Medical Finals Quiz - December 2006

(Closing date: 1st January 2007)

With Sandy Davey, Gerry Gormley & Ian Bickle

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 "Data Interpretation for Medical Students" (which gives comprehensive practice in data interpretation, which is a common feature of undergraduate annual and final exams. Includes ECGs, blood tests and radiographs, along with a wide range of common patterns and case scenarios.) 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 January 2007.

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

Question 1

As a student on the paediatric ward you are asked to auscultate a one year old child's praecordium.

You hear two heart sounds and a continuous grade 2 murmur sited below the left clavicle.

What is the most likely cardiac defect?

	(a) Ventricular septal defect (VSD)
	(b) Atrial septal defect (ASD)
	(c) Patent ductus arteriosus (PDA)
	(d) Transposition of the great vessels
	(e) Totally anomalous pulmonary venous drainage

Question 2

A 76 year old gentleman presents to his GP with a painful rash over his right shoulder.

Initally he had noticed a burning sensation over his shoulder, but within the last 48 hours a vesicular rash developed.

How would you treat this condition?

	(a) Topical antibiotics
	(b) Oral antibiotics
	(c) An anti-viral agent
	(d) Watch and wait
	(e) Neuropathic pain relieving medication

Question 3

A five year old Asian boy presents with a two week history of being "off-form" with fever and lethargy. His parents also state that the skin on his hands have started to peel.

What important condition would you think of?

	(a) Viral Meningitis
	(b) IgA Nephropathy
	(c) Henoch Schönlein Purpura
	(d) Idiopathic thrombocytopenic purpura (ITP)
	(e) Kawasaki's disease

Question 4

A 20 year old woman of 16 weeks gestation presents to your ward complaining of a 12 hour history of painful per vaginal (PV) bleeding with clots.

What is top of your initial differential diagnoses based on this presenting complaint?

	(a) Placenta previa
	(b) Spontaneous abortion
	(c) Placental abruption
	(d) Vasa previa
	(e) Septic abortion

Question 5

A 29-year-old female presents to A&E with intoxication and reported ecstasy consumption following attendance at a rave.

She is responding to pain and on assessment of her airway you notice jaw clenching and noisy breathing.

In addition to attempting manual manoeuvres, what airway adjunct would you choose to use next?

	(a) Oropharyngeal airway
	(b) Orotracheal tube
	(c) Nasotracheal tube
	(d) Nasopharyngeal airway
	(e) Needle cricothyroidotomy

Question 6
What month are your clinical finals exam?	January February March April May June July August September October November December Don't know date of final exams yet No exams
Are your clinical finals exams in an OSCE format?	YES NO Not Sure No exams
Does data interpretation feature in your final exam?	YES NO Not Sure No exams
Does radiology feature in your final exam?	YES NO Not Sure No exams
Do you have any local courses for finals?	YES NO Not Sure
Have you/will you attend a course before finals?	YES NO Not Sure
I would like to register to receive regular updates from www.medicalfinals.co.uk:	Yes No thanks
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