EMQs in Clinical Medicine.pdf - Peshawar Medical College

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SECTION 4: NEUROLOGY 28 Dizziness and vertigo 29 Headache 30 Headache 31 Weakness in the legs 32 Nerve lesions 33 Cranial nerve lesions 34 Abnormal movements 35 Neurological problems 36 Gait 37 Falls and loss of consciousness 38 Site of neurological lesion 39 Antiepileptic drug therapy 40 Treatment of headache 41 Treatment of Parkinson’s disease
4 Neurology QUESTIONS 28 Dizziness and vertigo A B C D E F G vertebrobasilar ischaemia benign positional vertigo vestibular schwannoma lateral medullary syndrome multiple sclerosis Menière’s disease auditory eczema H I J K L M acoustic neuroma vestibular neuronitis Ramsay Hunt syndrome migraine perilymph fistula hyperventilation 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 woman presents with a left-sided facial palsy and vertigo. She has impaired hearing on her left side and a vesicular rash is noted around her external auditory meatus. 2 A 55-year-old man presents with a history of recurrent spontaneous attacks of vertigo, hearing loss and tinnitus. These attacks last up to 2 h and are sometimes associated with vomiting. 3 A 65-year-old woman presents with vertigo, vomiting and dysphagia. On examination there is a left-sided Horner’s syndrome, and loss of pain and temperature on the right side of the face. 4 A 50-year-old man presents with vertigo when rolling over quickly in bed, getting out of bed and bending over. His hearing is normal. 5 A 20-year-old man presents with vertigo having suffered with symptoms of flu for several days. Answers: see page 88.
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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
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 70 and 71: Tumour markers 57 25 Tumour markers
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 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 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
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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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