Archives: Medical Student Finals

MSFinals-6556

A 72-year-old man, who used to smoke and has a smoking history of 24 pack-years, presents to the emergency department with sudden chest pain. He describes the pain as starting in the center of his chest and then spreading to his back. The man lives alone, has a history of high blood pressure, and drinks 20 units of alcohol per week. On examination, he has a respiratory rate of 28 breaths per minute, a heart rate of 130 beats per minute, and a blood pressure of 88/65 mmHg. What is the most appropriate next step in managing this patient?

MSFinals-6557

A 60-year-old male undergoes an abdominal ultrasound scan as part of the abdominal aortic aneurysm screening programme. The scan reveals an abdominal aortic aneurysm measuring 5.4 cm. After three months, a follow-up scan shows that the aorta width has increased to 5.5 cm. The patient remains asymptomatic.

What is the recommended course of action?

MSFinals-6558

You are caring for a patient who has recently been diagnosed with prostate cancer and is currently considering treatment options. He asks you to explain the complications of surgery to remove the prostate. What is another common complication of radical prostatectomy?

MSFinals-6559

A 28-year-old female patient presents to her GP with concerns about a lump in her right breast. The patient reports that she first noticed the lump about two months ago and it has remained persistent without any noticeable increase in size. Upon examination, the GP observes a smooth, mobile 2 cm lump in the Inferolateral quadrant without skin or nipple changes. The patient denies any family history of breast cancer and has no lumps in her axilla. What is the most suitable course of action for management?

MSFinals-6560

For a 19-year-old male undergoing a unilateral Zadek’s procedure, which local anaesthetic preparation would be the most appropriate?

MSFinals-6561

A 32-year-old woman with long-standing varicose veins presents to the hospital with a burning pain over one of the veins, accompanied by tenderness and redness in the surrounding skin. On examination, a worm-like mass is felt, and the tissue appears erythematosus and hard. There is no evidence of deep vein thrombosis, and observations are normal. An ankle-brachial pressure index of 1.0 is recorded, and a Doppler reveals a lack of compressibility and an intraluminal thrombus in the superficial vein. What is the recommended treatment for this condition?

MSFinals-6562

Sarah is a 22-year-old female who has been rushed to the hospital after a serious car crash. She has suffered from various injuries, including a penetrating injury to her right eye, multiple fractures in her ribs, and a ruptured spleen that requires immediate surgery. Which of the following muscle relaxants for anesthesia should not be used for Sarah?

MSFinals-6563

For individuals with severe to profound bilateral sensorineural hearing loss, what is the specific structure of the ear that is directly stimulated by the electrodes in a cochlear implant? This device is intended to provide an alternative hearing pathway for people of any age.

MSFinals-6535

Which one of the following is not a reason for circumcision in infants?

MSFinals-6541

A 67-year-old man comes to the clinic with a lump in his left groin. He is uncertain when it first appeared and reports no pain, abdominal discomfort, or alterations in bowel movements. During the examination, a mass is visible above and towards the middle of the pubic tubercle, and it vanishes when he lies down. It does not transilluminate. He has a medical history of type 2 diabetes mellitus and is taking metformin.

What is the best course of action for managing his condition?