Archives: Medical Student Finals

MSFinals-3716

A 42-year-old teacher is referred to the Breast Clinic after discovering a painless pea-sized lump in her left breast. Her grandmother passed away at age 46 due to breast cancer, and the patient is worried that she may have the same condition. What is the most accurate statement regarding breast cancer?

MSFinals-3701

A 44-year-old man presented to the hospital with complaints of hoarseness and unexplained weight loss. Upon laryngoscopy, it was found that he had paralysis of the right vocal cord. A chest radiograph was ordered to further investigate the lesion. Which radiographic view would be most appropriate for this patient?

MSFinals-3690

A 30-year-old man visits the outpatient urology clinic with a lump in his left testicle. He reports no other symptoms. During his examination, a 5 mm firm and painless lump is detected. Following an ultrasound of the testicle and tumour markers, testicular cancer is suspected. What combination of tumour markers were likely requested for this patient?

MSFinals-3691

A 25-year-old man has been referred to the Cancer Clinic for treatment after being diagnosed with acute myeloid leukaemia (AML) with favourable cytogenetic profiling. He reports experiencing fatigue, weight loss, reduced appetite, and easy bruising. What is the most suitable approach for achieving remission induction?

MSFinals-3692

A 35-year-old woman visits her GP after her 38-year-old sister was diagnosed with breast cancer. She is worried about her own risk of developing the disease, especially since their mother passed away from breast cancer at age 41. The patient requests a referral for genetic testing to determine if she carries mutations commonly associated with inherited breast cancer.

In which genes are these mutations most frequently found?

MSFinals-3693

A 55-year-old man with known squamous-cell lung cancer presents with facial swelling, shortness of breath and a headache. On examination, he has a raised jugular venous pressure (JVP) and inspiratory stridor when he raises his hands above his head for one minute. Chest X-ray and computed tomography (CT) scan of the chest confirm superior vena cava (SVC) obstruction.
Which of the following treatments will provide the best long-term symptom relief?

MSFinals-3694

A 75-year-old man comes to the Cancer Outpatient Department complaining of severe back pain. He reports that the NSAIDs and opioids he has been taking are not providing relief. The patient has been diagnosed with CRPC that is advancing rapidly. He has completed a full course of taxane chemotherapy and imaging has revealed metastases in his vertebrae and organs.
What is the most appropriate course of action for managing this patient?