www.MedicalFinals.co.uk - Medical Finals Quiz

Medical Finals Quiz - March 2006 (Closing date: 1st April 2006)

With Ian Bickle and Ann Johnston

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 "Radiology for Medical Students, 2nd edition" (Covers abdomen, chest, bones, neurology, trauma and paediatrics. Original X-rays, MR and CT scans, and cases, for finals exam preparation, and day-to-day hospital practice.) 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 April 2006.

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

Question 1

A 43 year-old carpet fitter presented to A & E with an acutely swollen tender red, hot right knee. On examination he is unable to fully extend the right knee. The patellar tap test is positive.

Aspiration of his right knee was performed. The aspirate is shown.

What is the most likely diagnosis?

	(a) Gout
	(b) Bursitis
	(c) Pseudogout
	(d) Septic arthritis
	(e) Ruptured Baker's cyst

Question 2

Which of the following structures is labeled A on the photograph?

	(a) Femoral artery
	(b) Femoral Vein
	(c) Femoral Nerve
	(d) Inguinal Ligament
	(e) External Iliac Vein

Question 3

A 27 year-old mechanical engineer attended his GP over concerns regarding an intermittent erythmatous rash. It is not noted to be related to any specific exposure. He is allergic to aspirin. The rash is shown below. March Quiz Rash on arm

What is the correct term for the appearance seen in this picture?

	(a) Koebner's phenonmenon
	(b) Dermographism
	(c) Urticaria
	(d) Pityriasis rosea
	(e) Guttae psoriasis

Question 4

Which of the following pieces of information is the most helpful in obtaining or in rejecting a diagnosis of epilepsy?

	(a) EEG result
	(b) MRI scan result
	(c) Enhanced CT scan result
	(d) Accurate history and eye-witness account
	(e) Patient reports tongue biting and incontinence

Question 5

Which of the following is more likely to represent a patient suffering from an epileptic seizure as opposed to a syncopal event?

	(a) Presence of some limb jerking
	(b) Regaining consciousness in an ambulance
	(c) Regaining consciousness in the immediate surroundings
	(d) An un-witnessed event
	(e) Eye-witness reports skin pallor

Question 6:

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