Archives: Medical Student Finals

MSFinals-2340

A 52-year-old woman presented with abdominal pain, fever and weight loss. Abdominal imaging revealed multiple retroperitoneal lymph nodes. She was diagnosed with intestinal tuberculosis and received a full drug regimen for six months. However, after completion of treatment, her symptoms remain. She presents to us with a body weight of 38 kg. There is angular stomatitis and diffuse loss of hair. She looks tanned. Repeat abdominal imaging reveals persistence of the lymph nodes. Her son, who accompanied her, complains that his mother is becoming listless and she has even given up her favourite hobby of Sudoku. She also has a few involuntary movements of her face, such as chewing.
Which of the following is the most likely diagnosis?

MSFinals-2341

A 13-year-old girl and her mother visit the GP to discuss the HPV vaccine, Gardasil. The mother has concerns and wants to know which strains of HPV the vaccine targets.

MSFinals-2304

A 38-year-old female patient visits the clinic with a persistent cough. What signs or symptoms would suggest that she may have asthma?

MSFinals-2305

An 80-year-old man is admitted to the hospital with constipation, confusion, and fatigue. He has a medical history of hypertension, hypercholesterolemia, and prostate cancer. His blood work shows a significantly elevated calcium level. What is the expected ECG result?

MSFinals-2306

A 42-year-old man presents with sudden onset perineal and testicular pain, accompanied by redness and a rash. The pain is most severe over the rash site and he reports reduced sensation to the surrounding skin. His vital signs are heart rate 97 beats/min, respiratory rate 18 with 98% oxygen saturation in room air, temperature 36.9ºC, and blood pressure 122/93 mmHg. On examination, there is an erythematous rash over the perineum and testicles which has spread since he last checked 30 minutes ago. The cremasteric reflex is present and both testicles are of equal height. The patient has a history of type 2 diabetes and takes dapagliflozin. What is the most likely diagnosis?

MSFinals-2307

A 55-year-old man presents to his doctor with complaints of persistent vomiting, palpitations, and flushing. He has a history of chronic alcohol abuse, hypercholesterolemia, and type 2 diabetes. The patient reports that these symptoms began a week ago after he visited his dentist for a dental abscess and was prescribed metronidazole 400 mg three times a day. He is currently taking thiamine supplements 100 mg twice daily, atorvastatin 40 mg daily, and metformin 500 mg three times a day. Additionally, he has been taking paracetamol 1 g four times a day for dental pain. The doctor suspects that one of his medications may have interacted with the metronidazole to cause his symptoms. Which medication is most likely to have caused this interaction?

MSFinals-2308

Sarah is a 75-year-old woman who visits her doctor complaining of a persistent cough, coughing up blood, and losing weight. She used to work in a shipyard and was exposed to a significant amount of asbestos. What is the most conclusive method to diagnose the probable condition?

MSFinals-2309

A 70-year-old man visits a neurovascular clinic for a check-up. He had a stroke caused by a lack of blood flow to the brain four weeks ago but has since made a remarkable recovery. However, the patient experienced severe abdominal discomfort and diarrhea when he switched from taking 300mg of aspirin daily to 75 mg of clopidogrel. Consequently, he stopped taking clopidogrel, and his symptoms have subsided.
What would be the most suitable medication(s) to recommend for preventing a secondary stroke?

MSFinals-2310

A 16-year-old girl who recently returned from a trip to Italy visits her doctor with complaints of a headache and sore throat. During the examination, the doctor observes swollen tonsils and cervical lymphadenopathy. The girl also has swollen axillary lymph nodes and a palpable mass in the left hypochondriac region upon abdominal examination. What is the most probable diagnosis?

MSFinals-2311

A 30-year-old woman is currently admitted to the antenatal ward after giving birth 5 hours ago. She experienced antepartum haemorrhage during labour and lost approximately 1200 ml of blood. Upon arrival at the ward, she complained of feeling weak, prompting a blood test to check for anaemia. The results are as follows:

– Hb 66 g/L (Male: 135-180, Female: 115-160)
– Platelets 302 * 109/L (150-400)
– WBC 9.4 * 109/L (4.0-11.0)

The patient has no significant medical history, is not taking any regular medications, and has not received any blood transfusions in the past. Based on these results, should the patient be given a transfusion of packed red blood cells? What is the transfusion threshold for this patient?