Medical Finals Quiz - April 2007

(Closing date: 1st May 2007)

With Ian Bickle, Radiology SpR, Sheffield

Please take part in our monthly quiz. This quiz is open to all.

This month for the quiz winner, there is a very useful book on "Mnemonics for Medical Undergraduates" By: Dr M Chaudhry & Mr S Yousaf - If you love aids to studying, you can find it all in this packed book covering mnemoics in all systems. This book is very kindly provided by PasTest.

The winner will be picked at random from all entries (ie. does not matter if your answers are correct or not).

In order to contact the winner of the book, please enter your name and email address at the bottom of this page.

The closing date is 1st May 2007.

Learn as you test yourself. Detailed answers with teaching points will be given after you complete this page.

Question 1

This 35 year-old man was admitted to hospital with reduced loss of consciousness.

A CT head (non-contrast) was performed:

Which of the following intracranial abnormalities is shown?

	(a) Subdural haematoma
	(b) Subarachnoid haemorrhage
	(c) Intra-parenchymal haemorrhage
	(d) Extra-dural haematoma
	(e) Meningioma

Question 2

This 44 year-old man presented to his GP with visual problems.

MRI brain was performed:

Which of the following defects is most likely to be found on examination?

	(a) Right homonymous hemianopia
	(b) Bilateral temporal hemianopia
	(c) Right superior quadrantanopia
	(d) Left homonymous hemianopia
	(e) Right inferior quadrantanopia

Question 3

A 55 year-old man presents with left sensori-neural hearing loss. His MRI scan shows a cerebellopontine angle mass:

Which of the following is the most common cerebello-pontine angle mass?

	(a) Meningioma
	(b) Brain metastasis
	(c) Glioma (primary brain tumour)
	(d) Vestibular schwannoma (acoustic neuroma)
	(e) Dermoid cyst

Question 4

This 29 year-old man has been admitted to the neurology ward on several occasions during the past 3 years.

Which of the following is the mode of inheritance of this condition?

	(a) AR
	(b) AD
	(c) Sporadic
	(d) X-linked
	(e) Mitochondrial

Question 5

A 27 year-old lady attends early pregnancy assessment clinic with her partner and is distressed to learn that she has had a miscarriage, with a 7 week non-viable pregnancy. This is her third in 4 years. On reviewing her notes you note a raised anti-cardiolipin antibody titre in her laboratory results section.

What other clinical problem would fit with the diagnosis of anti-phospholipid syndrome?

	(a) Pneumothorax
	(b) Arthritis
	(c) Photosensitive rash
	(d) Deep venous thrombosis
	(e) Polycystic ovaries

Question 6
Select which charity medicalfinals.co.uk should next give donations from 2007 to:
StreetReach - provides support services for adults and young people involved in prostitution or sexual exploitation. www.StreetReach.org.uk Treeton church tower - restoration of St Helen's church tower in Treeton, Yorkshire. Treeton partnership projects Tearfund's "Work a Miracle" project - aims to reduce HIV transmission to babies in Africa by giving anti-HIV drugs to the mother just before delivery. www.TearFund.org.uk/Miracle "Shine a Light" - Billy McCrory (52), from Belfast, who has suffered from a heart condition for 10 years, founded Shine A Light in 1997 in order to give children with cancer a better life. Newspaper writeup MIND - leading mental health charity in England and Wales. Works to create a better life for everyone with experience of mental distress. www.mind.org.uk
I would like to register to receive regular updates about the www.medicalfinals.co.uk website:	Yes No thanks
COMMENTS: (Please add any more comments you may have about the site)

If you wish to enter the draw for a free copy of the very useful book on "Mnemonics for Medical Undergraduates" very kindly provided by PasTest, or would like to be emailed about updates to the medicalfinals website, then please enter your name and contact email address below:

Your Name:
Your Email address:
Confirm email address:
University/Hospital:
Year of Study/Work:	(eg. Year 1 student, Year 2 student,.. or PRHO, SHO,....)
Location/Country:
How did you find this website:	(eg. Google, Friend, Poster, Link from other site, etc.)

Please check your answers, and then click the "Post My Answers" button below. A message will then be displayed asking for any missing input, or confirming your answers. A link will be given to the detailed answers and teaching points. Thankyou.

(There may be a short, typically 10 seconds, delay before anything happens).