Medical Finals Quiz - February 2007

(Closing date: 1st March 2007)

With Andrew Black & Paul Hamilton, Belfast

PasTest Book

PasTest Logo

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 March 2007.

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

Question 1

A 65 year old man presents to his GP with fatigue and loss of appetite.

On examination: jaundice; palpable non-tender mass in the right upper quadrant.

The results of his liver function tests are shown:

Patients resultNormal range
Albumin:3035 - 50 g/L
ALP:60039 - 117 U/L
ALT:505 - 40 U/L
Bilirubin:80< 17 µmol/L
GGT:22011 - 58 U/L

Urinalyis showed the presence of bilirubin. Urobilinogen was undetectable. Alpha feto-protein was normal.

What is the most likely diagnosis?

(a) Pancreatic carcinoma
(b) Hepatocellular carcinoma
(c) Hepatitis
(d) Haemolytic anaemia
(e) Alcoholic liver disease

Question 2

A 60 year old woman attends her GP with a lump in her right breast. The lump was noticed when she checked her breast after a fall on her chest. There is no nipple discharge. On examination there is a palpable fixed mass approximately 4cm x 3cm in the upper outer quadrant, with a smooth border. Mammogram showed a dense opacity. Histopathology ruled out breast cancer.

Which of the following is the most likely diagnosis?

(a) Duct papilloma
(b) Fat necrosis
(c) Duct ectasia
(d) Fibroadenoma
(e) Breast cyst

Question 3

A 35 year old woman complains to her GP of a facial rash, with purple discolouration of the eyelids and a swollen eye. She has also noticed some non-pruritic bluish/red nodules over her knuckles.

non-pruritic bluish/red nodules over the knuckles
Picture was kindly provided by www.DermNet.com

What is the most likely diagnosis?

(a) Urticaria
(b) Dermatomyositis
(c) Lichen planus
(d) Pityriasis rosea
(e) Granuloma annulare

Question 4

A 74 year old man presents to A&E with a suspected fracture of his femur. He has experienced aching bone pain for approximately 6 months. He is also hard of hearing.

He has a raised serum alkaline phosphatase and normal serum calcium. PSA is normal. His x-ray shows an expansile sclerotic process.

What is the most likely diagnosis?

(a) Osteomyelitis
(b) Hyperparathyroidism
(c) Paget's disease
(d) Bony metastases
(e) Primary bone tumour

Question 5

A 25 year old woman notices a red, painful rash on her shins.

red, painful rash on the shins
Picture was kindly provided by www.DermNet.com

Which of the following would you consider as a cause?

(a) Inflammatory bowel disease
(b) Oral contraceptive pill
(c) Post-streptococcal infection
(d) Sarcoidosis
(e) All of the above

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
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 "Data Interpretation for Medical Students"  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).

www.MedicalFinals.co.uk