Archives: Medical Student Finals

MSFinals-2648

A 28-year-old male patient visits the GP complaining of hip and back pain that has persisted for several months. He reports experiencing stiffness and pain lasting approximately 45 minutes in the mornings, which improves with activity. During the systemic inquiry, he mentions having long-standing pain on the posterior aspect of his left foot and intermittent blurry vision and pain in his right eye, particularly when using electronic devices.

What are the probable examination findings for the chest and spine?

MSFinals-2649

Megan, a 16-year-old girl, arrives at the emergency department after experiencing a seizure. During the examination, it is noted that she has a unilateral shoulder deformity and her shoulder is stuck in an internally rotated position. A shoulder x-ray has been requested.

What findings would you anticipate on Megan’s shoulder x-ray?

MSFinals-2650

A 30-year-old female comes to her primary care physician complaining of asymmetrical oligoarthritis mainly affecting her lower limbs, accompanied by dysuria and conjunctivitis. She is typically healthy except for experiencing a bout of diarrhea a month ago.

What would be the initial recommended treatment for this patient?

MSFinals-2651

A 38-year-old male comes to his primary care physician complaining of asymmetrical oligoarthritis mainly affecting his lower limbs, accompanied by dysuria and conjunctivitis for the past 2 weeks. He is typically healthy except for experiencing a bout of diarrhea a month ago. What is the initial recommended treatment for this patient?

MSFinals-2652

A 26-year-old male comes to the rheumatology clinic complaining of lower back pain that extends to his buttocks for the past 3 months. He experiences the most discomfort in the morning, but it gets better with physical activity. Sometimes, he wakes up in the early hours of the morning due to the pain. What is the most probable finding in this patient?

MSFinals-2653

A 40-year-old couple, Mr and Mrs Johnson, have been referred to a fertility clinic by their GP due to their inability to conceive after 18 months of regular unprotected sexual intercourse. Mrs Johnson has well-controlled asthma and no other medical conditions, while Mr Johnson has a history of rheumatoid arthritis, schizophrenia, and hypothyroidism for which he takes sulfasalazine, ibuprofen, omeprazole, olanzapine, and levothyroxine. Mr Johnson’s semen analysis reveals a count of 14 million/mL (15-200 million/mL). Which medication is the most likely cause of this result?

MSFinals-2654

A 17-year-old male comes to the emergency department following a fall on his outstretched hand. He complains of tenderness at the base of his thumb, specifically when pressure is applied to the base of the anatomical snuffbox. An X-ray shows a non-displaced fracture of the scaphoid waist. What is the appropriate management for this patient?

MSFinals-2655

A 55-year-old man visits his GP complaining of pain in his left knee. An x-ray reveals osteoarthritis. He has no significant medical history. What is the best course of action for managing his pain?

MSFinals-2619

A 15-year-old patient presents to the emergency department after a football injury resulting in a fracture. Despite reduction, the patient is experiencing severe pain, especially during passive stretching. The affected arm is visibly swollen, and the patient reports tingling sensations in their hand and forearm. What type of fracture is commonly associated with these symptoms?

MSFinals-2620

A 70-year-old man with a recent chest infection arrives at the Emergency Department complaining of severe pain in his right knee. Upon conducting a joint aspirate, analysis of the synovial fluid reveals the presence of positively birefringent crystals. The patient is currently undergoing treatment with desferrioxamine for his iron overload. What would be the most suitable initial management for his musculoskeletal symptoms?