MSFinals-0622

A 48 month study compared two treatments for hypertension in patients over the age of 60.
The null hypothesis was that there was no difference between the two treatments.
The primary outcome was reduction of systolic blood pressure below 140 mmHg. This outcome was reached in 75% of patients taking treatment A and 80% of patients taking treatment B. The results were reported as being significant with a p-value of 0.05.
What is the correct interpretation of the P value?

MSFinals-0623

Through what means is the superior oblique muscle provided with its supply?

MSFinals-0624

A 59-year-old man is discharged from the surgical team after undergoing a successful sigmoid colectomy to remove a localized adenocarcinoma. He is a smoker and has no other medical history. On the sixth postoperative day, he visits the clinic for a follow-up appointment and reports feeling well without complications in the wound healing process.

During the surgery, the anaesthetist prescribed an ACE inhibitor to manage his hypertension. As a precautionary measure, you decide to conduct some blood tests. The patient’s blood pressure is 132/78 mmHg, and he has no fever. The results of the blood tests are as follows:

– Sodium: 137 mmol/l (137-144)
– Potassium: 3.9 mmol/l (3.5-4.9)
– Urea: 4.8 mmol/l (2.5-7.5)
– Creatinine: 71 µmol/l (60-110)
– CRP: 29 mg/l (<10)
– Full blood count: Normal

What is the most probable reason for the elevated CRP levels?

MSFinals-0625

A 50-year-old woman presents to the clinic with complaints of fatigue. She has a history of primary hypothyroidism and is currently on a daily dose of 150 micrograms of thyroxine. What is the most effective test for evaluating the adequacy of thyroid hormone replacement in primary hypothyroidism?

MSFinals-0626

You are requested to evaluate a 75-year-old woman in the clinic who has a past medical history of rheumatic fever. She has a known history of atrial fibrillation, but lately, she has been experiencing increased shortness of breath and reduced ability to exercise. During the physical examination, you notice a bluish-red discoloration on her cheeks. Based on these findings, what is the most probable valve problem that you will detect on echocardiogram?

MSFinals-0627

Which statement accurately describes the results of a randomized controlled trial comparing the effectiveness of drug A and drug B in treating diabetes mellitus, where 100 patients were assigned to each group and the HbA1c levels were found to be 53 mmol/mol in group A and 56 mmol/mol in group B with a p-value of 0.8?

MSFinals-0630

Which nerve is responsible for providing innervation to the hypothenar muscles, adductor pollicis, third and fourth lumbricals, dorsal and palmar interossei, deep head of flexor pollicis brevis, and palmaris brevis?

MSFinals-0631

What is the most prevalent congenital heart defect among individuals with Trisomy 21?