MSFinals-6269
A 35-year-old man with a past medical history of internal hemorrhoids presents with a recent exacerbation of symptoms. He reports having to manually reduce his piles after bowel movements. What grade of hemorrhoids is he experiencing?
Archives: Medical Student Finals
MSFinals-6270
A 65-year-old female complains of pain and redness in the back of her calf, near a varicose vein. An ultrasound reveals no signs of DVT, but a diagnosis of thrombophlebitis of the distal great saphenous vein is made. The patient is prescribed NSAIDs for anti-inflammatory pain relief. What other treatment should be considered for this patient?
MSFinals-6239
A 60-year-old man comes to the Emergency Department complaining of fever and pain in his perineum and scrotum. He has been experiencing dysuria and urinary frequency for the past three days. Upon examination, he appears stable and does not show any signs of sepsis. The digital rectal examination reveals a tender, boggy prostate. The patient is given appropriate treatment and discharged.
A week later, the patient visits his GP. He has been symptom-free for two days but is concerned about his risk of developing prostate cancer, especially since his father had it. He requests a prostate-specific antigen (PSA) test to ensure that he is cancer-free. The patient does not exercise regularly, has not had a digital rectal examination since his hospital visit, and ejaculated 24 hours ago. What should the GP do in this situation?
MSFinals-6240
A 20-year-old female comes to your clinic accompanied by her mother. She expresses concern about a lump in her breast that has been increasing in size. You suggest examining her and inquire if she would like a chaperone. She declines the offer of a stranger and prefers her mother to be present. What is your next step?
MSFinals-6241
A 50-year-old woman visited her doctor with complaints of intense pain in the anal area. She recalled that the pain began after straining during a bowel movement. She had been constipated for the past week and had been using over-the-counter laxatives. During the examination, the doctor noticed a painful, firm, blue-black lump at the edge of the anus. What is the probable cause of her symptoms?
MSFinals-6247
A 40-year-old man presents with a 4-week history of progressive pain in his left calf. The pain worsens with activity, persists at rest, but improves when he hangs his legs over the bedside. He has a medical history of hypertension and diabetes mellitus.
Upon examination, the left calf appears paler than the right, and pulses are difficult to palpate. An ulcer is observed on the dorsum aspect of the left foot, while the right calf is unaffected. Magnetic resonance angiography reveals an 8 cm stenotic lesion in the femoral artery.
What is the most appropriate definitive treatment for this condition?
MSFinals-6248
A 50-year-old man comes to the clinic complaining of a lump in his right groin that disappears when he lies down. He also experiences some discomfort. He has a history of chronic cough due to smoking and has undergone an appendicectomy in the past. What is the probable diagnosis?
MSFinals-6249
A 38-year-old construction worker complains of sudden onset groin pain on the left side that radiates from the flank. The pain is intermittent but excruciating when it occurs and is not related to movement. The patient’s examination, observations, and blood tests are normal, but a urine dip reveals ++ blood. The patient reports that his job involves heavy lifting and he rarely takes breaks. What is the probable diagnosis?
MSFinals-6250
A 28-year-old woman comes to the clinic with a lump in her left breast that has appeared suddenly over the past month. She is very concerned about it and describes it as being located below the nipple. Additionally, she has noticed mild tenderness to the lump. She cannot recall any triggers or trauma that may have caused it. During the examination, a well-defined, 2 cm mobile mass is palpated in the left breast. There is no skin discoloration or discharge present. What is the most probable diagnosis?
MSFinals-6251
A 68-year-old man has complained of increased frequency of urination and urge incontinence. He wakes up 4 times at night to urinate. He has no other medical conditions and is in good health. On physical examination, his prostate is normal in size on digital rectal examination. What is the most suitable investigation to determine the cause of his symptoms?