Archives: MSRA

MSRA-0614

A 45-year-old man visits his General Practitioner (GP) with a concern that he has been experiencing hearing loss in his left ear. He occasionally hears a buzzing sound in this ear, but it is not bothersome and does not affect his daily life. He is worried about the hearing loss as his mother had to use hearing aids at a young age. Otoscopy of his right ear is performed and is normal except for a slightly pinkish tympanic membrane. The GP decides to conduct some tuning fork tests. What is the most likely set of findings that will be observed?

MSRA-0615

A 45-year-old woman attends the general practice surgery with her husband who is concerned that since she has started working from home several months ago, she has had a continuous cold. She reports frequent sneezing, clear nasal discharge and a terrible taste in her mouth in the morning. Her eyes look red and feel itchy. She has noticed that the symptoms improve when she is at the office or when they have been on vacation. She has a history of migraines and is otherwise well. She has not yet tried any treatment for her symptoms.
Which of the following is the most likely diagnosis?

MSRA-0616

A 32-year-old man visits the general practice surgery as he is experiencing sudden-onset vertigo when standing up from a seated position. Episodes last about 30 seconds and he denies any ear pain or hearing loss. His examination is unremarkable.
Which of the following is the most appropriate treatment option?

MSRA-0617

A 32-year-old man visits the clinic with a concern about experiencing frequent episodes of dizziness for the past four weeks, lasting about 1 hour each time. He has also noticed a ‘fullness sensation and ringing’ in his right ear.
Select the SINGLE most probable diagnosis from the options below.

MSRA-0618

A 28-year-old presents with profuse epistaxis (nose bleed) after being hit in the nose during a boxing match. The bleeding stops after applying direct pressure and packing the nose. Which vascular territory is most likely to have been impacted?

MSRA-0619

A 35-year-old man attends morning surgery complaining of ringing in his left ear, with occasional vertigo. His coworkers have recently commented that he speaks loudly on the phone. On examination his tympanic membranes appear normal.
Which of the following is the most probable diagnosis?

MSRA-0620

A 25-year-old woman presents to her General Practitioner with a complaint of difficulty sleeping due to a blocked nose at night. She uses inhalers regularly for wheezing during cold weather and experiences a cough at night. What is the most common complication of her underlying diagnosis that she may be experiencing?

MSRA-0621

A 35-year-old man presented to his GP with bilateral deafness. Rinne’s test was found to be negative bilaterally. Weber’s test was referred to both sides. On examination of his tympanic membrane, Schwartz’s sign was visible.
Which of the following is the MOST likely cause of his symptoms?

MSRA-0622

A 7-year-old girl is brought to her Pediatrician by her mother after being sent home from school. She is complaining of a headache and feeling tired since this morning.
On examination, her temperature is 38.5 °C. Her pulse is of 96 bpm, while her capillary refill time is < 2 seconds. There are no rashes, she is alert, she has enlarged red tonsils without pustules and demonstrates tender cervical lymphadenopathy. She does not have a runny nose.
What is her FeverPAIN score?

MSRA-0623

A 58-year-old man contacts his General Practitioner to request a repeat prescription of xylometazoline hydrochloride nasal spray. He has been using this for the past four weeks to ‘clear up his sinuses.’
What is the most likely side effect this patient will develop based on his current management?