Archives: Medical Student Finals

MSFinals-0531

A woman complains of persistent indigestion that has not responded to over the counter ranitidine. She is started on a proton pump inhibitor, and the dose is then increased without effect. Gastrin levels are measured at 100,000 (NR <200 pmol/l). What is the diagnosis?

MSFinals-0532

A 50-year-old construction worker who acknowledges heavy drinking visits the clinic due to severe lower GI bleeding. He reports that this occurs suddenly and the blood may appear bright red or maroon in color. He suspects that he may have hemorrhoids, but you consider the possibility of portal hypertension.
Can you identify which veins that drain the rectum lead to the portal circulation?

MSFinals-0533

A 58-year-old man has been referred to the chest clinic for a cough and haemoptysis. However, he presents to the Emergency department with the worst headache of his life, along with facial swelling and nasal stuffiness. Upon examination, there is significant swelling of his head and neck. Which vein is most likely to have been obstructed?

MSFinals-0506

A researcher is planning a study to evaluate the effectiveness of a new treatment for arthritis. What information is necessary to determine the appropriate sample size for the study?

MSFinals-0507

A man in his late thirties has presented to the clinic with a complaint of numbness in the skin over his scrotum. Can you identify the nerve responsible for supplying sensation to this area?

MSFinals-0510

A 34-year-old man and his wife have been struggling to conceive for the past decade. During his examination, you notice that he is tall and thin with bilateral gynaecomastia. Your colleague has conducted some initial tests, and one of them has come back indicating elevated levels of urinary gonadotrophins. What is the probable diagnosis?