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3,531 questions
A 55-year-old woman, who is obese and has a positive smoking history, is to have varicose vein surgery in the next 12 hours. Your senior colleague asks you to ensure that deep vein thrombosis prophylaxis is commenced. From the list below, choose the most appropriate form of deep vein thrombosis prophylaxis that you would use?
A 62-year-old patient is admitted with jaundice. His stool is pale and urine dark red. On examination he has a palpable gallbladder. The most likely cause is?
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 60-year-old woman has been diagnosed as having claudication of the lower limbs which does not impair her lifestyle. The patient is a smoker and has hyperlipidaemia for which she is taking a 'statin'. You are asked to discuss with the patient the treatment options available to her. From the list below, choose the recommended treatment option for this patient?
You see a SO-year-old woman with a history of atrial fibrillation, who presents to the emergency department with a sudden onset of pain in the left forearm. The pain started 3 hours ago, and USMLE Surgery2e/Management has been increasing in intensity since. On examination, the left forearm is cold and pale. The left axillary pulse is present, but distal pulses are absent. Movement and sensation are intact in the left hand. There is no history of trauma. What is the most appropriate next step in this patient's manage1nent?
A 41-year-old woman, diagnosed with varicose veins in the left leg, presents to your clinic with a 2-month history of severe pain in the left leg on prolonged standing. The patient is obese and the pain has affected her working and social lifestyle and she asks you about the most effective treatment option. From the list below, choose the most effective treatment option that you would discuss with this patient?
You are asked to review a 34-year-old Caucasian male patient in the clinic. He describes a long history of problems in his right ear as a child. He also describes a 10-day history of pain in and behind the same ear. There has been a continuous discharge from the ear and he has been feeling 'under the weather'. He has a low-grade fever (37.5°C). Clinical examination reveals tenderness behind the right ear. Otoscopic examination reveals a bulging, red tympanic membrane. Select the most appropriate statement regarding the management of this patient from the list below?
A 60-year-old Caucasian woman presents to the emergency department complaining of new-onset 'dizziness'. She noticed it in the morning when she turned her head around to talk to her children. She felt the room was spinning around her for a few minutes and she had to go and rest in bed. She denies any deafness, tinnitus, otalgia or otorrhoea. She describes a less severe attack happening two months earlier. On examination she appears comfortable at rest, her pulse is 90 beats/min, blood pressure is 133/68 mmHg and respiratory rate is 12 beats/min. Otoscopic assessment is within normal limits. What will you do next?
A 40-year-old Caucasian man presents to the outpatient clinic complaining of progressively severe nasal obstruction. His wife has noticed that he has started to snore at night. He also describes a recent history of clear discharge from his nose. He suffers from recurrent attacks of sinusitis. Physical examination does not reveal any tenderness across the paranasal sinuses. What will you do next?
A SO-year-old Asian woman attends the emergency department complaining of a nose bleed that has persisted for more than 10 minutes at home. She is pinching her nose tightly and placed a towel under her mouth to catch any blood. A friend is holding an ice pack on her forehead. She describes several previous attacks which have resolved spontaneously. She is not in any respiratory distress. Her pulse rate is 100 beats/min, blood pressure is 130/70 mmHg and respiratory rate is 12 breaths/min. Physical assessment reveals an anterior bleeding point. What is the next procedure to control the bleeding?
You see a 55-year-old woman in the emergency department, who was admitted with central colicky abdominal pain and multiple episodes of vomiting. She last opened her bowels 4 hours ago. On examination she appears dehydrated and is in pain. The abdomen is generally tender and slightly distended. Bowel sounds are increased. You suspect a bowel obstruction and decide to order some investigations. What is the most valuable initial investigation that will support your suspected diagnosis?
A 67-year-old woman, with a 25-year smoking history, on hormone replacement therapy, presents to clinic expressing concerns regarding an increase in the size of her right breast over the last 4 months. On examination, you find a non-tender, mobile, lobulated 10 cm mass with relatively smooth edges in the right breast. The right breast is significantly larger than the left and has a 'teardrop' appearance and the skin looks normal. The most likely diagnosis here is?
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?
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?
: Les disques intervertébraux sont un bon exemple de cartilage élastique, visible en microscopie optique à la fuschine résorcine.
: Le cartilage fibreux est préférentiellement observé au niveau des zones où les forces mécaniques sont peu importantes.
A 70-year-old obese female who had a laparoscopic cholecystectomy 1 week ago is admitted with chest pain and shortness of breath. A CT pulmonary angiogram confirms the diagnosis. Which one is the complication of this laparoscopy?
ne dérivent que du seul feuillet mésoblastique de l'embryon.
A 23-year-old female medical student presents with a 1 cm x 1 cm round swelling in the anterior triangle of the neck. It is smooth and fluctuant with no transillumination or movement on swallowing. The skin is freely mobile over the lump, which is also non-tender to touch. Aspiration of the lump reveals cholesterol crystals. The most likely diagnosis is?
A 29-year-old city worker is diagnosed with a duodenal ulcer which was visualized with upper gastrointestinal endoscopy. A tissue biopsy of the ulcer was taken and a Campylobacter-like organisms (CLO) test revealed the presence of Helicobacter pylori. Which one of the following treatment regimens will offer the highest chance of cure?