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Chapter: 5 / Q: 31
A 24-year-old man presents to his GP with a rash on the head of his penis. He is extremely reluctant to talk about the rash and feels that he has done something wrong. Questioning reveals the rash appeared slowly over the course of the past 2 weeks and it itchy and causes him discomfort during
Chapter: 5 / Q: 32
A 45-year-old woman presents to her GP with a sensation of food sticking in her throat when she has a meal associated with some pain. She states that the sensation is worse with solids and dry food and she complains of no problems with drinking liquids. Her past medical history is unremarkable
Chapter: 5 / Q: 33
A 52-year-old man presents to his GP with bilateral symmetrically enlarged breasts. He states that he noticed an increase in the size of the breasts over the past few months and initially put it down to lack of exercise. He is worried that now they resemble female breasts and he has become
Chapter: 5 / Q: 34
A 52-year-old businessman presents to accident and emergency anxious and worried. He has been passing bright red blood with stools that is apparent on the toilet paper and can be seen in the toilet bowel. He denies any pain whilst passing stools but does say that he has to spend long on the toilet
Chapter: 5 / Q: 35
A 74-year-old woman presents to her GP with a lack of energy and tiredness that continues throughout the day independent of her sleeping habit. She denies any other symptoms but has had to visit the shops more frequently than usual to buy some new dresses as her old ones do not fit her any more
Chapter: 5 / Q: 36
A 35-year-old woman presents to hospital over a 2-month period complaining of abdominal pain in her left lower quadrant with abdominal distension and progressive shortness of breath. In the last discharge notification a transvaginal ultrasound was performed, which demonstrated a cystic mass
Chapter: 5 / Q: 37
A 34-year-old woman presents to accident and emergency complaining of severe abdominal pain associated with weakness of both legs. She states that the symptoms started in the morning and have steadily gotten worse. She complains of abdominal pain that is generalised but much worse
Chapter: 5 / Q: 38
An elderly man is admitted to hospital following a fall and fractured neck of femur. He made a slow recovery but for the past 4 days has been more confused and asking when he can see his wife who died 4 years ago. The nursing staff notice that recently he has lost control of his bowels
Chapter: 5 / Q: 39
A 45-year-old-man is involved in a fight and is knifed in the abdomen. He is taken to theatre as an emergency by the surgical team and requires 7 unit blood transfusion with colostomy formation. His recovery is complicated by the development of acute respiratory distress syndrome and he spends
Chapter: 5 / Q: 40
Which of the following facts about multiple sclerosis is not true?
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