Get Through Medical School: 1100 SBAs/BOFs and EMQs, 2nd edition

Una F. Coales, Seema Khan

• Publisher: CRC Press
• Year: 2020
• ISBN:
  9781000153170
• Edition: 2
• Topic: Medicina
• Subtopic: Teoría, práctica y referencia médicas

Medical schools are rapidly adopting the popular style of Single Best Answers (SBAs), Best of Fives (BOFs) and Extended Matching Questions (EMQs). This unique and up-to-date book contains over 1000 clinically relevant questions, a selection of SBAs/BOFs an EMQs - the essential aid for every medical student. No need to spend time reading through several textbooks, everything you need is here in one place.Questions are presented to include typical scenarios you will encounter as a Junior Doctor and covers the core curriculum subjects: Medicine, Surgery, Psychiatry, Obstetrics and Gynaecology, and Paediatrics. Since the first edition was published, Get Through Medical School has been a bestselling revision book for medical students. Retaining the classic question types - SBAs/BOFs and EMQs, this second edition benefits from a host of new questions and a great deal more explanatory information within the answers.Written by Seema Khan MBBS MRCS MRCGP DRCOG, who has first hand experience of preparing for and taking this format of exam, Get Through Medical School, second edition is a valuable revision book for all candidates preparing for medical school exams and an equally useful tool to help Foundation Doctors prepare for managing patients.

1. MEDICINE

1. Medicine: SBA/BOF Questions

In these questions candidates must select one answer only.

1) A 50-year-old man complains of hardness of hearing and dyspnoea. He is noted to have a nasal septal perforation and a blood pressure of 140/90 mmHg. His urinalysis shows red cells, protein and casts. The chest radiograph reveals opacities. The most likely diagnosis is:

a. Tuberculosis

b. Amyloidosis

c. Goodpasture’s syndrome

d. Acute tubulointerstitial nephritis

e. Wegener’s granulomatosis

2) Pulseless electrical activity (PEA) in a cardiac arrest may be associated with all of the following EXCEPT:

a. Cardiac tamponade

b. Thromboembolism

c. Malignant hyperpyrexia

d. Hypokalaemia

e. Ruptured aortic aneurysm

3) A 75-year-old man with type 1 diabetes mellitus presents with a unilateral facial nerve palsy and severe earache. On auroscopic examination, he has granulation tissue deep in the external auditory meatus. The most likely diagnosis is:

a. Bell’s palsy

b. Sarcoidosis

c. Facial nerve schwannoma

d. Otitis externa complicated by local osteomyelitis (malignant otitis externa)

e. Suppurative otitis media

4) A 70-year-old woman presents with recent onset of urinary incontinence. The most appropriate initial investigation is:

a. Mid-stream urine (MSU) sample for dipstick

b. Urodynamics

c. FBC

d. Serum urea and electrolytes

e. MSU for culture and sensitivities

5) A 50-year-old woman with type 2 diabetes mellitus presents with fever and a well-defined dusky-red erythematous eruption over the left side of her face. The most likely organism would be:

a. Staphylococcus aureus

b. Group B streptococcus

c. Group A streptococcus

d. Herpes zoster virus

e. Herpes simplex virus

6) The following diseases are associated with the Epstein – Barr virus EXCEPT:

a. Craniopharyngioma

b. Burkitt’s lymphoma

c. Sinonasal tumours

d. Glandular fever

e. Hodgkin’s lymphoma

7) A 44-year-old woman complains of headaches and nosebleeds. Blood pressure is 160/100 mmHg in the right arm and 130/80 mmHg in the left arm. She complains of cold legs and has delayed radiofemoral pulses. The most likely diagnosis would be:

a. Acromegaly

b. Marfan’s syndrome

c. Coarctation of the aorta

d. Kawasaki’s disease

e. Takayasu’s arteritis

8) A 55-year-old farmer complains of dry cough, exertional dyspnoea, joint pains and weight loss. He is noted to have finger clubbing. On a chest radiograph there is bilateral diffuse reticulonodular shadowing at the bases. The most likely diagnosis is:

a. Bronchial carcinoma

b. Bronchiectasis

c. Cryptogenic fibrosing alveolitis

d. Mesothelioma

e. Extrinsic allergic alveolitis

9) A 45-year-old woman presents with pruritus and jaundice. She complains of dry eyes and mouth. The most discriminating investigation would be:

a. Anti-mitochondrial antibodies

b. Antinuclear antibody

c. Serum bilirubin and liver function tests

d. Hepatitis B surface antigen

e. Smooth muscle antibody

10) An 80-year-old woman complains of sudden painless loss of vision in her right eye. She has facial pain on chewing. The most likely diagnosis is:

a. Acute glaucoma

b. Retinal detachment

c. Cranial arteritis

d. Basilar migraine

e. Optic neuritis

11) A 13-year-old girl presents with a painful and swollen knee. There is no history of trauma. A tender lump is palpated over the tibial tuberosity. The most likely diagnosis would be:

a. Osteomyelitis

b. Chondromalacia patella

c. Juvenile rheumatoid arthritis

d. Osteosarcoma

e. Osgood – Schlatter disease

12) The following pairs of neurovascular structures and injuries are correctly paired EXCEPT:

a. Tibial nerve – proximal fibula fracture

b. Sciatic nerve – posterior dislocation of the hip

c. Median nerve – Smith’s wrist fracture

d. Axillary nerve – fracture to humeral neck

e. Brachial artery – supracondylar fracture of the humerus

13) An 18 year old known to have asthma presents with severe wheezing, a respiratory rate of 30 and a pulse of 120. She is using her accessory muscles and appears distressed. She is apyrexial. The most appropriate initial management would be:

a. Intramuscular adrenaline

b. Oxygen and nebulized salbutamol

c. Intravenous hydrocortisone

d. Endotracheal intubation

e. Intravenous penicillin

14) A 25-year-old woman is brought to the a...