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Question 1
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A 17-year-old boy presents with tremors. Upon inquiry, the mother reports that the boy has a history of very aggressive episodes. She also reports that he has been hallucinating for some time. On examination, there were needle marks on his arm. What drug has been used?
Your Answer: Lysergic acid diethylamide (LSD)
Explanation:Psychedelic drugs, like LSD, bring on a state of altered consciousness, causing thought, audio, or visual changes. Low body temperature and tremors are associated with many drugs but closed-eye hallucinations are strongly associated with LSD and other psychedelic drugs.
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This question is part of the following fields:
- Emergency & Critical Care
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Question 2
Correct
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A 61-year-old female presents to the A&E with malaise and muscle twitching. Her blood pressure is 114/78 mmHg and her pulse is 84/min. Blood exam reveals Calcium = 1.94 mmol/l and Albumin = 38 g/l. Which of the following tests is most useful in establishing her diagnosis?
Your Answer: Parathyroid hormone
Explanation: -
This question is part of the following fields:
- Emergency & Critical Care
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Question 3
Correct
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A 80-year-old male was found on the floor. His blood pressure was 100/60 mmHg. His core temperature was 31ºC. His FBC and serum electrolytes were within normal limits. Which of the following would be found in his ECG?
Your Answer: Long QT interval
Explanation:Hypothermia is defined as a core body temperature of < 35 °C.
Hypothermia may produce the following ECG changes:
-Bradyarrhythmia
-Osborne Waves (= J waves)
-Prolonged PR, QRS and QT intervals
-Shivering artefact
-Ventricular ectopics
-Cardiac arrest due to VT, VF or asystole -
This question is part of the following fields:
- Cardiovascular System
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Question 4
Correct
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A 72-year-old man presents with sudden and severe pain on the medial aspect of his right calf while walking uphill. Foot extension is normal and there is no associated ankle swelling. Which of the following is the most likely diagnosis?
Your Answer: Popliteal cyst
Explanation:A popliteal cyst, also known as a Baker’s cyst, is a fluid-filled swelling that causes a lump at the back of the knee, leading to tightness and restricted movement. The cyst can be painful when you bend or extend your knee.
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This question is part of the following fields:
- Musculoskeletal System
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Question 5
Correct
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A 20-year-old woman who is sexually active is having deep dyspareunia and vaginal discharge. She has a negative smear for Gonococcus. Which of the following is the most likely diagnosis?
Your Answer: Chlamydial trachomatis
Explanation:This case is highly suggested of PID or Pelvic Inflammatory disease with chlamydia as the more common infective agent. Tetracyclines are used for treatment.
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This question is part of the following fields:
- Infectious Diseases
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Question 6
Correct
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A 32-year-old man complains of fever, rash and photophobia. The physician suspects this to be a case of meningitis. Which of the following medication would be ideally used in this patient?
Your Answer: Cefotaxime
Explanation:Broad-spectrum cephalosporins, especially cefotaxime and ceftriaxone, are widely used in the treatment of suspected pneumococcal meningitis and are considered the treatment of choice for meningitis caused by partially penicillin-resistant pneumococcal strains.
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This question is part of the following fields:
- Pharmacology
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Question 7
Incorrect
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An elderly woman is referred with worsening chronic pulmonary disease (COPD). She smokes seven cigarettes per day. Her exercise tolerance is only a few yards around the house now. Her FEV1 is 37% of predicted.
What is the most appropriate intervention for this patient?Your Answer: Give regular low-dose inhaled fluticasone and inhaled long-acting β-agonist
Correct Answer: Give regular high-dose inhaled fluticasone and inhaled long-acting β-agonist
Explanation: -
This question is part of the following fields:
- Respiratory System
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Question 8
Correct
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A 68-year-old male arrives at the clinic complaining of polyuria and nocturia. BMI is noted to be 33 and urine culture is negative for nitrates. Which of the following investigations would be done next in order to establish a diagnosis?
Your Answer: Blood sugar
Explanation:This patient is most likely suffering from diabetes mellitus. Diagnosis of DM involves checking for elevated blood glucose levels (hyperglycaemia).
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This question is part of the following fields:
- Endocrine System & Metabolism
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Question 9
Correct
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A 34 year-old gentleman presented with 3 months history of abdominal pain, intermittent diarrhoea, melena and loss of weight. The most likely diagnosis will be?
Your Answer: Inflammatory bowel disease
Explanation:Inflammatory bowel disease (IBD) is characterized by abdominal and pelvic pain, intermittent diarrhoea, loss of weight and tenesmus. Irritable bowel disease is associated either with diarrhoea or constipation and occurs in stressful conditions for the individual. A UTI is characterised by dysuria, fever and lumbar pain. Adenomyosis is characterised by heavy menstrual bleeding and chronic pelvic pain.
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This question is part of the following fields:
- Gastrointestinal System
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Question 10
Correct
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From the following responses, what is the commonest cardiovascular abnormality associated with Marfan's syndrome of an adult?
Your Answer: Aortic root dilatation
Explanation:The main cardiovascular manifestations associated with Marfan’s syndrome are aortic dilatation and mitral valve prolapse.
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This question is part of the following fields:
- Cardiovascular System
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SESSION STATS - PERFORMANCE PER SPECIALTY
