Medical Finals Quiz - January 2006 (Closing date: 5th February 2006)

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

This month for the quiz winner, there is a very useful book on "100 Clinical Cases and OSCE's in Medicine"  (which covers History Taking, Clinical Examination, Communication Skills, Therapeutics and Pharmacology, Radiology, Interpretation of Data and Practical Procedures.) 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 5th February 2006.

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

Question 1:

Mary is a 68 year old retired cleaner. She presents to her GP with pains in her 'hand joints'. She is finding simple tasks like opening buttons increasingly difficult. Her pains tend to get worse as the day progresses. Her hands do get stiff particularly after use. She has never noticed her hands to be swollen but has noticed little 'swellings on the ends of her fingers'. Clinically you do not detect any signs of synovitis.

Medical Finals Quiz Hands   Medical Finals Quiz Hands

What would be recommended first line pharmacological treatment for this patient?

(a) High dose NSAIDs
(b) Paracetamol
(c) Methotraxate
(d) Topical NSAIDs
(e) Sulfasalazine

Question 2:

A 20 year old man with a history of type I diabetes is admitted with pyrexia, drowsiness, and fast deep breathing.
You suspect diabetic ketoacidosis (DKA).

What is the initial treatment priority for DKA?

(a) IV drip of 5% dextrose solution
(b) IV drip of 0.9% Saline
(c) 10 units of subcutaneous short acting insulin
(d) Insulin via infusion pump
(e) Potassium supplementation

Question 3:

During a finals short case, you palpate a significantly enlarged liver and spleen.

What is the commonest cause of large hepatosplenomegaly in UK/Ireland?

(a) Zinc deficiency
(b) Haematological disease
(c) Chronic alcohol abuse
(d) Infectious mononucleosis
(e) Malaria

Question 4:

As on-call PRHO (foundation year 1) you are called to see a 52 year old post-op patient who is hypotensive (BP=80/60).
You bleep your SHO who advises a fluid challenge.

Which of the following fluid regimes would be most appropriate?

(a) 1 litre 5% dextrose over 4 hours
(b) 500 ml Colloid (Gelofusion or Voluven) over 60 minutes
(c) 1 litre Normal saline over 4 hours
(d) 250ml Normal Saline over 2 minutes
(e) 1 unit of reheated fresh frozen plasma over 30 minutes

Question 5:

You are called to see a patient in A+E, and are shown the following rhythm strip and ECG:


What does this show?

(a) Ventricular tachycardia (VT)
(b) Atrial Fibrillation (AF)
(c) First degree heart block
(d) Agonal rhythm
(e) Wolf-Parkinson-White (WPW)

Question 6:

Please provide us with some feedback about our website so we can improve it for all users. We wish to make medicalfinals an invaluable resource for students and tailor it to your needs.

Which of the following would you like to see more of on the website?

(a) MCQ's
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(c) X-rays
(d) ECG's
(e) PDA downloadable material
(f) Videos of OSCE scenarios
(g) History taking Tips
(h) OTHER - PLEASE SPECIFY:

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www.MedicalFinals.co.uk   -   Quiz by: Dr Gerry Gormley, Dr Ian Bickle, and Stephen Bridgett