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Chapter: 3 / Q: 31
A research fellow is assessing the effectiveness of a new surgical therapy for melanoma and recruits newly diagnosed melanoma sufferers to the study. He randomises the total participants to either the existing treatment or the novel treatment arm and performs the standard operation
Chapter: 3 / Q: 32
A 37-year-old lady was admitted to hospital at 2 a.m. following a fall out of her first floor bedroom window. The incidents surrounding the accident were unclear but on arrival to hospital she was immobilised in a hard collar and sandbags and had a GCS of 15 with an obvious left-sided
Chapter: 3 / Q: 33
Which of the following signs is NOT an early sign of compartment syndrome?
Chapter: 3 / Q: 34
An 87-year-old man is admitted to hospital for shortness of breath and coughing up bloodstained sputum. A chest radiograph demonstrates a ring-shadow in the right upper lobe and CT scan of the chest is suspicious for malignancy. Bronchoscopy and histology confirms the diagnosis
Chapter: 3 / Q: 35
A 54-year-old man presents with pain in his left knee and a rash on his forearm that he has noticed developing over some weeks. He describes the rash as red underneath with a white scale that can be rubbed off to leave little spots of bleeding. The rash is confined to the forearm and involves
Chapter: 3 / Q: 36
A 6-year-old girl is brought to her GP by her mother who has noticed that she has been scratching incessantly and has become extremely irritable over the past week. The mother can identify no precipitants, however, states that the girl has recently started at a new school and asks
Chapter: 3 / Q: 37
A 73-year-old lady presents to the on-call surgical team complaining of right-sided abdominal pain. On further questioning the pain is mainly in the right flank but does radiate down to the groin. She has noticed dysuria and associated nausea, fever and rigors. On examination there are no palpable
Chapter: 3 / Q: 38
A 71-year-old man is admitted semi-electively for an anterior resection for a sigmoid cancer. Initial appearances on colonoscopy and CT scanning suggest that the cancer is confined to the bowel. He has been admitted a couple of days early since he is now obstipated and suffering colicky central
Chapter: 3 / Q: 39
A 67-year-old woman presents to accident and emergency with right-sided chest pain and some shortness of breath. Examination reveals a pleural effusion which is confirmed on chest X-ray. Aspiration of the fluid identifies less than 30g of protein. Which of the following would not be consistent
Chapter: 3 / Q: 40
A university health care centre doctor is called to see a student who has been unwell by worried friends. He has not been attending lectures of late and has been feeling feverish and hot for the last 24 hours. There is an empty packet of ibuprofen 400mg by his bedside and it is decided
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