Medical Finals Quiz - August 2007

(Closing date: 1st September 2007)

With: Paul Hamilton, Belfast

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 "Essential Skills Practice for OSCEs in Medicine" By: Dr. D McCluskey - is divided into 'skills' sections - History Taking, Clinical signs, Clinical Examination, Communication Skills, Therapeutics and Pharmacology, Radiology, Interpretation of Data. Each section includes 15 to 20 OSCEs in question & answer format. 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 September 2007.

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

Question 1

A 45 year old man presents after an episode of haematemesis, and is clinically anaemic (see picture below).

Which of the following factors is not important when predicting his chance of mortality?

	(a) Age
	(b) History of renal failure
	(c) Blood pressure
	(d) Diagnosis on endoscopy
	(e) Previous haematemesis

Question 2

A 37 year old female complains of fatigue and right upper quadrant abdominal discomfort. She is found to have high circulating levels of anti-nuclear antibodies and anti-smooth muscle antibodies.

Which of the following is the most likely diagnosis?

	(a) Wilson's disease
	(b) Autoimmune hepatitis
	(c) Hereditary haemochromatosis
	(d) Hepatitis B
	(e) Primary biliary cirrhosis

Question 3

You review a patient with haemochromatosis at a clinic. He asks you about the potential complications of the condition.

Which of the following options is not a common complication?

	(a) Hypopituitarism
	(b) Diabetes mellitus
	(c) Pulmonary fibrosis
	(d) Pseudogout
	(e) Cardiomyopathy

Question 4

Which of the following drugs can cause oesophagitis?

	(a) Calcium
	(b) Lithium
	(c) Baclofen
	(d) Nifedipine
	(e) Potassium

Question 5

Which of the following cancers is not commoner in patients with coeliac disease?

	(a) T-cell lymphoma of the small bowel
	(b) Small cell lung cancer
	(c) Oesophageal adenocarcinoma
	(d) Squamous cell carcinoma of the pharynx
	(e) Oesophagel squamous cell carcinoma

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
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