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3,531 questions
: Le cartilage fibreux est préférentiellement observé au niveau des zones où les forces mécaniques sont peu importantes.
A 4-year-old girl falls from a trampoline and sustains a displaced fracture of the left distal humerus (supracondylar). It is a closed and neurovasculary intact injury. What is the best next step in management of this patient?
A 46-year-old woman re-presents to the emergency department 48 hours following an 'uncomplicated' laparoscopic cholecystectomy and on-table cholangiogram. She describes a history of progressive, constant, right upper quadrant pain radiating to the shoulder tip since the surgery. The pain is worse on coughing and moving. On direct questioning, she describes a 24-hour history of nausea and vomiting. The abdomen is rigid. Her liver function tests are abnormal as follows: bilirubin 60µmol/L, alkaline phosphatase 550 IU/L and alanine aminotransferase 220 IU/L. Her international normalized ratio is <1.5. Which single investigation is more likely to be diagnostic?
A 74-year-old woman with a BMI of 36 presents with a painful lump around her umbilicus. She has had it for several years and it has increased in size recently. Examination reveals a large, tender, hard, lump over the umbilicus with bluish discolouration and no cough impulse. What is the diagnosis for this patient?
A 40-year-old female who underwent laparoscopic cholecystectomy the previous day complains of pain over the right shoulder. She is otherwise stable and her abdomen is soft and non-tender. Which one is the complication of this laparoscopy?
A footballer has twisted his ankle in a tackle. The ankle is very tender over the medial and lateral malleolus. What is the best next step in management of this patient?
A patient sustains a flexion distraction injury at the thoracolumbar junction following a highspeed road-traffic accident where he was wearing a seat belt. What is the most likely diagnosis of this patient?
A previously well 35-year-old woman presents with sudden onset severe headache and loss of vision. Her acuity is 6/24 bilaterally on assessment in the emergency department. What is the most likely diagnosis of this patient?
A 12-year-old boy is hit in his left eye with a ball. There is minimal soft tissue injury and no palpable deformity. Eye movement is painful and restricted on upward gaze. What is the most likely diagnosis of this patient?
A 23-year-old long-distance runner spontaneously develops a pain over the head of her second metatarsal. Radiographs reveal an undisplaced fracture across the neck of the second metatarsal. What is the most likely diagnosis?
: Ils sont perforés par le tendon correspondant du fléchisseur profond des doigts (fléchisseur commun profond des doigts) et s'insèrent sur les bords latéraux de la troisième phalange.
A 55-year-old woman presented with a lymph nodal lump over her right supraclavicular area. Excision biopsy showed a non-Hodgkin's lymphoma. What should be the first investigation?
A 52-year-old man who sustained a severe intra-articular fracture of the right shoulder as a young man now presents with increasing pain, stiffness and weakness of the shoulder. What is the most likely diagnosis?
A pedestrian sustains a fall from 30 feet, sustaining an open-book fracture of the pelvis. The patient is stabilised and the plan now is for reconstruction. What is the best next step in management of this patient?
A 14-year-old boy falls from a swing and sustains a blow to his face. He is knocked out for 1 minute but makes a rapid and full neurological recovery. His upper central incisors are avulsed. What is the most likely diagnosis of this patient?
A 20-year-old male student attends the surgical outpatient clinic with a pulsatile ovoid swelling just behind the anterior edge of the sternocleidomastoid (SCM) muscle at the level of the hyoid bone. It is elastic in consistency and can be moved from side to side only. This is likely to be a?
A 24-year-old man is stabbed in the face and sustains a deep wound extending from his right medial lower eyelid to his mid cheek. What is the most likely diagnosis of this patient?
A 57-year-old woman is kicked by her horse. She has a large central forehead haematoma and CSF rhinorrhea. What is the most likely diagnosis of this patient?
A 68-year-old man complains of increasing dysphagia of 3 months duration. He is unable to swallow any solids, and liquids go down with difficulty. He has lost 25 kilogrammes in weight during this period. What should be the first investigation?
You are asked to see a 48-year-old woman who has been admitted to the emergency department with sudden onset of right upper quadrant pain. Your registrar liaises with you, after having seen this patient, and tells you that the patient has 'Charcot's triad'. From the information conveyed to you, what is the most likely diagnosis that you should be thinking of?