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Question 1
Incorrect
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A 71 year old female presents with a pan-systolic murmur. History reveals a myocardial infarction which manifested three days ago. What is the most likely cause of the murmur?
Your Answer: Atrial Septal Defect
Correct Answer: Rupture of papillary muscle
Explanation:A pan-systolic murmur is the result of mitral regurgitation. Mitral regurgitation in this case is most probably due to post-MI rupture of the papillary muscle of the mitral valve.
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This question is part of the following fields:
- Cardiovascular
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Question 2
Incorrect
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A 5 year old boy took a fall on his outstretched hand and presents to the emergency with pain around his elbow. On examination, the radial pulse is found to be absent on the affected side. Which of the following is the most likely diagnosis?
Your Answer: Anterior dislocation of shoulder
Correct Answer: Angulated supracondylar fracture
Explanation:A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. The fracture is usually transverse or oblique and above the medial and lateral condyles and epicondyles. This fracture pattern is relatively rare in adults, but is the most common type of elbow fracture in children. They are historically associated with morbidity due to malunion, neurovascular complications, and compartment syndrome. Important arteries and nerves ( median nerve, radial nerve, brachial artery, and ulnar nerve) are located at the supracondylar area and can give rise to complications if these structures are injured. Most vulnerable structure to get damaged is Median Nerve. Damage/occlusion of the brachial artery is the cause of an absent radial pulse.
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This question is part of the following fields:
- Mental Health
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Question 3
Incorrect
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You are asked to fill the first part of a cremation form. Which of the following would need to be removed prior to cremation?
Your Answer: Breast implants
Correct Answer: Pacemaker
Explanation:Pacemakers have small electrical parts installed in them that can explode when exposed to extreme heat and pressure.
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This question is part of the following fields:
- Ethical
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Question 4
Incorrect
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What would you administer to a child with a clean wound that has never been immunized before, assuming there is no contraindication to immunization?
Your Answer: Only immunoglobin
Correct Answer: Full course of diphtheria, tetanus, polio
Explanation:A not immunized patient with a clean wound requires an immediate vaccination against diphtheria, tetanus and polio, according to the Green Book of Immunisation against infectious disease. (The Green Book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the UK.)
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This question is part of the following fields:
- Child Health
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Question 5
Correct
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In the functional unit of the liver (acinus), the oxygenation…
Your Answer: Reduces towards the centre
Explanation:Cells located close to the portal triad or peripheral zone which consist of arterioles from the hepatic artery are the most oxygenated cells. Cells in the central zone are least oxygenated and mainly receive blood supply from the central vein which is a branch of the hepatic vein.
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This question is part of the following fields:
- Hepatobiliary
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Question 6
Incorrect
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A 3 year old child was brought in by her father with complaints of watery diarrhoea, vomiting and low grade fever. She looked slightly dehydrated. According to her parents, the other children in the school also have a similar illness. The most likely causative organism in this case would be?
Your Answer: Cytomegalovirus
Correct Answer: Rotavirus
Explanation:Rota virus is the leading cause of vital gastroenteritis among children from 6 months to 6 years of age. It is transferred by feco-oral route and it damages the transport mechanism in the intestinal mucosal cells which leads to electrolyte imbalance that’s why the child suffers from dehydration. Treatment of choice is rehydration and correction of electrolyte imbalance.
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This question is part of the following fields:
- Child Health
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Question 7
Incorrect
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A 30-year-old woman complained of increasing difficulty in hearing in her right ear. Examination reveals a normal eardrum, normal bone conduction and lateralization of a Weber test to the right. She says that she noticed the hearing loss following her last pregnancy. What is the most appropriate diagnosis?
Your Answer: Sensorineural deafness
Correct Answer: Otosclerosis
Explanation:This is a case of conductive hearing loss. Bone conduction is normal and the Weber test is lateralized to the right. Tympanosclerosis is excluded as the ear drum is of normal morphology. Thus, otosclerosis is the most likely answer.
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This question is part of the following fields:
- ENT
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Question 8
Correct
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A woman presents with pallor and jaundice. History reveals she has been taking medication to treat her acne. Which of the following medication has she been taking?
Your Answer: Erythromycin
Explanation:Oral erythromycin is used to treat acne, and has been known to cause various degrees of hepatotoxicity in many patients. It is believed to cause liver lesions leading to hampered bile formation and cholestasis. This presents as jaundice due to the increased movement of bile into the blood instead of into the duodenum. All the other drugs mentioned here are not known to cause such hepatotoxicity.
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This question is part of the following fields:
- Pharmacology
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Question 9
Incorrect
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A 3-year-old girl presents with pallor and marked gland enlargement. She has been unwell for the past three weeks. She had a full term normal delivery with no neonatal problems. Her immunisations are up to date. There is no family or social history of note. On examination, her temperature is 37.6°C, and she looks pale and unwell. She has a few petechiae on the neck and palate, with moderate generalised lymphadenopathy and a 3 cm spleen. Which is the most likely diagnosis?
Your Answer: Cough petechiae
Correct Answer: Acute leukaemia
Explanation:Non-Hodgkin Lymphoma: The history is of enlarged reticuloendothelial system with abnormalities in all 3 cell lines of the bone marrow (pallor, fever and petechiae). The most likely diagnosis is therefore acute (lymphoblastic) leukaemia. Lymphadenopathy may be prominent: mediastinal nodes are characteristic of T-cell leukaemia. In lymphoma the marrow involvement tends to be much less.
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This question is part of the following fields:
- Child Health
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Question 10
Incorrect
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A 7-year-old girl was brought to the OPD with a history of a large swelling on the side of her neck with associated lymph node swellings in her neck and axilla. Which if the following investigations will you order next?
Your Answer: Bone marrow biopsy
Correct Answer: Lymph node biopsy
Explanation:As there is lymphadenopathy already present in this patient, doing a biopsy of the lymph nodes will rule out metastasis of any underlying tumour.
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This question is part of the following fields:
- ENT
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Question 11
Correct
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A 25 year old female who was on sodium valproate for epilepsy came for the advice about contraception. Which of the following is accurate?
Your Answer: She can use COCP
Explanation:There are no interactions between the combined oral contraceptive pill, progesterone-only pill, medroxyprogesterone injections or levonorgestrel implants and the AEDs valproic acid (sodium valproate), vigabatrin, lamotrigine, gabapentin, tiagabine, levetiracetam, zonisamide, ethosuximide and the benzodiazepines. So she can use COCP along with Sodium valproate.
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This question is part of the following fields:
- Gynaecology
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Question 12
Incorrect
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A 34 year old female presents to the ob-gyn for a regular antenatal visit. Her previous pregnancy was complicated by pre-eclampsia and later eclampsia. What are the chances of her pre-eclampsia recurring in a later pregnancy?
Your Answer: The risk is 1 in 10 (10%)
Correct Answer: The risk is 1 in 4 (25%)
Explanation:Research suggests the risk of having preeclampsia again is approximately 20%, however experts cite a range from 5% to 80% depending on when you had it in a prior pregnancy, how severe it was, and additional risk factors you may have. If you had preeclampsia during your first pregnancy, you may get it again. HELLP is related to preeclampsia and about 4 to 12 percent of women diagnosed with preeclampsia develop HELLP. HELLP syndrome can also cause complications in pregnancy, and if you had HELLP in a previous pregnancy, regardless of the time of onset, you have a greater risk for developing it in future pregnancies.
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This question is part of the following fields:
- Obstetrics
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Question 13
Incorrect
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A 48-year-old man presents with severe retrosternal pain, which was present for the past 40 minutes. ECG shows ST elevation and blood tests reveal high troponin levels. He has already been given oxygen, GTN and morphine. What is the next most appropriate step?
Your Answer: Aspirin
Correct Answer: Percutaneous angiography
Explanation:The patient is experiencing an acute myocardial infarction and percutaneous angiography is the next most appropriate step in management. Percutaneous coronary intervention (PCI), also known as coronary angioplasty, is a nonsurgical technique for treating obstructive coronary artery disease, including unstable angina, acute myocardial infarction (MI), and multivessel coronary artery disease (CAD).
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This question is part of the following fields:
- Cardiovascular
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Question 14
Incorrect
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A 48-year-old woman with chronic pancreatitis due to gallstones presents with a macrocytic anaemia. The anaemia is most likely caused by:
Your Answer: Folate deficiency
Correct Answer: Vitamin B12 deficiency
Explanation:Vit b12 requires trypsin enzyme to split it from its R-binders in order to make the vitamin bind to intrinsic factor required for absorption. In alcoholic patients, chronic pancreatitis is very common. Other causes related to alcoholism can be folate deficiency or bone marrow dysfunction.
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This question is part of the following fields:
- Gastrointestinal
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Question 15
Incorrect
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Which is true of the composition of bile in the human hepatic duct?
Your Answer: The solution is acidic
Correct Answer: Contains only actively secreted substances
Explanation:Hepatic bile is an isotonic fluid and its electrolyte composition resembles that of plasma. 97% of water is found in the gallbladder bile, not hepatic duct. Hepatic bile is alkaline. The ratio of bile acids: phosphatidylcholine: cholesterol is 20:1:3. Hepatic bile contai9ns only actively secreted substances.
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This question is part of the following fields:
- Hepatobiliary
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Question 16
Incorrect
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A 52-year-old hypertensive, smoker presents to ER with right side weakness. He gives a history of multiple falls and lack of concentration. What is the most appropriate diagnosis?
Your Answer: Shy-drager syndrome
Correct Answer: Multi-infarct dementia
Explanation:The patient is a heavy smoker and hypertensive which are risk factors of atherosclerosis and cerebrovascular diseases. The acute onset of the weakness and the lateralization indicates a cerebral infarction.
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This question is part of the following fields:
- Neurology
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Question 17
Incorrect
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A 7-year-old child presented to the paediatric clinic with a swollen face, hands and feet. She gained 2 kilograms over the last month despite poor feeding. What is the investigation of choice in this case?
Your Answer: Serum urea &creatinine
Correct Answer: Urinary albumin
Explanation:This is a case of nephrotic syndrome that can be confirmed by the presence of urinary albumin. It should be further investigated by a tissue sample to confirm the diagnosis.
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This question is part of the following fields:
- Child Health
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Question 18
Incorrect
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A 22 year old female presents to the ER with a respiratory infection for which the physician prescribes her azithromycin. She, however, is currently on combined oral contraceptive pills. Regarding her contraception, what should be advised to this patient?
Your Answer: Using 7d condoms after antibiotics
Correct Answer: No extra precaution
Explanation:Rifampicin is the only antibiotic that has been reported to reduce plasma oestrogen concentrations. When taking Rifampicin, oral contraceptives cannot be relied upon and a second method of contraception is mandatory. Amoxicillin, ampicillin, griseofulvin, metronidazole and tetracycline have been rarely associated with contraceptive failure. When these agents are used, the clinician should discuss the available data with the patient and suggest a second form of birth control. Other antibiotics are most likely safe to use concomitantly with oral contraceptives.
The danger with COCP is enzyme inducers which can lower the levels of the hormone in he blood, azithromycin is not an enzyme inducer. No additional precautions are required to maintain contraceptive efficacy when using antibiotics that are not enzyme inducers with combined hormonal methods for durations of 3 weeks or less. The only proviso would be that if the antibiotics (and/or the illness) caused vomiting or diarrhoea, then the usual additional precautions relating to these conditions should be observed.Inducers: RASAG
– Rifampicin
– Anticonvulsants, particularly phenytoin, carbamazepine, phenobarbitone and primidone
– Spironolactone, St Johns wort
– Alcohol, long term
– Griseofulvin -
This question is part of the following fields:
- Mental Health
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Question 19
Incorrect
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A 12-year-old boy with emesis, dehydration, cold peripheries and deep breathing, has a blood glucose of 28mmol/l. What would be the next best step in management?
Your Answer: Give IV insulin
Correct Answer: Give normal saline 0.9%
Explanation:Normally blood glucose is filtered out by the kidneys, however as glucose levels exceed 180 mg/dL, the renal tubules become saturated and additional reabsorption is not possible. Glucose remains in the renal tubules, causing additional water and electrolytes to diffuse into the renal system and be excreted as urine (also known as osmotic diuresis). Excessive urine production results in electrolyte loss, and dehydration. Thus an important part of managing these patients is fluid replacement. Initially a litre of 0.9% NaCl over the 1st hour is given which may followed by either 0.45 or 0.9% NaCl, depending on the corrected serum sodium and the hemodynamic status of the patient.
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This question is part of the following fields:
- Emergency
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Question 20
Correct
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A 55-year-old woman presents with a swelling of her right iliac region. Which lymph node would you suspect?
Your Answer: Pre aortic lymph nodes
Explanation:The lymphatic drainage of the abdominal portion of the gastrointestinal tract, including the inferior part of the rectum, the spleen, the pancreas, the gallbladder, and the liver, is through vessels and lymph nodes that end in large collections of pre-aortic lymph nodes at the origins of the anterior branches of the abdominal aorta. According to their corresponding branches, these collections are termed the celiac, superior mesenteric, and inferior mesenteric groups of pre-aortic lymph nodes.
The lymphatic drainage of the deep structures and regions of the body below the diaphragm converges mostly on collections of lymph nodes and vessels related to the major blood vessels of the posterior abdominal region. The lymph then proceeds to drain into the thoracic duct. The pre-aortic lymph nodes anterior to the abdominal aorta, together with the right and left lateral aortic or lumbar lymph nodes (para-aortic lymph nodes), pass through the posterior abdominal region and collect lymph from several structures. The lateral aortic or lumbar lymph nodes receive lymphatics from the body wall, the kidneys, the suprarenal glands, and the testes or ovaries.
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This question is part of the following fields:
- Surgery
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Question 21
Incorrect
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Regarding Giardia Lamblia which one of the following statements is true?
Your Answer: May be treated with co-trimoxazole (Septrin)
Correct Answer: May cause intestinal malabsorption
Explanation:Giardiasis also known as travellers diarrhoea is caused by Giardia lamblia, which is an anaerobic parasite affecting the small intestine. It can lead to diarrhoea, flatulence, abdominal cramps, malodourous greasy stools and intestinal malabsorption. It can also cause bloody diarrhoea. The investigation of choice is stool examination for trophozoites and cysts. It is treated by metronidazole and tinidazole as first line therapies.
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This question is part of the following fields:
- Infectious Diseases
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Question 22
Incorrect
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A 27-year-old female visited the OPD with a complaint of visual disturbance, eye pain, pain in the knee and hands, and a rash on her face. On examination, the rash was the shape of a butterfly, and the joints were mildly swollen. The eyes of the patient were found to be red with irregular pupils. Where do you think the problem lies?
Your Answer: Sclera
Correct Answer: Iris
Explanation:The patient’s symptoms are suggestive of ankylosing spondylitis which is often accompanied by iritis, the cause of this patient’s red eye.
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This question is part of the following fields:
- Ophthalmology
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Question 23
Incorrect
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A 68 year old male presented with right sided hip pain and was found to have a fracture of right hip. On examination he had bilateral pedal oedema and was also found to be deaf. Which of the following is the most probable diagnosis?
Your Answer: Secondary
Correct Answer: Paget’s disease
Explanation:Paget disease is a localized disorder of bone remodelling . Hip pain is most common when the acetabulum and proximal femur are involved. The most common neurologic complication is deafness as a result of involvement of the petrous temporal bone. Bilateral pedal oedema is due to associated heart failure.
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This question is part of the following fields:
- Musculoskeletal
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Question 24
Incorrect
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A 62 year-old patient with a history of a stroke, presented with chest pain and exertional dyspnoea. ECG revealed atrial fibrillation and on chest X-ray there was straightening of the left heart border. The most likely diagnosis will be?
Your Answer: Ischemic mitral regurgitation
Correct Answer: Rheumatic mitral valve stenosis
Explanation:Symptoms of exertional dyspnoea, atrial fibrillation and radiological evidence of straightening of the left heart border favours the diagnosis of rheumatoid mitral valve stenosis.
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This question is part of the following fields:
- Cardiovascular
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Question 25
Correct
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A 74 year old man presents with a history of falls and enuresis. Recently his behaviour has been bizarre but the falling has persisted for the last 12 months. Upon examination he's found to be disorientated for time and place. His gait is clumsy and broad-based. What is the most likely diagnosis?
Your Answer: Normal pressure hydrocephalus
Explanation:The patient has a history of:
1 – Balance and gait disturbance – falls and broad based clumsy gait
2 – Dementia – strange behaviour and disorientation to time and place
3 – Urinary incontinence – episodes of enuresis.
All of the symptoms constitute the classic triad of normal pressure hydrocephalus. -
This question is part of the following fields:
- Neurology
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Question 26
Incorrect
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A 29 year old woman is in her 32nd week of gestation and is diagnosed with placental abruption. This is her 3rd pregnancy and despite all effective measures taken, bleeding is still present. What is the most likely cause?
Your Answer: Villamentous insertion of placenta
Correct Answer: Clotting factor problem
Explanation:Clotting factor problem. Some of the more common disorders of coagulation that occur during pregnancy are von Willebrand disease, common factor deficiencies, platelet disorders and as a result of anticoagulants.
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This question is part of the following fields:
- Obstetrics
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Question 27
Incorrect
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A 28-year-old woman had a C-section due to pre-eclampsia. She now complains of right upper quadrant pain unrelated to the surgical wound. Which of the following investigations should be done immediately?
Your Answer: MRCP
Correct Answer: LFT
Explanation:There is a high risk of developing HELLP syndrome in pre-eclamptic patients. Considering that she is complaining of right upper quadrant pain, a LFT should be done immediately.
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This question is part of the following fields:
- Obstetrics
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Question 28
Incorrect
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A 50-year-old female was examined after complaining of weak limbs. It was discovered she had burn marks on her fingers, diminished reflexes, and wasted and weak hands. Additionally, she has dissociated sensory loss and weak spastic legs. What is the diagnosis for this patient?
Your Answer: Guillian-barre syndrome
Correct Answer: Syringomyelia
Explanation:All of the symptoms experienced by this patient are consistent with Syringomyelia. The sensory features are as follows: loss of temperature and pain sensation; sensory loss in the arms, shoulders, and upper body; touch, vibration, and position senses are affected in the feet as the syrinx enlarges into the dorsal column. Motor features are as follows: muscle wasting and weakness which begins in the hand, and moves onto the forearms and shoulders; loss of tendon reflexes. Autonomic involvement, such as the bladder and bowel, can occur.
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This question is part of the following fields:
- Neurology
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Question 29
Incorrect
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A 30 year old female with type I diabetes for 13 years, came for pre-pregnancy counselling. Which of the following is the most suitable advise for her?
Your Answer: She should remain on contraception until the HbA1c is <108 mmol/mol (12%)
Correct Answer: She should aim to have a pre-pregnancy HbA1c of <48 mmol/mol (6.5%)
Explanation:According to NICE guidelines women with type I diabetes, who are expecting a child should aim to keep their HbA1c level[1] below 48 mmol/mol (6.5%) without causing problematic hypoglycaemia. Women with diabetes whose HbA1c level is above 86 mmol/mol (10%) should be strongly advised not to get pregnant because of the associated risks. The risks are higher with chronic diabetes. There is an increased risk to the foetus or mother due to diabetes in pregnancy. Women who are waiting to become pregnant should take folic acid (5 mg/day) until 12 weeks of gestation to reduce the risk of having a baby with a neural tube defect.
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This question is part of the following fields:
- Gynaecology
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Question 30
Incorrect
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A middle-aged male presented in the OPD with scrotal swelling that is cystic in nature and painless. It is located on the posterior part of the testis. What is the most likely diagnosis?
Your Answer: Hydrocele
Correct Answer: Epididymal Cyst
Explanation:Epididymal cysts present as a swelling is behind the testis and are non-tender/painless in nature.
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This question is part of the following fields:
- Genitourinary
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Question 31
Incorrect
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A baby born a few days earlier is brought into the emergency with complaints of vomiting, constipation and decreased serum potassium. Which of the following is the most probable cause?
Your Answer: Hirschprung disease
Correct Answer: Pyloric stenosis: hypokalaemic hypochloraemic metabolic alkalosis
Explanation:In pyloric stenosis a new-born baby presents with a history of vomiting, constipation and deranged electrolytes. Excessive vomiting leads to hypokalaemia. Difficulty in food passing from the stomach to the small intestine causes constipation. Hypokalaemia also causes constipation. None of the other disorders mentioned present with the hypokalaemia, vomiting and constipation triad in a new-born.
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This question is part of the following fields:
- Gastrointestinal
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Question 32
Incorrect
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A 34 year male is brought to the emergency by the paramedics who found him unconscious after being hit by a car. However, he regained consciousness and began talking. While waiting for the doctor's review, he suddenly becomes comatose and the condition deteriorates. What will be the most likely diagnosis?
Your Answer: Intracerebral haemorrhage
Correct Answer: Extradural haemorrhage
Explanation:Extradural haemorrhage occurs as a result of head trauma and subsequent acute haemorrhage, primarily from the middle meningeal artery between the skull and the dura mater. Typical symptoms are due to compression of the brain and appear after a lucid interval that follows an initial loss of consciousness. Increased intracranial pressure leads to a decline in mental status and anisocoria, in which the ipsilateral pupil is dilated. Diagnosis is confirmed by CT (biconvex, hyperdense, sharply demarcated mass). Emergency treatment is necessary and involves neurosurgical opening of the skull and hematoma evacuation.
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This question is part of the following fields:
- Neurology
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Question 33
Correct
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An 19 year old pregnant woman wants to terminate her pregnancy. She's in her 12th week of gestation and she's never been pregnant before. What is the most appropriate management?
Your Answer: Suction curettage
Explanation:Between 9-12weeks of gestation, suction curettage is usually the most appropriate method of termination of pregnancy. Termination of pregnancy must be decided and performed as early as possible. An abortion after 24 weeks of gestation is illegal in the UK.
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This question is part of the following fields:
- Genitourinary
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Question 34
Incorrect
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A 54-year-old man experienced a gradual decrease in vision of one eye after being diagnosed with type 2 diabetes mellitus. Macula oedema is noted on his fundoscopy. Which of the following is the most likely diagnosis?
Your Answer: Hypertensive retinopathy
Correct Answer: Diabetic retinopathy
Explanation:Macular disease can affect central vision at any stage of diabetic retinopathy and may be seen in type 2 diabetic patients. Diabetic retinopathy affects up to 80 percent of those who have had diabetes for 20 years or more. Macular oedema occurs when damaged blood vessels leak fluid and lipids onto the macula, the part of the retina that lets us see detail. The fluid makes the macula swell, which blurs vision.
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This question is part of the following fields:
- Ophthalmology
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Question 35
Incorrect
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A 45-year-old male with a history of bipolar affective disorder was admitted following an event of deliberate self-harm. He has had an argument with his wife and he has stopped taking his medication. He has begun drinking alcohol quite heavily as well. He is fit to discharge from the medical ward but he looks depressed and still has thoughts of self-harm. Which of the following is the most appropriate next step?
Your Answer: Discharge to the care of the general practitioner
Correct Answer: Admission to the psychiatry ward
Explanation:As he still has thoughts of self harm it is not safe to discharge him from the hospital. He needs further evaluation by a psychiatrist. So the best option is to admit him to the psychiatry ward.
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This question is part of the following fields:
- Mental Health
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Question 36
Correct
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A 44 year old obese woman presented with severe abdominal pain in her right hypochondrium. An US abdomen was done which showed the presence of gallstones. The next step in management would be?
Your Answer: Laparoscopic Cholecystectomy
Explanation:With patients who are obese and have gallstones, the best procedure to be done is a laparoscopic cholecystectomy. Reassurance and low fat diets would not have much affect because these symptoms would recur if a cholecystectomy is not done.
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This question is part of the following fields:
- Surgery
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Question 37
Incorrect
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Which one of the following factors is the most likely etiological factor for abnormally short stature amongst children?
Your Answer: a
Correct Answer: Familial short stature
Explanation:Familial/inherited short stature is the most likely and commonest factor resulting in short stature among the children. Klinefelter syndrome is characterised by tall stature, widely spaces nipples and infertility. Other factors include congenital heart disease, maternal deprivation and diabetes mellitus but these are the rare causes.
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This question is part of the following fields:
- Child Health
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Question 38
Incorrect
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A 16-year-old girl developed haemoptysis with acute kidney injury requiring dialysis. She suffered from recurrent epistaxis for the past 2 weeks. Renal biopsy showed crescentic glomerulonephritis. Which antibody would you expect to be positive?
Your Answer: Anticentromere
Correct Answer: Antiproteinase 3
Explanation:This patient has pulmonary renal syndrome which is most commonly due to an ANCA positive vasculitis. The history of recurrent epistaxis makes Wegener’s granulomatosis the most probable diagnosis. Wegener’s granulomatosis, microscopic polyangiitis, and idiopathic pauci-immune necrotizing crescentic glomerulonephritis (NCGN) are strongly associated with antineutrophil cytoplasmic autoantibodies (ANCAs) directed against either proteinase 3 (anti-PR3) or myeloperoxidase (anti-MPO).
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This question is part of the following fields:
- Renal
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Question 39
Incorrect
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A 54 year old female has complained of a sudden and severe pain on the left side of her skull. She is also experiencing pain in and around her jaw. What is the most appropriate next step in her treatment?
Your Answer: MRI
Correct Answer: ESR
Explanation:A diagnosis of giant cell arteritis or temporal arteritis is likely here as many points favour it. She is over 50 years old, is female, has severe pain in the left half of her skull, and is complaining of pain around the jaw (jaw claudication).
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This question is part of the following fields:
- Seriously Ill
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Question 40
Incorrect
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A 65 year old gentleman presented with 4 months history of a non healing lesion over the right ear. It is about 1cm in size and bleeds when palpated. The most likely diagnosis will be?
Your Answer:
Correct Answer: Squamous cell carcinoma
Explanation:Squamous cell carcinoma like other skin cancers mostly arise on photo exposed sites. A patient usually presents with a history of a non healing lesion or wound. Confirmatory diagnosis requires a skin biopsy and histopathological screening. It is rarely metastatic and treatment of choice is surgical excision.
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This question is part of the following fields:
- Dermatology
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SESSION STATS - PERFORMANCE PER SPECIALTY
