MSFinals-0683
A 35-year-old woman is experiencing constipation and undergoes diagnostic imaging, which reveals a sigmoid volvulus. What are the most likely direct branches of the arteries that supply blood to this part of the colon?
Archives: Medical Student Finals
MSFinals-0684
A 45-year-old woman who is 21 weeks pregnant presents with abdominal pain associated with a loss of appetite and nausea. On examination, the patient is apyrexial, with a blood pressure of 122/80 mmHg and a heart rate of 92 bpm. Palpation of the abdomen reveals tenderness at McBurney’s point. Urine dip reveals a trace of glucose.
What would be the most appropriate investigation to diagnose the patient’s condition?
MSFinals-0685
A 60-year-old man with altered bowel habit undergoes surgery for a colorectal carcinoma. A pathologist’s report indicates it is a Dukes’ C colorectal malignancy.
Which of the following most accurately describes Dukes’ C tumours?
MSFinals-0686
You are asked to see a 43-year-old man with a stoma in the right lower quadrant of his abdomen. It is sprouted and produces a liquid, light brown fluid.
What form of stoma is this likely to be?
MSFinals-0687
A 72-year-old man is undergoing open surgery to repair a direct inguinal hernia. In theatre, the hernial sac is noted to lie medial to the inferior epigastric artery.
To weakness of which of the following structures can the hernia best be attributed?
MSFinals-0688
A 21-year-old student presents to the General Practitioner with complaints of passing bright red blood during bowel movements. The patient experiences severe pain each time they open their bowels, which has been ongoing for the past two weeks. The patient is now very anxious and avoids opening their bowels whenever possible, but this seems to worsen the pain symptoms. Rectal examination is not possible due to the patient’s inability to tolerate the procedure because of pain.
What is the recommended treatment for the most likely diagnosis?
MSFinals-0689
A 28-year-old woman with Crohn’s disease undergoes a resection of her terminal ileum. What is her greatest risk?
MSFinals-0690
A woman has previously had a total colectomy. Three years ago, she had an end ileostomy for ulcerative colitis (UC). She presents to the Emergency Department with a tender stoma which has not had any output for 2 days. On examination, there is a positive cough impulse and a detectable tender lump lateral to the ileostomy.
What is the most likely stoma complication that has occurred?
MSFinals-0691
A 32-year-old dentist visits the GP with a complaint of severe pain during bowel movements, accompanied by fresh red blood on the tissue and in the toilet pan. The patient also experiences anal pain that lasts for a few hours after defecation. He has been constipated for a few weeks, which he attributes to a recent change in diet. There have been no other symptoms such as abdominal pain, nausea, vomiting, or weight loss, and there is no family history of gastrointestinal conditions. The doctor attempts a rectal examination but has to abandon it due to pain. What is the most likely diagnosis for this patient?
MSFinals-0692
A 30-year-old receptionist presents to her General Practice (GP) with a 3-week history of painless rectal bleeding. She reports seeing blood on the toilet paper and in the toilet bowl after defecation. The blood is not mixed with the stool, and there is no associated weight loss or change in bowel habit. She gave birth to twin boys after an uncomplicated pregnancy and normal vaginal delivery. She has no past medical or family history of note.
What is the most probable diagnosis?