Medical Finals Quiz - September 2006

(Closing date: 1st October 2006)

With Dr E McCausland & 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 October 2006.

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

Question 1

A 54 year-old woman is admitted with right loin pain and haematuria. Tenderness in the right loin is found on examination.

A computed tomography scan of kidneys, ureters and bladder (CT-KUB) is performed (see below). A right renal tract calculus is observed.

What is the most common location for renal tract calculi?

	(a) Renal pelvis
	(b) Mid-ureter
	(c) Vesicoureteric junction
	(d) Pelvicoureteric junction
	(e) Bladder

Question 2

A patient has been treated with various drugs including gold injections for joint disease. She has now developed bronchiectasis.

Which of the following blood results would be in keeping with this information?

	(a) Low immunoglobulins
	(b) Positive urinary Bence-Jones protein
	(c) Positive anti-double stranded DNA antibody
	(d) Positive anti-nuclear antibody
	(e) Positive Rheumatoid factor

Question 3

The clinician looking after a 73 year-old man with newly diagnosed iron deficiency anaemia is worried about the part of the bowel shown in this barium enema.

What diagnosis is he most worried about?

	(a) Colonic Crohn's disease
	(b) Caecal lymphoma
	(c) Crohn's disease of terminal ileum
	(d) Caecal carcinoma
	(e) Tuberculosis of terminal ileum

Question 4

A 46 year-old solicitor complains of right upper quadrant pain and has deranged liver function tests. An ultrasound scan of the abdomen demonstrated a dilated common bile duct. He proceeds to endoscopic retrograde cholangio-pancreatography (ERCP).

Whilst observing the procedure, the consultant in charge asks you the location of the Ampulla of Vater.

Where does the ampulla of Vater enter the bowel?

	(a) Jejunum
	(b) Ascending (fourth part) duodenum
	(c) Descending (second part) duodenum
	(d) Inferior (third part) duodenum
	(e) Superior (first part) duodenum

Question 5

A patient with inflammatory arthritis develops an acutely swollen, painful hot elbow 2 days following an intra-articular steroid injection.

What is the most appropriate initial course of action?

	(a) Blood cultures, repeat joint aspiration and intravenous antibiotics
	(b) Repeat steroid injection
	(c) Send serum urate and start colchicine
	(d) Increase oral steroid and methotrexate
	(e) Immobilise the joint

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
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Does radiology feature in your final exam?	YES NO Not Sure No exams
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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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