MSFinals-4014
An 80-year-old woman has fallen and fractured the rib that contributes to the costal margin at the mid-axillary line on her left side.
Which rib forms the costal margin at the mid-axillary line?
Archives: Medical Student Finals
MSFinals-4015
A 14-year-old girl comes to the clinic with complaints of right femur pain that has been worsening over the past 3 months. She reports that the pain is particularly severe at night and she has recently noticed a painful lump in her right thigh. Although she denies any fever or weight loss, she has been experiencing a cough. Upon examination, a radiograph reveals a characteristic blastic and destructive intramedullary lesion with periosteal reaction and a sizable soft tissue mass. What is the most suitable course of action for her treatment?
MSFinals-4016
A 5-year-old girl is brought to the Emergency Department by her mother, crying and holding her elbow. She had been playing on the monkey bars when she fell and landed on her outstretched arm. On examination, she is holding her elbow in slight flexion and the forearm is pronated. There is no obvious deformity or swelling over the elbow, but there is localised pain and tenderness on the lateral aspect. Radiographs are normal and there are no obvious fractures.
What is the most appropriate next step in management?
MSFinals-4017
A 72-year-old woman experiences severe lumbar back pain that radiates around to the waist after a coughing fit. She is not taking any medications and her clinical observations are normal. What is the most probable diagnosis?
MSFinals-4018
A 50-year-old woman reports that her left ring finger frequently gets stuck in a bent position. She finds it challenging to extend it without using her other hand, and occasionally hears a clicking sound when she does so.
What is the probable diagnosis?
MSFinals-4019
An otherwise healthy 62-year-old woman with an unremarkable medical history has had increasing back pain and right hip pain for the last 3 years. The pain is worse at the end of the day. On physical examination, bony enlargement of the distal interphalangeal joints is noted. A radiograph of the spine reveals the presence of prominent osteophytes involving the vertebral bodies. There is sclerosis with narrowing of the joint space at the right acetabulum seen on a radiograph of the pelvis. No biochemical abnormalities were detected on blood tests.
Which of the following conditions is most likely to be affecting this patient?
MSFinals-4020
A 60-year-old woman visits her GP with complaints of knee pain that worsens after prolonged activity. Despite undergoing physiotherapy and losing weight for her osteoarthritis, her symptoms persist. The GP orders an X-ray to confirm the diagnosis. What knee X-ray result indicates a different condition than osteoarthritis?
MSFinals-4021
A 75-year-old woman fell down stairs and arrived at the Emergency Department with a painful left hip and difficulty walking. Imaging revealed a fracture of the left femoral head and a compression fracture of the T10 vertebra. She had no significant medical history prior to this incident.
What is the most probable underlying condition in this case?
MSFinals-4022
A 55-year-old woman visits the Menopause clinic seeking guidance on hormone replacement therapy (HRT). She is worried about her chances of developing osteoporosis, as her mother and sister experienced pelvic fractures due to osteoporosis after menopause. What is the most effective test to determine her likelihood of developing osteoporosis?
MSFinals-4023
A 57-year-old man visits his General Practitioner with complaints of back and hip pain. He has been experiencing pain for a few months and has been taking paracetamol for relief. However, the pain has worsened and is now affecting his quality of life. The patient has a medical history of type 2 diabetes mellitus and hypercholesterolaemia, which are managed with regular metformin and simvastatin. He has never been hospitalized before. Blood tests reveal normal calcium and phosphate levels, but a significantly elevated alkaline phosphatase (ALP) level while the other hepatic aminotransferases are normal. No other blood abnormalities are detected. What condition is most consistent with these blood test results in this patient?