Archives: MSRA

MSRA-0650

A 28-year-old woman presents with bloody diarrhoea that has been ongoing for six weeks. She reports passing 3-4 loose stools per day with small amounts of blood. She feels lethargic but has no fever or significant abdominal pain. A colonoscopy reveals inflammatory changes in the ascending, transverse, and descending colon consistent with ulcerative colitis. Her blood work shows Hb of 142 g/L, platelets of 323 * 109/L, WBC of 8.1 * 109/L, and CRP of 22 mg/L. What is the most appropriate first-line medication for inducing remission?

MSRA-0651

A 50-year-old male comes to the emergency department complaining of malaise, yellowing sclera, and increasing abdominal girth. He admits to drinking 80 cl of whisky daily and has had several unsuccessful attempts at community detoxification. The patient has a medical history of liver cirrhosis. During the examination, a significantly distended abdomen with a shifting dullness and an enlarged mass in the right upper quadrant are observed.

What is the most suitable medication to prescribe for this patient?

MSRA-0652

A 50-year-old man comes to the Emergency Department complaining of right upper quadrant pain, dark urine, and pale stools that have been present for the past 24 hours. He reports being a part-time teacher and smoking 10 cigarettes daily. He has no significant medical history and is not taking any medications. Upon examination, his sclera are yellow, and his BMI is 29 kg/m². What investigation would be the most useful in this case?

MSRA-0653

Which of the following is not a risk factor for gastric cancer?

MSRA-0654

A 49-year-old woman with poorly controlled type 1 diabetes mellitus presents with complaints of bloating and vomiting after meals. She reports that her blood glucose levels have been fluctuating more frequently lately. Which medication is most likely to provide relief for her symptoms?

MSRA-0655

A 35-year-old man attends his cousin’s bachelor party where they go to a seafood buffet. After consuming eight plates of food, he finally feels full and they head to a nearby bar.

Four hours later, he is at a dart tournament when he suddenly feels sick and starts vomiting uncontrollably. He goes home and the vomiting stops overnight. The next day, he feels better and is relieved that he did not experience any diarrhea.

What is the probable organism responsible for his illness?

MSRA-0656

At a practice meeting, you are discussing strategies to increase the rate of early cancer detection. Which of the following patients is most likely to need screening for hepatocellular carcinoma, given that they are 50 years old?

MSRA-0657

As a foundation doctor in the surgical assessment unit, you assess a sixty-three-year-old man presenting with jaundice. During examination, you detect a mass in the right upper quadrant, but no other significant findings are present. The patient denies any history of foreign travel and is a non-drinker. Additionally, tests for hepatitis come back negative. What is the most probable diagnosis?

MSRA-0658

A 35-year-old female comes to your clinic complaining of vomiting that has been ongoing for the past day. She reports feeling nauseous at present, with her last episode of vomiting occurring just 5 minutes ago. She mentions attending a barbecue the day before and is concerned that the sausages she ate may not have been cooked thoroughly. The patient has a medical history of Addison’s disease and is currently taking oral hydrocortisone and fludrocortisone.

What advice would be most appropriate to give to this patient?

MSRA-0659

A 20-year-old male patient visits his GP complaining of bloating, intermittent abdominal pain, weight loss, and diarrhoea. The serology test shows positive results for IgA anti-tissue transglutaminase (anti-TTG) antibodies. What test is most likely to confirm the diagnosis?