MSFinals-2772
A 28-year-old man falls down a set of stairs and lands on his back, resulting in a stable spinal fracture caused by osteoporosis. What is the most suitable test to identify the underlying cause of his osteoporosis?
Archives: Medical Student Finals
MSFinals-2736
A 25-year-old patient visits the GP complaining of lower back pain and stiffness that extends to the buttocks for the past 3 months. The pain is most severe upon waking up, but cycling seems to alleviate it. The patient denies any injury but is an avid cyclist. Additionally, the patient experiences fatigue. The patient had Chlamydia and was treated with doxycycline 8 months ago. The patient has a history of anxiety and does not take any regular medication, but ibuprofen helps alleviate the pain. What is the most probable diagnosis?
MSFinals-2737
A 40-year-old man came to see a rheumatologist due to worsening joint pain, particularly in his hands and feet. The rheumatologist requested an x-ray of his hands and feet, which revealed abnormalities including a ‘plantar spur’ and ‘pencil and cup’ deformity. What do these x-ray findings suggest?
MSFinals-2738
A 65-year-old woman comes to her GP complaining of pain and stiffness in both knees and hands for a few months. She also reports swelling in her left index finger. Apart from hypertension, for which she takes amlodipine, and a cough that is currently being investigated, she is in good health and has no significant medical history. During the examination, the doctor notices dactylitis in her left index finger, as well as general pain and limited mobility in her fingers. X-rays of her hands reveal erosions in the distal interphalangeal (DIP) joint on both sides. What diagnosis is most consistent with these findings?
MSFinals-2739
A 72-year-old woman presents to the emergency department with a painful swollen ankle. She is currently on oral antibiotics for a respiratory infection. She has a past medical history of rheumatoid arthritis.
Observations:
Heart rate 90 beats per minute
Blood pressure 150/80 mmHg
Respiratory rate 20/minute
Oxygen saturations 95% on room air
Temperature 37.2C
On examination, the left ankle is erythematosus, tender and swollen with a restricted range of motion.
Plain radiography of the left ankle reveals erosion of the joint space.
What is the most likely diagnosis?
MSFinals-2740
A 75-year-old patient arrives at the emergency department with a fractured neck of femur. The patient has a medical history of polymyalgia rheumatica, ischaemic heart disease, and dyspepsia. Their current medications include bisoprolol, ramipril, simvastatin, aspirin, omeprazole, and prednisolone. A bone profile is ordered as part of the diagnostic workup.
What would be the probable findings for this patient?
MSFinals-2741
As an orthopaedic ward doctor, you are examining a 24-year-old man who was brought in by ambulance after falling from a tree branch. He reports dislocating his left hip after landing on it while flexed and abducted. The dislocation was reduced under general anaesthetic. During the current assessment, the patient reports experiencing pain primarily in the posterior area of his left thigh, which radiates down to the posterior and lateral regions of his leg. Upon gait assessment, a left foot drop was observed. Which nerve is most likely affected due to this injury?
MSFinals-2742
A 48-year-old male presents to the urology clinic with complaints of impotence. He has a history of hypertension and reports the absence of morning erections. Upon further inquiry, the patient describes experiencing pain in his buttocks that intensifies with movement. Physical examination reveals muscle atrophy, while the penis and scrotum appear normal. What is the probable diagnosis?
MSFinals-2743
A 50-year-old woman is currently admitted to orthopaedics after breaking her femur in a road traffic accident. Two days later, she develops a fever of 38.3ºC and becomes breathless. She is also confused and has retinal haemorrhages on fundoscopy. After conducting an A-E assessment and ruling out any rashes, a chest X-ray is performed and comes back normal. What is the most probable diagnosis?
MSFinals-2744
A 43-year-old man presents to the hospital with a 5-week history of cough, weight loss, and occasional haemoptysis. Upon chest X-ray, fibronodular opacities are observed and sputum acid-fast bacilli smear is positive, leading to a diagnosis of tuberculosis. The patient is prescribed a combination of medications. However, he later experiences malar rash, arthralgia, and myalgia. Blood tests reveal positive antinuclear and anti-histone antibodies, but negative anti-dsDNA antibodies. Which medication is most likely responsible for these new symptoms?