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Chapter: 5 / Q: 41
A 37-year-old school teacher undergoes a lumbar puncture for a history highly suggestive of a bacterial meningitis. A CT scan performed prior to the lumbar puncture showed no evidence of raised intracranial pressure. Which of the following findings on analysis of CSF would rule AGAINST a diagnosis
Chapter: 5 / Q: 42
A 51-year-old gentleman is referred by his GP for worsening back pain. He works as an electrician and the GP is concerned that he is unable to continue working due to the pain. On questioning, he has had a ‘niggling pain’ in his lower back for a few months but this morning, 4 hours prior
Chapter: 5 / Q: 43
An 11-year-old girl is diagnosed as having type I diabetes mellitus. Tests were carried out after she noticed that she was constantly thirsty and passing large volumes of urine. Although the diagnosis has shocked her she is keen to find out more about the long-term problems associated
Chapter: 5 / Q: 44
A 56-year-old woman presents to her GP complaining of intense stabbing pain over her left cheek and forehead. The pain lasted a few seconds in duration and resolved itself. She notes that she always has the pain on the left side and it is often made worse by touching the skin. She has no relevant
Chapter: 5 / Q: 45
A 73-year-old man is brought to the GP by his wife as she has noticed that he is not quite walking normally. On further questioning the wife notes that his gait has been deteriorating for some time and is now shuffling and slow to initiate. Which of the following is associated with Parkinson’s
Chapter: 5 / Q: 46
A 15-year-old boy is brought in by ambulance after sustaining a head injury during a football match. His mother was told that another player accidentally kicked the ball at his head and it hit the left side, just between his eye and ear. He did not lose consciousness but was slightly drowsy
Chapter: 5 / Q: 47
A 78-year-old lady that has been a resident on the acute medical ward for the past 10 days following admission for a urinary tract infection has become increasingly confused. Over the past day she has been found to have a fluctuating level of consciousness whilst being disorientated in time
Chapter: 5 / Q: 48
You are asked to assess a patient on the ward. He is a 73-yearold man and has been suffering with what you diagnose as a peripheral neuropathy. Which of the following is NOT a cause of a peripheral neuropathy?
Chapter: 5 / Q: 49
Whilst on call you reluctantly agree to clerk a patient whom according to the GP is simply ‘off legs’. On examination the patient gives a vague history of noticing weakness in his lower limbs but seems a little confused. The rest of the history is obtained from the helpful neighbour
Chapter: 5 / Q: 50
A 78-year-old woman is scheduled to have a low colonic resection for colonic carcinoma and is brought in to hospital. Blood tests were performed pre-operatively, which demonstrate normal renal function, slightly deranged liver enzymes and normal blood counts. She undergoes surgery and is sent back
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