Medical
Browse, search and filter 3,531 questions.
3,531 questions
Systemic inflammatory response syndrome is a term used to describe the disseminated response to an inflammatory insult such as sepsis, pancreatitis or severe trauma. Which one of the following is not a manifestation of systemic inflammatory response syndrome?
An 85-year-old pensioner is brought to the emergency department by her family who are concerned that she has become increasingly confused and drowsy in the past 3 weeks. She is pleasantly confused and unable to recall events clearly but oriented to time and person and complains only of occasional frontal headache. Her family informs you that she may have fallen while climbing from the bathtub some weeks previously. She has also started sleeping for long periods of tim.e, which is not her normal habit. A head CT scan.is performed, which shows mild generalized atrophy and a crescent-shaped collection. This presentation is consistent with?
Used to determine the statistical variation (standard deviation) of the maximal response to the
A 58-year-old man with insulin dependent diabetes presents with chronic erythema and discharge over an ulcerated area located over the first MTPJ of his left foot. CRP is 60 and ESR is 75. Radiographs reveal a destruction of the head of the first metatarsal. What is the most likely diagnosis?
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?
: La sécrétion mérocrine suppose un renouvellement cellulaire pour maintenir l’intégrité de la glande. E : Les glandes séreuses sont les glandes qui synthétisent un produit très épais et qui nécessitent la présence d’une vaste lumière.
A patient is admitted following a car accident where she was a restrained passenger. The patient is 32 weeks pregnant. She is shocked with a rigid and tender abdomen. An abdominal radiograph is performed which shows air under the diaphragm and the fetus's left leg appears extended. The most appropriate next course of action is?
What is the least number of factors that must be present from the modified Glasgow criteria for acute pancreatitis to be classified as severe within 48 hours of admission?
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 78-year-old man presents with severe right groin pain, regular night and rest pain and limiting his day-to-day activities. Radiographs of the hip demonstrate moderate to severe osteoarthritis of the right hip. What is the best next step in management?
A patient has a hyperflexion injury. The x-ray shows that the vertical height of C4 vertebra is 50% less at the front than the back. What is the most likely diagnosis of this patient?
A 19-year-old woman fell from her bicycle onto a tarmac road surface. She had abrasions to her left cheek and forehead. The wounds were irrigated with normal saline and she was discharged. She returned 2 months later with several dark patches on her facial skin. What is the most likely diagnosis of this patient?
During a ward round, you are asked by your surgical registrar about the management of a phaeochromocytoma. Select from the list below the most appropriate management plan for a phaeochromocytoma?
A 22-year-old Caucasian man presents to the ENT clinic complaining that he is unable to hear properly in the right ear. A week earlier, he received a blow to the right ear while playing rugby. Rinne's test is negative on the right (bone conduction greater than air conduction). On Weber's test, sound is heard best on the right side. Which one of the following is the most appropriate, regarding the likely cause?
: Le pore d'une jonction communicante autorise le passage d'une molécule comme la thymidine kinase par exemple.
A 57-year-old man presents with acute colicky pain in the suprapubic area. He has been constipated over the last 2 days and has been feeling bloated. He feels nauseous, but he has not vomited. On examination of the abdomen you notice marked abdominal distension, and increased bowel sounds. What is the most likely diagnosis?
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?
An 84-year-old woman has been admitted with a 12-hour history of colicky abdominal pain, distension, vomiting and constipation; the vomitus, bilious to start with, became faeculent. Clinical examination shows a small erythematous tender lump below the inguinal ligament and lateral to the pubic tubercle. What is the diagnosis for this patient?
A 36-year-old nulliparous woman attends your clinic with a 7-day history of left breast pain after being involved in a car accident. On examining her breast, you notice a hard, irregular 3 cm, immobile, tender lump. You also notice some skin tethering and overlying bruising in the region of the J11mp. Ultrasound features suggest a benign pathology. The most likely diagnosis at this point is?
A 72-year-old Asian man presents complaining of sudden severe pain in his right eye. The pain is associated with nausea and vomiting. His vision is mildly impaired on the right side. On examination, the eye is inflamed and acutely tender. The pupil is semi-dilated and rIXed. The intraocular pressure is raised. What is the most likely diagnosis?