MSFinals-0996
A 78-year-old man with diabetes mellitus came in with abrupt onset of uncontrolled flinging movements of the right arm that ceased during sleep. What could be the probable cause?
Archives: Medical Student Finals
MSFinals-0997
A 63-year-old man, who has had diabetes for the past eight years, visits the Endocrine Clinic with complaints of abdominal fullness and occasional pain. He reports experiencing anorexia, acid reflux, belching, and bloating. He is currently taking glimepiride, metformin, and exenatide and has generally had good control of his blood sugar. However, his last two tests have shown a trend of increasing fasting glucose levels. What is the next appropriate step in managing his condition?
MSFinals-0998
A 38-year-old woman presents with a 6-month history of excessive sweating, palpitations, and weight loss. She now complains of a headache. On examination, her blood pressure is 230/130 mmHg, with a postural drop to 180/110 mmHg. She has a bounding pulse of 115 bpm, a tremor, and appears pale. The rest of the examination is unremarkable. Which hormone is most likely responsible for her symptoms and signs?
MSFinals-0999
The hormone CRH, which originates from the hypothalamus, triggers the release of which hormone?
MSFinals-1000
A 35-year-old hypertensive man presented with the following blood results:
Investigation Result Normal value
Sodium (Na+) 147 mmol/l 135–145 mmol/l
Potassium (K+) 2.8 mmol/l 3.5–5.0 mmol/l
Urea 4.0 mmol/l 2.5–6.5 mmol/l
Creatinine 50 μmol/l 50–120 μmol/l
Glucose 4.0 mmol/l
Random: 3.5–5.5 mmol/l
Fasting: <7 mmol/l
Hba1c: <53 mmol/l (<7.0%)
Which of the following is the most likely diagnosis?
MSFinals-0968
A 21-year-old female medical student, who is an insulin-dependent diabetic, went on a weekend trip to visit some friends at another university. She forgot to pack her insulin.
When she returned, she went to visit her General Practitioner (GP).
What would analysis of her blood results most likely reveal?
MSFinals-0969
A 32-year-old teacher comes to the clinic with a complaint of secondary amenorrhoea lasting for six months. She reports experiencing white discharge from her breasts. Despite taking a home urine pregnancy test, the result was negative. What is the most useful blood test to aid in the diagnosis?
MSFinals-0970
A 56-year-old male with a past medical history of alcoholic liver disease arrives at the Emergency department complaining of chest pain. After conducting an ECG and measuring troponin levels, it is confirmed that the patient is experiencing NSTEMI. What beta blocker would you prescribe to prevent any future myocardial events?
MSFinals-0971
These results were obtained on a 30-year-old male who has presented with tiredness:
Free T4 9.3 pmol/L (9.8-23.1)
TSH 49.31 mU/L (0.35-5.50)
What signs might be expected in this case?
MSFinals-0972
A 35-year-old woman visits her GP complaining of secondary amenorrhoea and suspects she may be pregnant. Which of the following sets of results is indicative of early pregnancy?
A
FSH (follicular phase 2.9-8.4 U/L): 0.5
LH (follicular phase 1.3-8.4 U/L): 1.1
Oestrogen (pmol/L): 26
Progesterone (pmol/L): <5
B
FSH (follicular phase 2.9-8.4 U/L): 0.5
LH (follicular phase 1.3-8.4 U/L): 1.2
Oestrogen (pmol/L): 120
Progesterone (pmol/L): 18
C
FSH (follicular phase 2.9-8.4 U/L): 68
LH (follicular phase 1.3-8.4 U/L): 51
Oestrogen (pmol/L): 42
Progesterone (pmol/L): <5
D
FSH (follicular phase 2.9-8.4 U/L): 1.0
LH (follicular phase 1.3-8.4 U/L): 0.8
Oestrogen (pmol/L): 120
Progesterone (pmol/L): 160
E
FSH (follicular phase 2.9-8.4 U/L): 8.0
LH (follicular phase 1.3-8.4 U/L): 7.2
Oestrogen (pmol/L): 144
Progesterone (pmol/L): <5