/
MOCK EXAM 30 minutes TOTAL MOCK EXAM 30 minutes TOTAL

MOCK EXAM 30 minutes TOTAL - PowerPoint Presentation

KissesForYou
KissesForYou . @KissesForYou
Follow
343 views
Uploaded On 2022-07-28

MOCK EXAM 30 minutes TOTAL - PPT Presentation

1 minute per question WRITE DOWN YOUR ANSWERS Try not to confer or look up answers Question 1 A 30 year old banker came in with pain in the epigastric region which radiated to his back He says he cant keep anything down amp sitting forward helps On examination there is decreased breath ID: 931230

year question presents pain question year pain presents history amp examination cancer man fracture abdominal ray left woman investigation

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "MOCK EXAM 30 minutes TOTAL" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

MOCK EXAM

30 minutes TOTAL

1 minute per question

WRITE DOWN YOUR ANSWERS

Try not to confer or look up answers

Slide2

Question 1

A 30 year old banker came in with pain in the

epigastric

region which radiated to his back. He says he can't keep anything down & sitting forward helps. On examination there is decreased breath sounds on the left side which is stony dull to percussion at the base. Which of these investigations is most appropriate?

Abdominal X ray

Serum amylase

Serum lipase

OGD endoscopy

Slide3

Question 2

A 30 year old woman presents with aspiration

pnuemonia

. She has a long history of intermittent mild dysphagia for both liquids & solids and often suffers from severe retrosternal chest pain. Occasionally she gets food stuck but overcomes this by drinking vast amounts of water. What is the gold-standard investigation?

Barium swallow

Oesophageal

manometry

OGD endoscopy

Trial of PPIs

Slide4

Question 3

A 72-year-old man presents to the emergency department with a 3-hour history of a painful, cold right leg. He has a past medical history of atrial fibrillation. On examination, the right leg is cold and tender. The pedal pulses on the right are not palpable. What would be the most appropriate initial management?

Embolectomy

Aorto-bifemoral

bypass

Conservative

Amputation

Slide5

Question 4

You see this AXR. What is most likely underlying cause?

Volvulus

Hiatus hernia

Colorectal cancer

Adhesions

Slide6

Question 5

A 70 year old lady has end-stage renal failure receiving regular dialysis. She has lost 2 stone in weight over the last 3 months. How is she most likely to present?

Urinary frequency and

haematuria

Haematuria

, loin pain, abdominal mass

Asymptomatic

Constipation

Slide7

Question 6

A 45-year-old woman attends the orthopaedic follow-up clinic to receive the results of a knee X-ray. She has been getting increasing pain in the left knee, aggravated by walking. Practice Paper 5: Questions 186 Which of the following changes on X-ray would most suggest a diagnosis of osteoarthritis?

Joint subluxation

Juxta

-articular erosions

Narrowed joint space

Subchondral

sclerosis

Slide8

Question 7

A 50 year old housewife & mother of 5 has sudden severe

epigastric

pain that radiates to the back on the right & has vomited. She puts it down to her recent meal of fish & chips, as she usually never eats fatty food. Examination is somewhat difficult as she is obese but you think she has some guarding over the

epigastium

and right

hypochondrium

. What is the most appropriate initial investigation?

MRCP

AXR

USS abdomen

ERCP

Slide9

Question 8

A 70 year old gentleman presents with increased urine frequency and

nocturia

up to 5 times/night. On direct questioning, it is also noted that he also has urinary hesitancy and terminal dribbling. What is the most likely cause?

Prostate cancer

B

ladder cancer

Benign prostatic hypertrophy

UTI

Slide10

Question 9

A 20 year old man has a 24 hour history of abdominal pain, which started in the

para

-umbilical region, but seems to have moved to his right iliac fossa. He is tender in this area with guarding and rebound tenderness. What is the most likely cause?

Inflammatory bowel disease

Diverticulitis

Appendicitis

Mesenteric adenitis

Slide11

Question 10

A 38 year old man presents with a 2 month history of intermittent pain in the upper abdomen which he describes as dull in nature. It sometimes wakes him up at night and is relieved by food and particularly when he has a glass of milk. He has had a similar episode before where he remembers the doctor prescribed him some pills, which helped. Examination reveals mild

epigastric

tenderness. What is the surgery used to treat this condition?

Heller’s

cardiomyotomy

Vagotomy

Nissen’s

fundoplication

Ivor-Lewis

Slide12

Question 11

A 72-year-old man who has no past medical history of note has been referred to you by his GP. His GP found an incidental non-tender

expansile

mass in his abdomen. An ultrasound scan demonstrates an abdominal aortic aneurysm that is 5 cm in diameter. What is the best course of management?

Commence on

antihypertensives

and advise to see GP if he develops abdominal pain

Organize an elective repair

Repeat an ultrasound scan in 3 months

Repeat an ultrasound scan in 1 year

Slide13

Question 12

An 81-year-old woman from a nursing home is brought into the emergency department following a fall. She is complaining of pain in her left hip. On examination, her left leg is shortened and externally rotated. The home tells you this woman has dementia but is able to mobilize independently with a frame. An X-ray shows a displaced

intracapsular

femoral neck fracture. Which of the following would be the most suitable management option?

Allow the patient to try to mobilize

Hemiarthroplasty

Open reduction and internal fixation

Total hip replacement

Slide14

Question 13

A 43 year old housewife complains of a colicky pain in the right upper quadrant which radiates to the back. Associated symptoms are nausea and vomiting. She says it is brought on by fatty foods and not relieved by pain killers bought over the counter. She is also jaundiced. What is the most likely cause?

Acute pancreatitis

Acute

cholecystitis

Gallstones

Peptic ulcer disease

Slide15

Question 14

A 75 year old man with a 6 month history of straining at stool. He also thinks he is not emptying his rectum completely. He is passing blood & mucus per rectum. He has some weight loss & anorexia. What is the most likely diagnosis?

Right-sided colon cancer

Left-sided colon cancer

Rectal cancer

Anal cancer

Slide16

Question 15

A 49 year old man presents with severe right abdominal pain which radiates to the groin. His

english

is very poor and he is unable to give a good history. He appears very anxious and in a great deal of pain. You notice that he can not lie still, seemingly because of the pain. An abdominal X-ray is entirely normal.

Which investigation is most likely to confirm the diagnosis?

USS KUB

USS abdomen

CT KUB

CT abdomen

Slide17

Question 16

A 70 year old male who presents with significant weight loss & progressive jaundice. On examination there is a palpable gallbladder, which is painless. Ultrasound demonstrates a dilated biliary system down to the head of the pancreas. What is the serum marker associated with this condition?

Ca-125

PSA

CA19-9

CEA

Slide18

Question 17

An 80 year old man presents with a 6 month history of increasing weakness and 8kg weight loss. He also has some difficulty swallowing and a few episodes of black stools. He is a long term smoker. What sign would you see on barium swallow?

Bird’s beak

Apple core

No abnormality

Corkscrew

Slide19

Question 18

A 55 year old lady has chronic venous insufficiency. On examination of her legs, she has an an area of whitish looking skin and an inverted champagne bottle appearance bilaterally. Her legs feel hard and woody. What is the CEAP grade?

C3

C4a

C4b

C5

Slide20

Question 19

A 75 year old man presents with bilateral testicular pain, swelling & tenderness of both testes & epididymis. His temperature is 37.8 degrees

celsius

. What is the most likely causative organism?

Chlamydia

Gonorrhoea

E.Coli

Staphyloccocus

aureus

TB

Slide21

Question 20

A 56 year old builder has an intermittent lump in the left groin for 6 weeks. It is painless. On examination it is above the inguinal ligament, can be induced by coughing, is reducible & is non-tender. What is the most likely cause?

Indirect inguinal hernia

Femoral hernia

Direct inguinal hernia

Strangulated inguinal hernia

Slide22

Question 21

An 80 year old lady has a 2 month history of heartburn, regurgitation, and a taste of acid in her mouth. What is the most appropriate investigation you would do?

A trial of PPI

A trial of conservative lifestyle changes

OGD endoscopy

24

hr

PH test

Slide23

Question 22

You are in the vascular clinical and your consultant asks you to name the underlying condition. What do you say?

Peripheral arterial disease

Chronic venous insufficiency

Diabetes

Recent burn

Slide24

Question 23

A 70 year old gentleman presents with increased urine frequency and

nocturia

up to 5 times/night. On direct questioning, it is also noted that he also has urinary hesitancy and terminal dribbling, and that he thinks he has recently lost weight. What is best diagnostic investigation?

PR examination

PSA levels

Transrectal

USS + biopsy

Cystoscopy + biopsy

Slide25

Question 24

Name the fracture.

Slide26

Question 25

A 63-year-old woman with known varicose veins presents to the surgical outpatients with a fever and a

sloughy

shallow ulcer above the medial aspect of the ankle with surrounding cellulitis. Which of the following would be the best immediate treatment option?

Debridement and intravenous antibiotics

Debridement and topical antibiotics

Debridement and

sclerotherapy

Dress the ulcer

Slide27

Question 26

A 13-year-old girl presents to the emergency department following a fall on the outstretched hand. An X-ray of the affected upper limb shows a fracture of the upper ulna with dislocation of the radial head. Which of the following would be the most appropriate term to describe this fracture?

Colles

fracture

Galeazzi

fracture

Monteggia

fracture

Smith fracture

Slide28

Question 27

A 24 year old man presents with a 3 month history of episodes of painless, bright red rectal bleeding on straining at stool. He has noticed some blood in the bowl, separate from the stool & some on the paper after wiping. What is the likely cause of this bleeding?

IBD

Colorectal cancer

Haemorrhoids

Anal fissure

Slide29

Question 28

A 56 year old lady presents with rigors and abdominal pain. Her husband tells you that she has become extremely confused. On examination, she is jaundiced, her temperature is 38 degrees

celsius

, her blood pressure is 87/50, and her HR is 110. What is the most likely underlying cause?

Hepatitis

Pancreatitis

Acute

cholecystitis

Ascending cholangitis

Slide30

Question 29

A 60 year old gentleman presents to his GP complaining of back pain and loose, foul smelling, whitish stools. The GP notices that his breath smells of alcohol. What is the most likely cause?

Coeliac disease

Mechanical back pain

Chronic pancreatitis

Pancreatic cancer of head

Slide31

Question 30

A 76 year old lady with a 10 year history of regurgitation and heartburn finally presents to her GP because she is now having some difficulty in swallowing. On endoscopy, a biopsy is taken of the lower

oesophagus

, which shows the presence of columnar cells but nothing else. What is the most likely cause of her swallowing difficulty?

Adenocarcinoma of

oesophagus

Oesophageal

stricture

Squamous cell carcinoma of

oesophagus

Barrett’s

oesophagus

Slide32

END