MSFinals-6086
A patient is brought into resus following a seizure, she has a nasopharyngeal airway (NPA) in situ. A nasopharyngeal airway would be contraindicated in?
Archives: Medical Student Finals
MSFinals-6087
A 56-year-old man comes to your GP office and expresses his anxiety about developing an abdominal aortic aneurysm (AAA) after his friend, who seemed healthy, passed away due to a ruptured AAA. During the physical examination, the patient’s vital signs are all normal, and his body mass index is 24 kg/m². Although you can feel his abdominal pulse, it is not expansile. As a result, you decide to educate the patient about the abdominal aortic aneurysm screening program.
What information would you provide to the patient during this discussion?
MSFinals-6088
A 68-year-old male presents to the emergency department via ambulance with severe abdominal pain and vomiting. He has a history of similar but less severe episodes in the past. The patient has a medical history of gastro-oesophageal reflux, osteoarthritis, and COPD. He has a smoking history of 30 pack-years and drinks 40 units of alcohol per week. After stabilizing the patient using an ABCDE approach, investigations reveal moderately raised amylase, deranged liver function tests, and free air under the diaphragm on chest x-ray. What is the most likely diagnosis?
MSFinals-6089
A 35-year-old man visits his local clinic to inquire about screening programs for abdominal aortic aneurysm (AAA) after the recent death of a friend from the condition. What options are available for screening?
MSFinals-6057
A 25-year-old woman of African origin had a benign breast lump removed from her right breast. Two months later, there is a firm, 2 × 1.5 cm nodular mass with an intact overlying epithelium in the region of the incision and extends over the boundary of the incision.
On examination, the scar is firm but not tender, without erythema. This mass is excised and microscopically shows fibroblasts with abundant collagen.
Which of the following mechanisms has most probably produced this series of events?
MSFinals-6058
A 65-year-old man is scheduled for a cystoscopy for symptoms of nocturia and urinary frequency with poor stream (terminal dribbling). On examination, on the day of surgery, you notice he has an ejection systolic murmur radiating to the carotids and he describes getting very breathless on stairs.
How would you proceed?
MSFinals-6065
A 45-year-old man has been experiencing left shoulder pain for the last five years. Recently, this pain has become more severe, and he has been advised to undergo a left shoulder replacement surgery. The patient has a history of diabetes and high blood pressure, but no other medical conditions. During his preoperative evaluation, the patient inquires about eating and drinking before the surgery, as he will not be staying overnight and will be arriving at the hospital on the day of the procedure.
What is the appropriate information to provide to this patient regarding fasting times for elective surgery?
MSFinals-6066
What percentage of infants born with any level of hearing impairment are identified through neonatal screening as being at a high risk of having congenital hearing loss?
MSFinals-6067
A 65-year-old man is diagnosed with an infrarenal abdominal aortic aneurysm during an ultrasound scan for bladder outflow obstruction. What is the diameter of the aneurysm that warrants intervention in an asymptomatic patient?
MSFinals-6070
A 24-year-old male victim of an acid attack has been brought to the resus department. He has sustained burns on approximately 25% of his body surface area and weighs 60kg. The medical team needs to determine the amount of fluid resuscitation required for the next 24 hours using the Parkland formula based on his weight and the extent of burns. What is the volume of fluid resuscitation that should be administered to this patient over the next 24 hours?