MSFinals-5932
A 50-year-old woman presents with complaints of fatigue. She reports experiencing dysphagia, a dry mouth, a gritty feeling in her eyes, and heightened sensitivity to light.
What is the probable diagnosis?
Archives: Medical Student Finals
MSFinals-5942
A 32-year-old woman fell off her horse while horse-riding and is now experiencing severe foot pain. Her foot was trapped in the stirrup during the fall. An x-ray revealed displacement of her second and third metatarsal from the tarsus. What is the name of this injury?
MSFinals-5933
A 54-year-old man visits his GP complaining of pain and swelling in his right elbow. He mentions feeling generally unwell for the past few days and remembers hitting his elbow while cycling the previous week. During the examination, his temperature is 37.7 °C, his heart rate is 78 bpm, and his blood pressure is 124/78 mmHg. There is a warm, erythematous swelling on the posterior aspect of his right elbow.
What is the most suitable course of action for this probable diagnosis?
MSFinals-5925
A 28-year-old man comes to the Clinic complaining of lower back pain and early morning stiffness that gradually improves as the day goes on. Upon examination, there is a decrease in forward flexion with a positive Schober’s test. A lumbar sacral X-ray confirms changes indicative of ankylosing spondylitis. What would be the primary treatment option to consider?
MSFinals-5934
A 20-year-old woman presents with a painful left hip and groin and is struggling to weight-bear. She completed therapy for acute myeloblastic leukaemia some six months earlier.
On examination, she walks with a limp and there is limitation of hip flexion, internal and external rotation.
Investigations:
Investigation Result Normal Value
Haemoglobin 121 g/l 115–155 g/l
White cell count (WCC) 6.1 × 109/l 4–11 × 109/l
Platelets 191 × 109/l 150–400 × 109/l
Sodium (Na+) 140 mmol/l 135–145 mmol/l
Potassium (K+) 4.7 mmol/l 3.5–5.0 mmol/l
Creatinine 130 μmol/l 50–120 µmol/l
C-reactive protein (CRP) 12 mg/l 0–10 mg/l
The left hip X-ray shows joint sclerosis with collapse of the femoral head.
Which one of the following is the most likely diagnosis?
MSFinals-5928
A 72-year-old man presented to his GP with complaints of fatigue, unintentional weight loss, and night sweats. He reported feeling generally down. Upon further questioning, he mentioned experiencing stiffness and pain in his shoulders and neck, particularly in the morning and lasting for about half an hour.
What would be the most appropriate investigation to perform in this case?
MSFinals-5943
A 40-year-old school teacher who enjoys running long distances comes to the clinic complaining of cramp-like pain in the forefoot that has been bothering them for the past week. During the examination, tenderness was noted over the dorsal distal portion of the second metatarsal. What is the probable diagnosis?
MSFinals-5931
A 27-year-old semi-professional rugby player presents with a red, hot, swollen left knee. There has been no history of trauma. He recently had a negative sexual health check and has not had any new partners since. Upon examination, the left knee is unable to fully extend and there is a large effusion. The clinical suspicion is septic arthritis. What is the most probable organism responsible for this condition?
MSFinals-5939
An 80-year-old man presents with complaints of stiffness and pain in both shoulders. He has experienced a weight loss of one stone over the past eight weeks and reports feeling lethargic with a decreased appetite. Upon investigation, a positive rheumatoid factor, normochromic normocytic anaemia, and a significantly elevated ESR (100 mm/hr) were found. What is the most probable diagnosis?
MSFinals-5935
A 40-year-old homemaker with long-standing psoriasis visits her GP with worsening joint pains over the past six months. Upon examination, the GP suspects potential psoriatic arthropathy and refers the patient to a rheumatologist. What is a severe manifestation of psoriatic arthropathy?