EMQs in Clinical Medicine.pdf - Peshawar Medical College

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SECTION 6: THE ABDOMEN AND SURGERY 54 Abdominal pain 55 Abdominal pain 56 Abdominal masses 57 Liver diseases 58 Causes of splenomegaly 59 Jaundice 60 Breast conditions 61 Presentation with a lump 62 Lumps in the neck 63 Lumps in the groin 64 Pain/lumps in the scrotum 65 Anorectal conditions 66 Ulcers 67 Treatment of peripheral vascular disease 68 Postoperative complications 69 Haematuria 70 Weight loss 71 Dysphagia 72 Lower gastrointestinal bleeding 73 Haematemesis 74 Diarrhoea 75 Constipation 76 Abnormal abdominal radiographs 77 Treatment of gastrointestinal conditions
6 The abdomen and surgery QUESTIONS 54 Abdominal pain A B C D E F G large bowel obstruction acute pancreatitis perforated viscus appendicitis small bowel obstruction acute cholecystitis ulcerative colitis H I J K L M aortic dissection diverticulosis duodenal ulcer renal colic colorectal carcinoma mesenteric adenitis For each clinical scenario below, give the most likely cause for the clinical findings. Each option may be used only once. 1 A 45-year-old man with a history of gallstones presents in A&E with severe epigastric pain radiating to the back and vomiting. 2 A 28-year-old man presents with sharp left loin and left upper quadrant pain radiating to the groin. He is not jaundiced. 3 A 44-year-old woman presents with continuous right upper quadrant pain, vomiting and fever. Murphy’s sign is positive. 4 A 26-year-old man with a previous history of abdominal surgery presents with colicky central abdominal pain, rapidly followed by production of copious bilestained vomitus. 5 A 50-year-old man presents with epigastric pain worse at night and relieved by eating or drinking milk. Answers: see page 166.
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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
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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.
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Treatment of arrhythmias - answers
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Cardiovascular emergencies - answer
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Cardiovascular medicine - revision
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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
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Management of COPD 35 18 Management
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Shortness of breath - answers 37 AN
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Haemoptysis - answers 39 and Mycopl
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Chest radiograph pathology - answer
Page 56 and 57:
Treatment of asthma and COPD - answ
Page 58 and 59:
Emergency management: respiratory d
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Treatment of respiratory infections
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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
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Anaemia - answers 61 It is importan
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The peripheral blood film - answers
Page 78 and 79:
Cancer care - answers 65 In Ham’s
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Adverse effects of chemotherapy - a
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Haematology and oncology - revision
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Haematology and oncology - revision
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SECTION 4: NEUROLOGY 28 Dizziness a
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Headache 75 29 Headache A B C D E F
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Weakness in the legs 77 31 Weakness
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Cranial nerve lesions 79 33 Cranial
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Neurological problems 81 35 Neurolo
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Falls and loss of consciousness 83
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Antiepileptic drug therapy 85 39 An
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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 124 and 125: SECTION 5: ORTHOPAEDICS AND RHEUMAT
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 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
Page 174 and 175: Haematemesis 161 73 Haematemesis A
Page 176 and 177: Constipation 163 75 Constipation A
Page 178 and 179: Treatment of gastrointestinal condi
Page 180 and 181: Abdominal pain - answers 167 Helico
Page 182 and 183: Liver diseases - answers 169 E F A
Page 184 and 185: Causes of splenomegaly - answers 17
Page 186 and 187: Jaundice - answers 173 C A J L M He
Page 188 and 189: Presentation with a lump - answers
Page 190 and 191: Lumps in the groin - answers 177 G
Page 192 and 193: Anorectal conditions - answers 179
Page 194 and 195: Treatment of peripheral vascular di
Page 196 and 197: Haematuria - answers 183 G A 46-yea
Page 198 and 199: Dysphagia - answers 185 G K A 10-ye
Page 200 and 201: Haematemesis - answers 187 Common b
Page 202 and 203: Constipation - answers 189 L J A 17
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Treatment of gastrointestinal condi
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The abdomen and surgery - revision
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SECTION 7: METABOLIC AND ENDOCRINE
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Nutritional deficiencies 197 79 Nut
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Disorders of sodium balance 199 81
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Diabetic complications 201 83 Diabe
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Endocrine problems - answers 203 AN
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Electrolyte and metabolic disturban
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Hypercalcaemia - answers 207 The wa
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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
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Drugs and immunity 229 100 Drugs an
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Treatment of infection - answers 23
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Poisoning and overdose - answers 23
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Treatment of poisoning and overdose
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Adverse drug reactions - answers 23
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Adverse drug reactions - answers 23
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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
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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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