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Chapter: 15 / Q: 31
A 50 year old man has had hoarseness of voice and drooping eyelid for 2 months. a mass is palpable in the right supraclavicular fossa. He smokes 20 cigarettes/day for the last 30yrs. What is the most likely diagnosis?
Chapter: 15 / Q: 32
A man with carcinoma and multiple metastasis presents with intractable nausea and vomiting. He has become drowsy and confused. What is the most appropriate management?
Chapter: 15 / Q: 33
A 65 year old man with cancer of middle 1/3 of the esophagus presents with dysphagia. What is the most immediate management?
Chapter: 15 / Q: 34
A 68 year old man has had increasing dysphagia for solid food for 3 months and has lost 5kgs in weight. What single investigation is most likely to lead to a definitive diagnosis?
Chapter: 15 / Q: 35
A patient with terminal cancer is being treated with chemo develops tingling and numbness of the fingertips of both arms. What is the single most likely cause of the symptoms?
Chapter: 15 / Q: 36
A middle aged man who has had a history of chronic sinusitis, nasal obstruction and blood stained nasal discharge. He now presents with cheek swelling, epiphora, ptosis, diplopia, maxillary pain. What is the single most likely diagnosis?
Chapter: 15 / Q: 37
A 60 year old man with a long history of smoking and alcohol presents with nasal obstruction, epistaxis, diplopia, otalgia and conductive deafness. What is the single most likely diagnosis?
Chapter: 15 / Q: 38
A 15 year old boy who complains of pain in his leg which has settled with aspirin. What is the most probable diagnosis?
Chapter: 15 / Q: 39
A 68 year old diabetic, and hypertensive with a 45pack/year smoking history, has left sided chest pain increased with breathing. Exam: myosis on left side and wasting of small muscles of left hand. What is the single most appropriate diagnosis?
Chapter: 15 / Q: 40
An elderly woman is found anemic. As part of her examination, she had a barium enema which reveals a mass lesion in the ascending colon. What is the single most appropriate diagnosis?
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