Archives: Medical Student Finals

MSFinals-1631

A 27-year-old woman presents to the Emergency Department with abdominal pain and nausea for the past few hours. She has irregular menstrual cycles and cannot recall her last period. The patient appears distressed and unwell, with tenderness noted in the right iliac fossa upon examination. Speculum examination is unremarkable, but cervical excitation and right adnexal tenderness are present on vaginal examination. Vital signs reveal a temperature of 37.8 °C, blood pressure of 90/60, heart rate of 110 bpm, and respiratory rate of 22 with oxygen saturations of 100% on room air. A positive urine beta-human chorionic gonadotropin (β-HCG) test is obtained, and the urine dipstick shows 1+ leukocytes and 1+ blood. What is the most likely diagnosis?

MSFinals-1632

A woman of 68 presents with four episodes of postmenopausal bleeding over the last 6 months. She is otherwise fit and well, although her body mass index is 38 kg/m2.
Which of the following is the most likely diagnosis?

MSFinals-1612

A 30-year-old woman visits her General Practitioner with a complaint of a thick, cottage-cheese like vaginal discharge that has a yellowish hue. The patient reports that the discharge began two days ago. She denies any presence of blood in the discharge, but does experience pain while urinating. Upon physical examination, the patient does not exhibit any pain and there are no palpable masses.
What is the probable diagnosis?

MSFinals-1613

A 59-year-old postmenopausal woman with a history of chronic hypertension and diabetes mellitus presents with mild vaginal bleeding. The bimanual pelvic examination reveals a relatively large mass on the right side of the pelvis. The patient undergoes an abdominal and pelvic computerised tomography scan with contrast injection. The scan shows multiple enlarged lymph nodes in the pelvis, along the iliac arteries. The para-aortic lymph nodes appear normal.
What is the most likely diagnosis?

MSFinals-1614

A 59-year-old postmenopausal woman with a history of chronic hypertension and diabetes mellitus presents with mild vaginal bleeding. Bimanual pelvic examination reveals a relatively large mass on the right side of the pelvis. The patient undergoes an abdominal and pelvic computed tomography scan with contrast injection. The scan shows multiple enlarged lymph nodes in the pelvis, along the iliac arteries. The para-aortic lymph nodes appear normal.
What is the most likely diagnosis?

MSFinals-1615

A 58-year-old woman is referred to Gynaecology due to unexplained abdominal bloating and pain that has persisted for several months. She is not experiencing any other symptoms, and her examination is normal except for her obesity. Recently, she began experiencing menopausal symptoms and started hormone replacement therapy. At the age of 24, she had a right-sided salpingo oophorectomy for polycystic ovaries and has never given birth. What type of cancer is she most likely at risk of developing?

MSFinals-1616

A 16-year-old girl is brought to the general practitioner by her mother who is concerned about her. She has experienced irregular and unpredictable uterine bleeding during the last 2 years. Her menses started at age 14 and have always varied in amount, duration and timing. The mother states that her older daughter who is 22 years old now had normal menses at teenage years. There is no adnexal mass or tenderness.
What is the most likely diagnosis?

MSFinals-1617

A 30-year-old woman who was born and lives in England has received her invitation to attend for her first cervical screening test. She has read the leaflet and has some questions regarding the population targeted for cervical screening.
Which of the following statements best applies to the cervical screening programme?

MSFinals-1618

A 55-year-old woman presents with a 1-month history of abdominal bloating, early satiety, pelvic pain and frequency of urination. Blood results revealed CA-125 of 50 u/ml (<36 u/ml).
What is the most likely diagnosis?

MSFinals-1619

A 57-year-old woman has been experiencing bloating and weight loss for the past 6 months. Her blood tests reveal a high CA-125 level. What type of cancer is typically associated with an elevated CA-125 in this age group?