Question bank

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 patient who underwent an oesophagectomy in an attempt to cure stage 1 cancer becomes confused 4 days postoperatively and pulls out his nasogastric tube. What is the best course of action?

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?

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 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?

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 patient l1as a hyperflexion injury combined with axial loading. X-ray shows C3 subluxed forward on C4. What is the most likely diagnosis of this patient?

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?

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 hyperextension injury. X-ray shows a small chip of bone off the front of a vertebral body next to the disc space. What is the most likely diagnosis of this patient?

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?

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 6-year-old child with cerebral palsy is toe-walking and is referred for assessment and management to aid her to walk on the soles of her feet (plantigrade). What is the most likely diagnosis?

: L’Histologie a pour objectif d’établir une relation entre une structure normale et un rôle ou une maladie.

interferes with steroid hormone receptor interaction with DNA, thus preventing the growth induction by this class of hormone

A 28-year-old secretary presents with a lump in the midline of the neck that has grown progressively larger over the past several months. On examination, there is a palpable lymph node in the left submandibular region. An aspirate is taken, comrrming a malignant cancer of the thyroid gland. The origin of this is most likely to be?

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 70-year-old man is undergoing a laparotomy for liver resection for metastases from colorectal carcinoma. What should be the first investigation?

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?

: 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.