EMQs in Clinical Medicine.pdf - Peshawar Medical College

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Tumour markers 57 25 Tumour markers A B C D PSA (prostate-specific antigen) ADH calcitonin -hCG (-human chorionic gonadotrophin) E CA 19-9 F CA 15-3 G H I J K L AFP (-fetoprotein) ANP 5 HIAA urinary catecholamines PTH CEA (carcinoembryonic antigen) For each of the presentations of cancer below, suggest the tumour marker that is most likely to be elevated. 1 A 60-year-old man presents with poor stream, weight loss and back pain. Digital rectal examination reveals a hard irregular prostate gland. 2 A 65-year-old woman with weight loss and painless jaundice. There is evidence of thrombophlebitis migrans and computed tomography (CT) shows a mass in the pancreatic head. 3 A 70-year-old man presenting with a suspected recurrence of colorectal carcinoma. 4 A 68-year-old person with chronic alcohol problems and hepatocellular carcinoma. 5 A 34-year-old man is referred to radiotherapy with seminoma. Answers: see page 66.
58 Haematology and oncology 26 Risk factors for malignancy A B C D E F nasopharyngeal carcinoma ovarian carcinoma gastric carcinoma oesophageal carcinoma breast carcinoma colorectal carcinoma H G I J K prostatic carcinoma gastrointestinal lymphoma bronchial carcinoma cervical carcinoma bladder carcinoma Choose the malignancy that is most strongly associated with the risk factor below. Each option may be used only once. 1 Previous exposure to aniline dyes. 2 Epstein–Barr virus infection in a native African. 3 Coeliac disease. 4 Pernicious anaemia. 5 Unprotected sexual intercourse with several sexual partners. Answers: see page 67.
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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
Page 20 and 21: ECG abnormalities 7 6 ECG abnormali
Page 22 and 23: Treatment of heart failure 9 8 Trea
Page 24 and 25: Cardiovascular emergencies 11 10 Ca
Page 26 and 27: Pulses - answers 13 D A 23-year-old
Page 28 and 29: Jugular venous pressure - answers 1
Page 30 and 31: Hypertension - answers 17 activity.
Page 32 and 33: Treatment of arrhythmias - answers
Page 34 and 35: Cardiovascular emergencies - answer
Page 36 and 37: Cardiovascular medicine - revision
Page 38 and 39: Cardiovascular medicine - revision
Page 40 and 41: SECTION 2: RESPIRATORY MEDICINE 11
Page 42 and 43: Causes of pneumonia 29 12 Causes of
Page 44 and 45: Chest radiograph pathology 31 14 Ch
Page 46 and 47: Treatment of asthma and COPD 33 16
Page 48 and 49: Management of COPD 35 18 Management
Page 50 and 51: Shortness of breath - answers 37 AN
Page 52 and 53: Haemoptysis - answers 39 and Mycopl
Page 54 and 55: Chest radiograph pathology - answer
Page 56 and 57: Treatment of asthma and COPD - answ
Page 58 and 59: Emergency management: respiratory d
Page 60 and 61: Treatment of respiratory infections
Page 62 and 63: Respiratory medicine - revision box
Page 64 and 65: SECTION 3: HAEMATOLOGY AND ONCOLOGY
Page 66 and 67: Anaemia 53 21 Anaemia A B C D E F s
Page 68 and 69: Haematological diseases 55 23 Haema
Page 72 and 73: 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
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Neurology - revision boxes 107 Box
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Neurology - revision boxes 109 Box
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SECTION 5: ORTHOPAEDICS AND RHEUMAT
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Joint pain 113 43 Joint pain A B C
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Back pain 115 45 Back pain A B C D
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Complications of fractures 117 47 C
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Fall on the outstretched hand 119 4
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Knee problems 121 51 Knee problems
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Disease-modifying anti-rheumatic dr
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Joint pain - answers 125 triggered
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Back pain - answers 127 males. The
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Rheumatological conditions - answer
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Fall on the outstretched hand - ans
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Shoulder problems - answers 133 50
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Disease-modifying anti-rheumatic dr
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Orthopaedics and rheumatology - rev
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Orthopaedics and rheumatology - rev
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SECTION 6: THE ABDOMEN AND SURGERY
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Abdominal pain 143 55 Abdominal pai
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Liver diseases 145 57 Liver disease
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Jaundice 147 59 Jaundice A B C D E
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Presentation with a lump 149 61 Pre
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Lumps in the groin 151 63 Lumps in
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Anorectal conditions 153 65 Anorect
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Treatment of peripheral vascular di
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Haematuria 157 69 Haematuria A B C
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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
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Abdominal pain - answers 167 Helico
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Liver diseases - answers 169 E F A
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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
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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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