant?

MSFinals-4857

As an F1 on your first weekend on call, you are swamped with tasks. During this time, the nurses on a ward contact you to attend to a patient who has developed a fever. You diagnose the patient with an infection and prescribe antibiotics without verifying their allergies. The following day, during the post-take ward round, you learn that the patient is allergic to penicillin and that you had prescribed co-amoxiclav.

What is the most suitable course of action in this scenario?

MSFinals-4858

A 25-year-old female patient arrives at the emergency department complaining of headache and nausea. The medical team suspects carbon monoxide poisoning. What diagnostic test should be conducted next to assist in the diagnosis?