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Chapter: 1 / Q: 31
A 36-year-old multiparous woman presents to the emergency gynaecology unit after an episode of vaginal bleeding that was discovered after she was trying on some clothes in the maternity section of a department store. Further questioning reveals she is at 31 weeks’ gestation, as confirmed
Chapter: 1 / Q: 32
A 30-year-old primigravida who is 20 weeks pregnant contacts her midwife for advice about a painful right leg. She tells the midwife that the leg began to swell 2 days earlier and is now acutely painful to walk on. Clinically there is a discrepancy of 7cm between the diameter of both calves
Chapter: 1 / Q: 33
A 4-year-old child is brought to his GP by his mother who is concerned about poor weight gain. He is at the 15th centile for height and weight and his past medical history includes admissions to hospital for recurrent chest infections and an episode of gastroenteritis. Developmental parameters
Chapter: 1 / Q: 34
An adolescent presents to his school doctor with bilateral tender and swollen breasts. He has become increasingly selfconscious of late and has been avoiding physical education classes. On examination there are tender soft masses in the lower quadrants of both breasts
Chapter: 1 / Q: 35
A 33-year-old gentleman presents with upper abdominal pain and vomiting. Blood tests demonstrate a raised white cell count and an amylase of 300IU/L. Of the following differentials, which is the LEAST likely to be correct?
Chapter: 1 / Q: 36
Regarding clinical signs of abdominal disease, which of the following is associated with bowel perforation?
Chapter: 1 / Q: 37
A 55-year-old woman is 2 days post-fenestration of liver cysts. She is complaining of pain in the abdomen, nausea and malaise. Routine blood tests taken post-operatively show a bilirubin of 135µmol/L, γ-GT of 210 IU/L, AST of 150IU/L with a slightly elevated WCC. Which of the following is the most
Chapter: 1 / Q: 38
A 65-year-old obese woman underwent an open cholecystectomy for complicated gallstone disease 5 days ago. You are called to see her on the wards as she has become dyspnoeic, irritable and complaining of pain. Observations record a blood pressure of 110/60, pulse 66 and regular
Chapter: 1 / Q: 39
Which of the following is LEAST useful in investigating the above complication?
Chapter: 1 / Q: 40
A 53-year-old man presents to accident and emergency complaining of a warm, tender swelling in the right groin associated with nausea, vomiting and constipation. On examination there is a tender, 2cm swelling that is irreducible. The decision for theatre is made and examination intra-operatively
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