Archives: Medical Student Finals

MSFinals-2358

Which of these factors does NOT contribute to the development of osteoporosis?

MSFinals-2359

As a FY1 doctor in Accident and Emergency, you encounter a 35-year-old female patient with a broken wrist. While prescribing her regular medications, you make an error in her insulin prescription. Instead of prescribing 8 units for her evening dose, you prescribe 12 units of her short-acting insulin. As a result, the patient experiences drowsiness and starts feeling unwell, with a BM of 2.8. What would be the best order of management in this situation?

MSFinals-2323

How would you describe a small RNA genome delta antigen virus that can only exist alongside hepatitis B?

MSFinals-2325

A 26-year-old woman presents with a history of lethargy and increased frequency of infections. The patient reports that she has had three separate episodes of skin infections in the past six months, and at least two to three colds a month for nearly a year. She feels that recently, she has always been ill with some little thing or another and has felt generally run down.
She is concerned, as she has had a lot of sick leave from her work in a factory and worries that her employment will be terminated soon if she keeps missing work. She had mild asthma as a child but has no other history of note.
On further questioning, the patient admits to intravenous (IV) drug use in the past; however, she has not used drugs for nearly two years. She does not drink alcohol and is currently single.
As a part of initial investigations, bloods are taken for various tests, including human immunodeficiency virus (HIV).
Which of the following is correct regarding HIV?

MSFinals-2326

A patient presents with diarrhoea and vomiting; she is jaundiced. Hepatitis A infection is diagnosed.
Which one of the following modes of transmission is most likely?

MSFinals-2327

A 16-year-old girl, originally from India, has been exhibiting behavioural problems at school. After a few months, she started experiencing involuntary movements of her limbs and is now having tonic-clonic seizures. A diagnosis of subacute sclerosing panencephalitis has been confirmed through an EEG. Which infectious agent is likely to be detected in her cerebrospinal fluid (CSF) antibodies?

MSFinals-2328

A pediatric hospital adopts a set of infection management practice guidelines developed within the local community. If the medical staff follows these guidelines, what is the expected outcome?

MSFinals-2329

A 40-year-old man with known human immunodeficiency virus (HIV) presents to the Emergency Department with a 3-day history of worsening shortness of breath. He also has a fever and mentions the presence of a non-productive cough which has been getting worse over the past week.
On examination, the patient is febrile with a temperature of 38.2 oC, pulse is 92 bpm and regular, and his blood pressure is 110/85 mmHg.
The patient seems breathless at rest, with an oxygen saturation of 96% in room air. However, a chest examination reveals no abnormalities. The examining doctor orders tests, including a CD4 count, arterial blood gases (ABGs), and a chest X-ray; she lists Pneumocystis jirovecii pneumonia (PJP) as one of the possible differential diagnoses.
With regard to PJP, which of the following statements is true?