Medical Finals Quiz - June 2006

(Closing date: 1st July 2006)

With Ann Johnston & 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 "Essential Revision Notes in Medicine for Students" By: Dr Philip Kalra. (This book focuses on what is essential learning for medical undergraduates and gives readers an 'all round' knowledge of medicine at this level.) 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 July 2006.

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

Question 1

A 21 year old female who is 26 weeks pregnant is admitted with 3 generalised tonic clonic seizures. She has no previous history of epilepsy. Her blood pressure is noted to be 210/90. Temperature is 37.9 °C. Urinalysis demonstrates marked proteinuria.

What is the ultimate management of this patient?

	(a) Load with intravenous phenytoin
	(b) Treat symptomatically with benzodiazepines
	(c) Treat with intravenous magnesium
	(d) Deliver fetus and placenta
	(e) Observe for 6 hours, blood cultures and paracetamol

Question 2

The following picture shows the blue-gray skin discoloration which can be a side-effect of amiodarone:

(Picture from: American Family Physician)

The following are also known side-effects of Amiodarone EXCEPT for one:

	(a) Hypothyrodism
	(b) Bradycardia
	(c) Pulmonary fibrosis
	(d) Pancreatitis
	(e) Peripheral neuropathy

Question 3

Which of the following conditions is paired incorrectly with the corresponding gait disturbance?

	(a) Parkinson's disease - shuffling gait
	(b) C5/C6 myelopathy - high stepping gait
	(c) Common peroneal nerve palsy - foot drop
	(d) Right cerebral hemisphere infarct - left hemiplegic gait
	(e) Polymyositis - waddling gait

Question 4

A 66 year-old man with bony pain undergoes a radioisotope bone scan. He is found to have multiple osseous metastases in the axial skeleton. The primary, at the time, has not been identified.

Which of the following tumours typically causes osteosclerotic metastases?

	(a) Pancreatic
	(b) Lung
	(c) Bladder
	(d) Prostate
	(e) Kidney

Question 5

This gentleman presented with this facial appearance and had altered sensation on his left forehead.

Which of the following could not cause this appearance?

	(a) Vertebral artery dissection
	(b) Carotid artery dissection
	(c) Pancoasts tumour
	(d) Syringobulbia
	(e) Congential Horner's

Question 6
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