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Wael Hammad Questions
10601 Questions
A 63-year-old gentleman presented to casualty with chest pain and shortness of breath. He described the chest pain as right sided and intermittent. The pain and shortness of breath were exacerbated by deep respiratory effort but ameliorated by shallow breathing. He has no risk
Medicine
2022-12-22
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A 22-year-old man is brought in to hospital following a highspeed road traffic accident where he was the driver. On initial assessment he is found to be drowsy with marked facial injury, chest injury consistent with steering wheel impact and multiple areas of subcutaneous emphysema
Medicine
2022-12-22
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A 34-year-old man is brought in by his colleagues with acute dyspnoea following an office summer party. Regular medications include salbutamol inhaler and over the counter antihistamines for allergic rhinitis. On examination there is evidence of stridor and some peri-oral swelling
Medicine
2022-12-22
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A 25-year-old woman presents to accident and emergency after a sudden onset of shortness of breath. She has a past medical history of asthma and dysmenorrhoea. She denies any current medication apart from the oral contraceptive pill since her menarche. On examination she is a tall thin
Medicine
2022-12-22
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A 57-year-old lady is seen complaining of acute onset shortness of breath. She is known to suffer from asthma, which is normally well controlled. Regularly she takes inhalers, both bronchodilators and inhaled steroids. She hasn’t suffered an exacerbation of her asthma for a number
Medicine
2022-12-22
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A 37-year-old lady is admitted to hospital with what the A&E doctors suspect is a SEVERE asthma attack. Which of the following signs or symptoms is consistent with that diagnosis? a. Silent chest, peak expiratory flow rate (PEFR) 33% of predicted
Medicine
2022-12-22
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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
Medicine
2022-12-22
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Which of the following is LEAST useful in investigating the above complication?
Medicine
2022-12-22
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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
Medicine
2022-12-22
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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
Medicine
2022-12-22
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Regarding clinical signs of abdominal disease, which of the following is associated with bowel perforation?
Medicine
2022-12-22
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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?
Medicine
2022-12-22
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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
Medicine
2022-12-22
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10601
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