MSRA-0586
A 56-year-old man visits his doctor complaining of bilateral ringing in his ears. He noticed the symptoms shortly after beginning a new medication.
Which of the following drugs is the most probable cause of his condition?
Archives: MSRA
MSRA-0587
A 65-year-old man is brought to his General Practitioner by his daughter, who has noticed that his hearing on the right side has been progressively diminishing for the past six months. Additionally, he also complains of feeling unbalanced and of not being able to walk properly and leaning more towards the right side. On referral to the Ear, Nose and Throat (ENT) Department, the Consultant conducts a detailed clinical examination and finds nystagmus and dysdiadochokinesia, in addition to a sensorineural loss in his right ear.
Which of the following is the most appropriate diagnostic investigation for this patient?
MSRA-0588
A 32-year-old man visits his General Practitioner with complaints of constant fatigue. He wakes up feeling tired and unrefreshed. He has type II diabetes and is taking metformin. His body mass index is 40 kg/m2. Blood tests come back normal. The doctor suspects obstructive sleep apnoea.
What is the most suitable assessment tool to be utilized in primary care to assist in determining the appropriate referral?
MSRA-0589
A 28-year-old woman visits her family doctor with a lump under her chin that causes her discomfort and swelling, especially after eating a big meal. The facial nerve appears to be unaffected. Upon examination, there is a tender swelling in the submandibular triangle. What is the probable diagnosis?
MSRA-0590
A previously well 62-year-old bank clerk was seen by her general practitioner (GP), complaining of recurrent attacks of dizziness. She complains of recurring attacks of the room spinning around her in a horizontal plane, which is happening on multiple occasions every day. Each attack lasts about 10 seconds and seems to occur whenever she turns in bed, lies down or sits up from the supine position. There are no other associated symptoms. She is taking no medication. Standard neurological examination is normal.
Which of the following diagnoses is most likely?
MSRA-0591
A 47-year-old woman presents with a lump in the upper anterior triangle of her neck. She reports that it has been present for a few weeks and only started to bother her after her friend pointed it out and asked what it was. She denies any other symptoms such as weight loss or fevers. She recalls her mother having a similar swelling removed, but does not remember the diagnosis.
Upon examination, there is a small, smooth, nontender, mobile lump. The skin overlying the lump appears normal in color and temperature. The lump does not move on swallowing or tongue protrusion, and the skin cannot be moved over the top of the lump. What is the most likely diagnosis?
MSRA-0592
A 35-year-old woman presents with hearing loss on the left and persistent tinnitus for a few weeks. On examination, an absent corneal reflex is noted.
Which of the following is the most appropriate diagnosis?
MSRA-0593
A 52-year-old man visits the clinic with concerns about a gradual decline in his hearing ability over the past few months. His wife urged him to seek medical attention as she noticed he was having difficulty hearing conversations and needed to turn up the volume on the TV and radio. Upon examination, otoscopy reveals no abnormalities in either ear. The Rinne’s test is positive bilaterally, and the Weber test is normal. What is the most probable diagnosis?
MSRA-0594
A 42-year-old woman presents to her General Practitioner with a 4-month history of nasal congestion and coughing. Over the previous few days, she has also been experiencing a persistent headache which seems to be worse when she leans forward.
Which of the following is the most probable diagnosis?
MSRA-0595
A 30-year-old man presents with worsening pain on the left side of the floor of the mouth. He has been experiencing pain intermittently for the past three weeks, especially during meals. However, the pain has escalated significantly over the last 48 hours.
During examination, his temperature is 38.2°C. There is a smooth swelling along the floor of the mouth. Intra-oral examination reveals inadequate dental hygiene and pus seeping into the floor of the mouth anteriorly.
What is the probable diagnosis?