Archives: Medical Student Finals

MSFinals-0152

A 55-year-old woman from India visits the general practice clinic, reporting fatigue and tiredness after completing household tasks. During the examination, the physician observes periodic involuntary contractions of her left arm and multiple lumps beneath the skin. The doctor inquires about the patient’s medical history and asks if she had any childhood illnesses. The patient discloses that she had a severe throat infection in India as a child but did not receive any treatment.
What is the most frequent abnormality that can be detected by listening to the heart during auscultation?

MSFinals-0117

You are requested to evaluate a 22-year-old man who had undergone an incision and drainage procedure for pilonidal abscess. The nursing staff is worried about his unusual behavior. He has admitted to social cannabis use in the past.

Upon arrival, you observe that he is forcefully sticking out his tongue and bending his neck to the left and right. His eyes are looking upwards, and his pupils are dilated. His blood glucose level is 5 mmol/L, and all routine observations are normal. He was given paracetamol and an anti-emetic ten minutes ago.

What is the most suitable course of treatment?

MSFinals-0118

Which of the following is not involved in managing chronic pain caused by cancer?

MSFinals-0120

To visualize the vocal cords, where should the tip of a Macintosh laryngoscope be inserted?

MSFinals-0121

The following blood gas values were obtained on a different ventilated patient.
pH 7.4 (7.35-7.45)
pO2 95 mmHg (90-120)
Bicarbonate 22 mmol/L (23-26)
pCO2 30 mmHg (35-45)
What is the most appropriate explanation for these results?

MSFinals-0122

Which volatile agent was linked to the development of fulminant hepatitis after secondary exposure?

MSFinals-0124

You are requested to evaluate a 50-year-old individual who underwent a left total knee replacement two days ago. The patient reports experiencing weakness in the movement of their right foot since the surgery. They are curious if the spinal anesthesia administered during the procedure could be the cause, despite no complications being reported at the time. Apart from this issue, the patient is in good health. Upon clinical examination, you observe a suspected foot drop as there is a weakened dorsiflexion of the right foot. What is the probable reason for this?

MSFinals-0125

You are requested to evaluate a 75-year-old woman who underwent a left mastectomy yesterday to treat breast cancer. Her potassium level is low at 3.1 mmol/L (normal range is 3.5-4.9), but she is asymptomatic and currently having her lunch. She has a history of hypertension and takes a thiazide diuretic regularly. What would be the appropriate course of action?