Archives: MSRA

MSRA-0215

A 65-year-old man presents to the emergency department in the middle of the night with worsening pain in his left leg. The pain began at rest approximately 2 hours ago and has now become severe. The patient has a history of peripheral arterial disease and continues to smoke 10 cigarettes per day. Upon examination, the left lower limb appears pale and feels cold with no signs of edema or trauma. The dorsalis pedis and posterior tibial pulses are absent on palpation and inaudible on a doppler exam, while the right lower limb pulses are palpable. The patient has received IV morphine. What is the most appropriate initial management for this individual?

MSRA-0216

A 50-year old-man comes to see you saying that his father recently passed away due to an abdominal aortic aneurysm. He inquires if he will be screened for this condition and when should he start screening?

MSRA-0217

A 26-year-old male with no significant medical history is brought to the operating room for an emergency appendectomy. He is induced with sevoflurane and maintained on sevoflurane and propofol. Suddenly, an alert on the anesthesia machine pops up, indicating elevated end-tidal CO2. The patient’s condition appears to have worsened, with skin mottling and excessive sweating.

What could be the probable cause of this sudden change in the patient’s condition?

MSRA-0218

A 43-year-old woman is diagnosed with premature ovarian failure and prescribed HRT for symptom relief and bone health. What other medical condition is she at a higher risk for?

MSRA-0219

A 26-year-old woman gives birth vaginally at 38 weeks gestation and chooses to have a physiological third stage of labor. She experiences a blood loss of 800 ml shortly after delivery. The medical team follows an ABCDE approach and starts a warmed crystalloid infusion. There is no history of medical issues or delivery-related trauma.

What should be the next course of action in managing her condition?

MSRA-0220

A 26-year-old presents with a rash that developed after a camping trip. He mentions being bitten by a tick during the trip. He explains that the rash is red, not itchy, and began at the site of the bite before spreading outward. The center of the rash has now cleared, resulting in a bulls-eye appearance. What is the name of this rash?

MSRA-0221

A 16-year-old female comes in for a follow-up. Three days ago she visited her physician with complaints of a severe sore throat, fatigue, and headache. The doctor prescribed amoxicillin to treat an upper respiratory tract infection. However, two days ago she developed a pruritic maculopapular rash that has spread throughout her body. Additionally, her initial symptoms have not improved. What is the probable diagnosis?

MSRA-0222

A 28-year-old man presents to the emergency department with complaints of severe pain in his perineum and scrotum. He has type 2 diabetes that is currently well managed with dapagliflozin. Upon examination, a purple rash with bullae is observed covering the entire perineum and extending up the scrotum. The patient reports intense pain, but reduced sensation is noted upon palpation of the rash. Vital signs are as follows: BP 110/90 mmHg, heart rate 109bpm, respiration rate 21/minute, temperature 38.1ºC, and oxygen saturation 98% on room air. What is the likely diagnosis?

MSRA-0223

A 28-year-old newly qualified nurse presents with a bilateral erythematous rash on both hands. She has recently moved from the Philippines and has no significant medical history. The suspected diagnosis is contact dermatitis. What is the most appropriate test to determine the underlying cause?

MSRA-0224

Which of the following types of rash is commonly observed in the initial stages of Lyme disease?