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Chapter: 3 / Q: 21
Chest radiography confirms a pleural effusion and a pleural tap and drainage is performed. Pleural fluid analysis reveals a murky dark brown fluid with a protein content of 45g/dL and heavy lymphocytic involvement. Which of the following is the LEAST likely diagnosis?
Chapter: 3 / Q: 22
A 44-year-old man is brought in to accident and emergency by helicopter having fallen out of a third floor building. On arrival he has a Glasgow Coma Scale of 4/15 and is intubated and ventilated. Neurological examination reveals unequal pupils and urgent CT scan of the head is performed
Chapter: 3 / Q: 23
A 47-year-old business man is caught in a fire in his office and suffers severe burns to his arms and upper body. He is assessed to have 35% burns to the upper torso, which are not painful to touch and are white in colour. He is admitted to hospital and placed under observation in the burns
Chapter: 3 / Q: 24
An adolescent presents to his school doctor with bilateral tender and swollen breasts. He has become increasingly self-conscious of late and has been avoiding physical education classes. On examination there are tender soft masses in the lower quadrants of both breasts
Chapter: 3 / Q: 25
A 43-year-old man comes to hospital with severe pain and tenderness in the left flank. A provisional diagnosis of ureteric obstruction by a renal calculus is made. Intravenous urogram taken shortly after admission to hospital would be most likely to show:
Chapter: 3 / Q: 26
A 31-year-old woman is admitted to the surgical team with nausea, bilious vomiting and generalised abdominal pain. She has had multiple previous admissions for abdominal pain and bloody diarrhoea and takes regular low-dose steroids under review by the gastroenterologists. Abdominal X-ray
Chapter: 3 / Q: 27
A 12-year-old boy presents to his GP with several days of generalised tiredness, painful joints in particular the knees, nodular swelling over his elbows and associated low-grade fever with a mild rash on his chest. He has no other medical problems but a few weeks earlier he had complained
Chapter: 3 / Q: 28
A 5-year-old boy is brought to see this GP by his parents. He has never visited the practice before but his parents tell you that he has no past medical history of note. At present, they are concerned that he seems to tire easily and complain of pain in his legs. He prefers to stay indoor
Chapter: 3 / Q: 29
A 17-year-old girl seeks advice from her GP for severe abdominal pain. The pain started in her lower abdomen and is central. She has some associated nausea but no vomiting. On further questioning she denies any disturbance to her bowels but notes some dyspareunia and admits to having
Chapter: 3 / Q: 30
Which of the following facts about carcinoma of the cervix are INCORRECT?
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