EMQs in Clinical Medicine.pdf - Peshawar Medical College

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SECTION 5: ORTHOPAEDICS AND RHEUMATOLOGY 42 Arthritis 43 Joint pain 44 Pain in the hip 45 Back pain 46 Rheumatological conditions 47 Complications of fractures 48 Management of fractures 49 Fall on the outstretched hand 50 Shoulder problems 51 Knee problems 52 Management of painful joints 53 Disease-modifying anti-rheumatic drugs
5 Orthopaedics and rheumatology QUESTIONS 42 Arthritis A B C D E F G psoriatic arthritis discoid lupus erythematosus rheumatoid arthritis polymyalgia rheumatica systemic lupus erythematosus cervical spondylosis lumbar spondylosis H I J K L M N Reiter’s syndrome Sjögren’s syndrome ankylosing spondylosis septic arthritis gout osteoporosis osteoarthritis For each clinical scenario below, give the most likely cause for the clinical findings. Each option may be used only once. 1 A 54-year-old woman presents to her GP with swollen painful hands and feet, which are stiffer in the mornings. On examination there are signs of ulnar deviation and subluxation at the metacarpophalangeal (MCP) joints. 2 A 65-year-old woman complains of pain in her fingers on movement, which is worst at the end of the day. On examination there is joint tenderness and bony lumps at the distal interphalangeal (DIP) joints. A radiograph shows loss of joint space. 3 A 30-year-old woman complains of joint pain in her hands and feet. Her chest radiograph shows reduced lung volumes. 4 A 22-year-old man presents with an acute arthritis of the left knee, dysuria and bilateral conjunctivitis. He has recently suffered from gastroenteritis. 5 A 45-year-old woman presents with bilateral painful deformed DIP joints. Examination reveals discoloration and onycholysis of the nails. Answers: see page 124.
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EMQs in CLINICAL MEDICINE
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EMQs in CLINICAL MEDICINE Irfan Sye
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Dedication To Mum, Dad, Reshma and
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Contents vii SECTION 4: NEUROLOGY 7
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Preface Extended matching questions
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INTRODUCTION: EMQ REVISION The most
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SECTION 1: CARDIOVASCULAR MEDICINE
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Pulses 3 2 Pulses A B C D E F mitra
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Jugular venous pressure 5 4 Jugular
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ECG abnormalities 7 6 ECG abnormali
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Treatment of heart failure 9 8 Trea
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Cardiovascular emergencies 11 10 Ca
Page 26 and 27:
Pulses - answers 13 D A 23-year-old
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Jugular venous pressure - answers 1
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Hypertension - answers 17 activity.
Page 32 and 33:
Treatment of arrhythmias - answers
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Cardiovascular emergencies - answer
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Cardiovascular medicine - revision
Page 38 and 39:
Cardiovascular medicine - revision
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SECTION 2: RESPIRATORY MEDICINE 11
Page 42 and 43:
Causes of pneumonia 29 12 Causes of
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Chest radiograph pathology 31 14 Ch
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Treatment of asthma and COPD 33 16
Page 48 and 49:
Management of COPD 35 18 Management
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Shortness of breath - answers 37 AN
Page 52 and 53:
Haemoptysis - answers 39 and Mycopl
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Chest radiograph pathology - answer
Page 56 and 57:
Treatment of asthma and COPD - answ
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Emergency management: respiratory d
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Treatment of respiratory infections
Page 62 and 63:
Respiratory medicine - revision box
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SECTION 3: HAEMATOLOGY AND ONCOLOGY
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Anaemia 53 21 Anaemia A B C D E F s
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Haematological diseases 55 23 Haema
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Tumour markers 57 25 Tumour markers
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Adverse effects of chemotherapy 59
Page 74 and 75: Anaemia - answers 61 It is importan
Page 76 and 77: The peripheral blood film - answers
Page 78 and 79: Cancer care - answers 65 In Ham’s
Page 80 and 81: Adverse effects of chemotherapy - a
Page 82 and 83: Haematology and oncology - revision
Page 84 and 85: Haematology and oncology - revision
Page 86 and 87: SECTION 4: NEUROLOGY 28 Dizziness a
Page 88 and 89: Headache 75 29 Headache A B C D E F
Page 90 and 91: Weakness in the legs 77 31 Weakness
Page 92 and 93: Cranial nerve lesions 79 33 Cranial
Page 94 and 95: Neurological problems 81 35 Neurolo
Page 96 and 97: Falls and loss of consciousness 83
Page 98 and 99: Antiepileptic drug therapy 85 39 An
Page 100 and 101: Treatment of Parkinson’s disease
Page 102 and 103: Headache - answers 89 B I A 50-year
Page 104 and 105: Headache - answers 91 The clusters
Page 106 and 107: Weakness in the legs - answers 93 D
Page 108 and 109: Abnormal movements - answers 95 33
Page 110 and 111: Neurological problems - answers 97
Page 112 and 113: Falls and loss of consciousness - a
Page 114 and 115: Antiepileptic drug therapy - answer
Page 116 and 117: Treatment of headache - answers 103
Page 118 and 119: Neurology - revision boxes 105 REVI
Page 120 and 121: Neurology - revision boxes 107 Box
Page 122 and 123: Neurology - revision boxes 109 Box
Page 126 and 127: Joint pain 113 43 Joint pain A B C
Page 128 and 129: Back pain 115 45 Back pain A B C D
Page 130 and 131: Complications of fractures 117 47 C
Page 132 and 133: Fall on the outstretched hand 119 4
Page 134 and 135: Knee problems 121 51 Knee problems
Page 136 and 137: Disease-modifying anti-rheumatic dr
Page 138 and 139: Joint pain - answers 125 triggered
Page 140 and 141: Back pain - answers 127 males. The
Page 142 and 143: Rheumatological conditions - answer
Page 144 and 145: Fall on the outstretched hand - ans
Page 146 and 147: Shoulder problems - answers 133 50
Page 148 and 149: Disease-modifying anti-rheumatic dr
Page 150 and 151: Orthopaedics and rheumatology - rev
Page 152 and 153: Orthopaedics and rheumatology - rev
Page 154 and 155: SECTION 6: THE ABDOMEN AND SURGERY
Page 156 and 157: Abdominal pain 143 55 Abdominal pai
Page 158 and 159: Liver diseases 145 57 Liver disease
Page 160 and 161: Jaundice 147 59 Jaundice A B C D E
Page 162 and 163: Presentation with a lump 149 61 Pre
Page 164 and 165: Lumps in the groin 151 63 Lumps in
Page 166 and 167: Anorectal conditions 153 65 Anorect
Page 168 and 169: Treatment of peripheral vascular di
Page 170 and 171: Haematuria 157 69 Haematuria A B C
Page 172 and 173: Dysphagia 159 71 Dysphagia A B C D
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Haematemesis 161 73 Haematemesis A
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Constipation 163 75 Constipation A
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Treatment of gastrointestinal condi
Page 180 and 181:
Abdominal pain - answers 167 Helico
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Liver diseases - answers 169 E F A
Page 184 and 185:
Causes of splenomegaly - answers 17
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Jaundice - answers 173 C A J L M He
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Presentation with a lump - answers
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Lumps in the groin - answers 177 G
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Anorectal conditions - answers 179
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Treatment of peripheral vascular di
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Haematuria - answers 183 G A 46-yea
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Dysphagia - answers 185 G K A 10-ye
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Haematemesis - answers 187 Common b
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Constipation - answers 189 L J A 17
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Treatment of gastrointestinal condi
Page 206 and 207:
The abdomen and surgery - revision
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SECTION 7: METABOLIC AND ENDOCRINE
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Nutritional deficiencies 197 79 Nut
Page 212 and 213:
Disorders of sodium balance 199 81
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Diabetic complications 201 83 Diabe
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Endocrine problems - answers 203 AN
Page 218 and 219:
Electrolyte and metabolic disturban
Page 220 and 221:
Hypercalcaemia - answers 207 The wa
Page 222 and 223:
Treatment of diabetes - answers 209
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Metabolic and endocrine disturbance
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SECTION 8: MISCELLANEOUS 85 Antibio
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Antibiotics 215 86 Antibiotics A B
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Antiviral therapies 217 88 Antivira
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Treatment of poisioning and overdos
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Adverse drug reactions 221 92 Adver
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Adverse drug reactions 223 94 Adver
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Infections 225 96 Infections A B C
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Medical emergencies 227 98 Medical
Page 242 and 243:
Drugs and immunity 229 100 Drugs an
Page 244 and 245:
Treatment of infection - answers 23
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Poisoning and overdose - answers 23
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Treatment of poisoning and overdose
Page 250 and 251:
Adverse drug reactions - answers 23
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Adverse drug reactions - answers 23
Page 254 and 255:
Infections - answers 241 D H N A 72
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Infections - answers 243 I G A This
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The confused patient - answers 245
Page 260 and 261:
Drugs and immunity - answers 247 J
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Index 249 antibiotics 85, 86 antibo
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Index 251 compartment syndrome 47 c
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Index 253 gastric carcinoma 26, 56,
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Index 255 laparotomy 77 lateral med
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Index 257 penicillamine 53, 57, 81,
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Index 259 spinal stenosis 45 spiron
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