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3,531 questions
A 78-year-old man complains of gnawing backache associated with urinary frequency and poor stream for 4 months. Transrectal ultrasound (TRUS) biopsy showed a carcinoma of prostate. What should be the first investigation?
A 75-year-old man underwent a low anterior resection. Five days postoperatively he became toxic. A contrast CT scan showed an anastomotic leak. The diagnostis of this patient is?
A 9-year-old boy with a family history of a progressive neurological disorder affecting the lower limbs presents with problems in his feet. The arches are very high and the toes bent up so that they rub on his shoes. What is the most likely diagnosis?
An elderly man with chronic constipation experiences acute-onset left iliac fossa pain and tenderness. On examination, the patient has fever and is slightly tachycardic. There is marked tenderness and guarding in the left iliac fossa. Full blood count results reveal a raised. What is the most likely diagnosis?
: Le tissu conjonctif présent au niveau de la paroi des grosses artères n’a aucune propriété mécanique.
A 21-year-old woman complains of increasing pain and numbness in her foot localised around the base of the second, third and fourth toes. What is the most likely diagnosis?
A patient is found to have a Power ratio of more than one. What is the most likely diagnosis of this patient?
A 62-year-old man underwent an anterior resection for rectal carcinoma. On the first postoperative day he has a pyrexia of 39°C and a swollen, tender right calf with shiny skin. What is the most likely diagnosis of this patient?
: Le cartilage fibreux est préférentiellement observé au niveau des zones où les forces mécaniques sont peu importantes.
: Au cours de la croissance interstitielle, les cellules cartilagineuses élaborent les constituants de la matrice avant de se diviser.
A 49-year-old woman presents with advanced radiographic osteoarthritis of the knee, isolated to the medial compartment. What is the best next step in management?
A 38-year-old man is punched in the face during a fight. He has marked left periorbital ecchymosis and oedema and left subconjunctival haemorrhage with no posterior limit. There is palpable movement at the left frontozygomatic suture. What is the most likely diagnosis of this patient?
: Les disques intervertébraux sont un bon exemple de cartilage élastique, visible en microscopie optique à la fuschine résorcine.
An 18-year-old cricketer develops pain and swelling around the MTPJ of his big toe after a long period of fast bowling. He now has difficulty pushing off on that foot. What is the most likely diagnosis?
A patient presents having fallen on his head from a height. The atlas is fractured and expanded. What is the most likely diagnosis of this patient?
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?
Your registrar tells you that his patient has a boxer's fracture. From this, you know that the bone which is fractured is?
A 45-year-old woman sustained a blunt injury to her lower chest and upper abdomen while horse riding. She was brought in with hypovolaemic shock. Having been resuscitated according to the ATLS protocol, she is now stable. What should be the first investigation?
Following an injury at a building site where a piece of heavy masonry fell on his chest, a 35-year-old man has been sent to the A&E department with.severe pain in his chest and marked bruising of the chest wall on the left. On examination his blood pressure is 80/50 mm.Hg, the left chest is dull on percussion and there is no air entry. What is the most likely diagnosis of this patient?
A 27-year-old office worker presents to his general practitioner with a dull ache in the testes that has been present for the past several weeks and causing a dragging sensation in the scrotum. On examination, the patient reports that the ache is more in the left scrotum than the right. In addition, when the patient stands up, a swelling is present within the left hemi-scrotum that feels like a bag of worms. This is likely to be?