Archives: Medical Student Finals

MSFinals-4819

A patient in their 50s who was taking terfenadine for allergies experienced torsades de pointes after starting an antibiotic for an upper respiratory infection. Which antibiotic is most likely responsible for causing this arrhythmia?

MSFinals-4820

A 30-year-old woman with familial hypercholesterolaemia (FH) is on simvastatin 40 mg daily. She visits the clinic when she finds out that she is 10 weeks pregnant. What should be done about her treatment?

MSFinals-4821

A 25-year-old female patient presents at the clinic and reports taking the desogestrel oral contraceptive pill. What is the primary mechanism of action through which desogestrel achieves its contraceptive effect?

MSFinals-4822

A 25-year-old man was prescribed antibiotics for a UTI by his GP a few days ago. He also has a medical history of G6PD deficiency. He returned to the GP surgery a few days later, feeling generally ill, with a pale appearance and jaundice.
Which antibiotic could have been prescribed that may have caused these symptoms?

MSFinals-4823

A father attends the eye casualty with his 10-year-old daughter who has developed a red eye. The father says that the red eye started about a day ago. The child does not have decreased visual acuity but claims that her eyes feel itchy. She recently had a cold sore with runny nose and mild temperature. The girl is otherwise healthy and has been developing normally, and she does not have any swallowing difficulties. She does not suffer from any other conditions and does not have any allergies. There is no discharge seen and the eyelids are not sticky.
Which of the following medication is the most appropriate to treat this patient’s condition?

MSFinals-4801

An 82-year-old man is admitted to the emergency department with symptoms of confusion, lethargy and repeated vomiting. He has a medical history of heart failure, hypertension and atrial fibrillation, which is managed with digoxin. During a recent medication review with his general practitioner, he was prescribed a new medication. Upon examination, his heart rate is 34/min, respiratory rate 15/min, blood pressure 90/65 mmHg and temperature 35.9 ºC. An electrocardiogram reveals downsloping ST depression and inverted T waves. Which medication is most likely responsible for exacerbating his symptoms?

MSFinals-4802

A 67-year-old male patient visits their GP for a routine medication review. They are currently taking ramipril and amlodipine for hypertension, bisoprolol and digoxin for atrial fibrillation, atorvastatin for hypercholesterolemia, and PRN paracetamol for osteoarthritis. The GP decides to change one of their medications. One week after starting the new medication, the patient presents to the emergency department with symptoms of palpitations, nausea and vomiting, lethargy, and disturbances in their color vision. An ECG reveals an AV nodal block. Which of the following new medications is most likely responsible for this event?

MSFinals-4803

You are working in a GP surgery and discussing the importance of primary prevention medication for a patient who has attended for a cardiovascular health check up, including blood tests. Unfortunately, the patient’s elderly mother returns 4 weeks later complaining of muscle soreness.
Which of the following medications is the likely cause for the symptom of myalgia?

MSFinals-4804

A 62-year-old woman presents to the clinic with ongoing vaginal bleeding for the past six to eight weeks. She had undergone menopause a decade ago and has been on tamoxifen since being diagnosed with breast cancer four years ago. What is the most concerning diagnosis in this case?