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3,531 questions
A 32-year-old woman twists her right ankle, sustaining an isolated Weber B undisplaced lateral malleolus fracture with no displacement of the ankle mortice. What is the best next step in management of this patient?
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 68-year-old woman presents with a painless but progressively weak shoulder. She can only abduct it with a trick movement hunching her shoulder. Otherwise, there seems to be very little power of abduction. What is the most likely diagnosis?
A 67-year-old woman presents with severe left knee pain affecting her mobility and quality of life. Radiographs of the knee demonstrate tricompartmental idiopathic osteoarthritis of the knee. What is the best next step in management?
: 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.
A patient is intubated on ITU 48 hours after sustaining a severe TBI. Urine output has been 800 mL over 3 hours and the serum sodium level is 151 mEq/L. What is the most likely diagnosis of this patient?
A 35-year-old woman has been admitted as an emergency with right upper quadrant pain, pyrexia and vomiting. On examination she is toxic, with a positive Murphy's sign. What should be the first investigation?
A 52-year-old man who sustained a severe intra-articular fracture of the right shoulder as a young man now presents with increasing pain, stiffness and weakness of the shoulder. What is the most likely diagnosis?
mutation in the domain of pRB to which E2F binds, the consequences of which lead to constitutive E2F activity
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?
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 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 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 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 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?
A 14-year-old boy falls from a swing and sustains a blow to his face. He is knocked out for 1 minute but makes a rapid and full neurological recovery. His upper central incisors are avulsed. What is the most likely diagnosis of this patient?
A 20-year-old male student attends the surgical outpatient clinic with a pulsatile ovoid swelling just behind the anterior edge of the sternocleidomastoid (SCM) muscle at the level of the hyoid bone. It is elastic in consistency and can be moved from side to side only. This is likely to be a?
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?
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?
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?