Medical
Browse, search and filter 3,531 questions.
3,531 questions
You are attending a breast multidisciplinary team (MDT) meeting where the core biopsy histology results of a suspicious breast lesion are being discussed in a 55-year-old woman presenting with a right side breast lump. The histopathologist states that the breast lesion possesses 'B5b' histology features. What is the most likely diagnosis?
A 19-year-old man presents having noticed a hard lump above his knee. He initially noticed the lump 3 years ago, but presents now after his girlfriend persuaded him to fmd out what it is. He does not complain of any associated symptoms. Radiographic investigation demonstrates a knob of bone on the surface of the distal femur, which projects away from the knee joint. The most likely diagnosis is?
A 58-year-old cattle farmer normally a resident in the subcontinent, on a short visit to the United Kingdom, was brought into the A&E department with convulsions. The episode started with lassitude, irritability, dysphagia and spasm of facial muscles. He showed generalized tonic and clonic spasm. The diagnostis of this patient is?
A 38-year-old painter and decorator presents with gradual onset of pain in both shoulders, left worse than right. This is especially severe when he is trying to paint ceilings. On USMLE Surgery2e/Diagnostic examination, pain is experienced at between 60 and 100 degrees of abduction. Shoulder radiographs are normal. What is the most likely diagnosis?
A 36-year-old man presents with a red and hot lump over the posterior part of the elbow. He is systemically well, apyrexial, has a flexion arc of 100 degrees and radiographs are unremarkable. What is the most likely diagnosis?
A 46-year-old woman has a PIPJ flexion and a DIPJ hyperextension deformity of the left ring finger. What is the most likely diagnosis?
A 21-year-old female student presents to the emergency department following a fall from a ledge approximately 1.5 m high while walking home. She has been drinking heavily and her friends report that she is now drowsier following her fall. She opens her eyes when her name is mentioned and is talking about her studies tomorrow. She also winces when you press her nail bed. Her score according to the Glasgow Coma Scale will be?
A 42-year-old woman underwent an emergency appendectomy for perforated suppurative appendicitis. Three days postoperatively, her wound became red and tender with gross oedema; on removal of the sutures, the wound showed slough and ulceration. The diagnostis of this patient is?
A 38-year-old woman sustained a superficial wound of her thumb from a puncture while gardening. Twenty-four hours later, her thumb became swollen and very painful, with red inflamed streaks all along the skin up to the axilla. The diagnostis of this patient is?
A healthy 34-year-old builder presents to his general practitioner having fallen 4.5 m from a ladder 4 days previously, while working at a construction site. Although no major injuries were sustained, since his accident, he has been having near constant lower backache, which radiates down his right leg and is worse on coughing. On examination, the pain is noted to be particularly worse on the outer aspect of the right leg. In addition, there is reduced sensation over this area and the dorsum of the foot. Ankle and big toe dorsiflexion also appear to be weak in comparison to the left side. The patient is referred to the local hospital for an MRI scan, which shows a lateral disc protrusion in the lumbar spine. Which nerve root is likely to be affected in this individual?
A 68-year-old woman underwent an amputation of her right leg following severe crush injury. Three days postoperatively she has pyrexia and tachycardia and looks toxic. The amputation site looks red and brawny with the limb swollen with crepitus in the intermuscular planes. The diagnostis of this patient is?
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?
Some 10 days ago, a 60-year-old rescue worker trod on a nail while climbing over wreckage. It passed through the sole of his shoe and into his foot. He did not seek treatment and the wound healed up well. Now he presents with fever, sweating and drooling, and he is unable to open his mouth properly. Each time there is a loud noise, his muscles go into spasm and he seems to be having some difficulty breathing. What is the best diagnosis of this patient?
During the clearance of a building, which had collapsed 48 hours before, a 10- year-old boy is found trapped in the remains of a room and unable to move. He had no problems with dehydration as he was soaked from head to foot with water from a ruptured pipe. A quick survey revealed no obvious injury, but even so, he was drowsy (unable to give his name or obey verbal commands) with a slow pulse and an unrecordable blood pressure. What is the best diagnosis of this patient?
: L’Histologie a pour objectif d’établir une relation entre une structure normale et un rôle ou une maladie.
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 40-year-old van driver has been brought to the accident and emergency (A&E) department with severe shortness of breath. He was involved in a road-traffic accident (RTA) when there was a head-on collision while not wearing a seat belt. There is bruising over his USMLE Surgery2e/Diagnostic sternum. His neck veins are distended, with a systolic pressure of 80 mmHg and pulse rate of 130/minute. The trachea is in the midline, but breath sounds are difficult to discern because there is a lot of noise in the A&E department. The pulse oximeter shows an oxygen saturation of 92 o/o. What is the most likely diagnosis of this patient?
A 6-year-old boy is brought by his parents with complaints of sudden-onset fever, with severe headache and weakness and deformities of both the upper limbs. On examination, the boy is malnourished, with no neck rigidity. There is weakness of the muscles of shoulders, elbows and wrist, more on the left side. There is also accompanying flattening of the thenar eminence with weakness of flexion of the fingers and apposition of the thumb. The sensory examination is normal. What is the diagnosis of this patient?
interferes with steroid hormone receptor interaction with DNA, thus preventing the growth induction by this class of hormone
A patient is admitted following a house fire. He has extensive partial and full thickness burns over his arms, upper torso and neck. You note black carbon deposits around his nostrils and oropharynx. Which of the following is the immediate priority?