Archives: Medical Student Finals

MSFinals-0522

A 50-year-old female patient complains of abdominal pain and obstructive jaundice. Upon ultrasound examination, gallstones are detected. Where is the probable location of the gallstones that is causing the obstructive jaundice?

MSFinals-0523

A 70-year-old woman presents to the Emergency department with a myocardial infarction. Upon assessment, the nursing staff observes her blood pressure to be 90/50 mmHg and her pulse to be only 32. The ECG confirms that she is experiencing complete heart block. As you attempt to determine the location of the MI, you consider the typical position of the sinoatrial node, which serves as the cardiac pacemaker.

MSFinals-0524

In a study of middle-aged patients with hypertension, patients receiving lisinopril (n = 5000) had a rate of heart attack of 4.2%, whereas subjects treated with amlodipine (n = 7000) had a heart attack rate of 5.8% over the two year study period (p = 0.003).

The risk of heart attack in an untreated population with hypertension over this time was 8%.

What is the significance of the 8% statistic?

MSFinals-0526

A 70-year-old man has developed diplopia.
Which indication would imply a third nerve palsy?