EFA

Question 1

45 year old man has right knee pain. Previous episodes of severe pain in toe and swelling in dorsum of feet. No history of trauma. Drinks 20 pints a week. Normal temp. Knee is warm and tender. Diagnosis?

Answer 1

Gout

Question 2

Patient has tiredness, pleuritic chest pain and joint pain in hands. Creatinine is high. Blood 3+ protein 3+. Autoantibody detected in serum?

Answer 2

ANA

Lupus

Question 3

Patient has severe neck, chest, and back pain, and tingling in left hand following mechanical fall. Bruising around right eye. CT head scan and CXR done. Which imaging next?

Answer 3

CT neck

Question 4

Patient has increasing fatigue, intermittent double vision in the evening. Bilateral mild ptosis. Diagnosis?

Answer 4

Myasthenia gravis

Question 5

Patient had stroke 2 weeks ago. CT showed left parietal infarct. Medication includes aspirin and simvastatin. Has atrial fibrillation. What other medication should be added for long-term secondary stroke prevention?

Answer 5

Apixaban

Question 6

Patint has left ureteric stone with severe hydronephrosis. Is pyretic. On IV abx and fluids. Further management?

Answer 6

Nephrostomy

Question 7

52 year old woman with 3 episodes of severe epigastric pain with vomiting over last 3 months. Episodes occur following eating and last one hour. BMI of 35. Ultrasound shows a single 2-cm gallstone in gallbladder and evidence of fatty liver. What is the most appropriate management?

Answer 7

Laparoscopic cholecystecytomy

Management for biliary colic