MSFinals-2347
What is the primary factor that determines if someone is a suitable candidate for an organ transplant?
Archives: Medical Student Finals
MSFinals-2348
A 12-year-old boy is brought into the emergency department by the paramedics, accompanied by three friends of the same age who called for help. According to the boy’s friends, he admitted to taking 30 paracetamol tablets the previous night and coughing up blood while they were playing in a nearby park. As the attending healthcare provider, you attempt to assess the child, but he refuses to speak with you. Despite appearing alert and talkative with his friends, he insists that his parents not be contacted, that it was all a joke, and that he does not require medical attention.
What is the appropriate course of action in this scenario?
MSFinals-2349
A 30-year-old woman has experienced a single episode of mania that was successfully managed with medication during a two-week stay in a psychiatric facility. She is currently adhering to her medication regimen without any negative side effects and has gained full awareness of her condition. She is curious about when she will be permitted to resume driving?
MSFinals-2350
An 80-year-old man has been experiencing severe, throbbing headaches for a few months, focused on the right side. A tender cord-like area can be felt over his right temple. Upon examination, his heart rate is regular without murmurs, gallops, or rubs. His pulses are equal and full in all extremities, and his blood pressure is 110/85 mmHg. A biopsy of the lesion is taken, revealing a muscular artery with luminal narrowing and medial inflammation with lymphocytes, macrophages, and occasional giant cells. The patient responds well to high-dose corticosteroid therapy. What laboratory test finding is most likely to be present with this disease?
MSFinals-2351
What is the safest method to prevent needlestick injury when obtaining an arterial blood gas sample?
MSFinals-2352
A 70-year-old man has been experiencing increasing fatigue and difficulty with mobility for the past three days. He denies any chest or abdominal pain, nausea, vomiting, sweating, or fever. The patient is known to be a private individual and can be cantankerous at times. He has no family except for a son whom he has not spoken to in 15 years. Upon arrival at his home, he is able to provide a detailed medical history.
During the physical examination, the patient appears pale and mildly short of breath but is oriented. His blood pressure is 130/75 mm Hg while sitting and 122/68 mmHg while standing. Crackles are heard at both lung bases, and there is an intermittent ventricular gallop. The patient has marked joint deformities in both knees and mild ankle edema. Neurological examination is normal.
Investigations reveal the following results:
– Haemoglobin: 92 g/L (115-165)
– Plasma glucose: 5.5 mmol/L (3.0-6.0)
– Urea: 6.5 mmol/L (2.5-7.5)
– Serum creatinine: 95 µmol/L (60-110)
– Sodium: 137 mmol/L (137-144)
– Potassium: 4.2 mmol/L (3.5-4.9)
– Bicarbonate: 23 mmol/L (20-28)
Despite understanding the recommendation for hospital admission, the patient adamantly refuses and requests that his son not be contacted.
What is the best course of action for this patient?
MSFinals-2353
You plan to feature a case report as a fascinoma of the month in a national medical journal. As part of the publication, you include an MRI image of the chest. The image has been converted to electronic format by Medical Illustration, and all patient identification markings have been removed. The case report is entirely anonymous. What is the appropriate course of action regarding consent?
MSFinals-2354
A 78-year-old woman with dementia arrives from a nursing home complaining of vaginal discharge. Gonorrheal infection has been confirmed through high vaginal swabs, and she has started receiving the appropriate treatment. What additional measures would you like to take for this patient?
MSFinals-2355
A 32-year-old male has been diagnosed with epilepsy after experiencing multiple seizures that did not affect his consciousness. The seizures were confirmed through EEG testing. During a discussion about his condition, you provide information on how to manage his epilepsy in the short and long term.
You explain that he must not drive for one year and must inform the DVLA. After one year of being seizure-free, he can reapply for his license. However, he refuses to inform the DVLA and insists on continuing to drive.
How would you handle this situation?
MSFinals-2356
A 35-year-old male is brought into the emergency department unconscious after a motorcycle accident. He was the rider of the motorcycle and there is suspicion that he was under the influence of drugs at the time of the accident. His girlfriend is present and unharmed. The police are requesting a blood sample for drug testing, but the patient is unable to provide consent and there is no forensic physician available. As a healthcare worker in the emergency department, what is the appropriate course of action in this situation?