Archives: Medical Student Finals

MSFinals-2169

What is the probable diagnosis for a 20-year-old woman who has been experiencing myalgia, high fever, headache, diarrhea, and an erythematosus rash that started in the groin and has spread over the past four days?

MSFinals-2171

A 49-year-old Asian man undergoes a Mantoux test during his immigration screening upon arrival in the United Kingdom. The test comes back positive, but his chest X-ray appears normal, and he is prescribed isoniazid and pyridoxine (vitamin B6). However, he returns to the hospital four weeks later complaining of fever, abdominal pain, and jaundice. What is the probable cause of his symptoms?

MSFinals-2173

A 42-year-old woman presents with blood-tinged diarrhoea that has a foul smell. She had been feeling well until three days ago when she started experiencing abdominal discomfort and frequent bowel movements. Her vital signs are stable with a blood pressure of 105/70 mmHg, pulse rate of 90 bpm, respiratory rate of 14 breaths/min, and body temperature of 38.1 °C. She is alert and oriented. Mild abdominal tenderness is present, particularly in the right lower quadrant, without rigidity or guarding. A tender mass is palpable in the right lower quadrant. The anterior lower leg has multiple erythematous and tender patches. A stool sample is sent for examination of red cells, leukocytes, bacteria, ova and parasites, and culture.

Which of the following microorganisms is most likely responsible for this condition?

MSFinals-2174

A 65-year-old man with an indwelling catheter due to urinary incontinence after a stroke is brought to the emergency department by his wife. He has been experiencing fevers, left loin and suprapubic pain for the past two nights, and his wife is worried that he may have a urinary tract infection. Upon examination, he has a temperature of 38.9°C, a blood pressure of 100/60 mmHg, a pulse rate of 95 bpm, and regular rhythm. You confirm the tenderness in his left loin and suprapubic area. What is the most appropriate management for his suspected UTI?

MSFinals-2175

A 60-year-old male patient complains of chronic productive cough and difficulty breathing. He has been smoking 10 cigarettes per day for the past 30 years. What is the number of pack years equivalent to his smoking history?

MSFinals-2176

A 68-year-old man presents with confusion and is found to have evidence of right lower lobe pneumonia on chest x-ray. On examination the respiratory rate is 36 breaths per minute, pulse rate is 90 per minute and the blood pressure is 106/48 mmHg. Initial bloods show a urea of 12 mmol/l.
What is the patient’s CURB 65 score?

MSFinals-2177

A 78-year-old woman is admitted to a geriatric ward and is found to have an unsafe swallow by the speech and language therapy team. As a result, the ward team is instructed to keep her nil by mouth. The doctor is asked to prescribe maintenance fluids for her. She weighs 60kg and is 157cm tall. Which of the following fluid regimes correctly replaces potassium for this patient?

MSFinals-2178

A 27-year-old woman presents to the emergency department with sudden onset, pleuritic chest pain that worsens on inspiration. She also experiences shortness of breath. She has no significant medical history or family history. Upon examination, she appears dyspnoeic, and a positive D-dimer test leads to a diagnosis of pulmonary embolism, confirmed by a subsequent CT pulmonary angiogram. There is no clear cause for the embolism. As a result, she is started on anticoagulation therapy. How long should this treatment continue?