RevMED

300 SBAs in Medicine and Surgery

Lasith Ranasinghe, Oliver Clements

• Publisher: WSPC (EUROPE)
• Year: 2019
• ISBN:
  9781786346834
• Topic: Medicine
• Subtopic: Medical Education

RevMED teaches students how to interpret clinical cases by presenting key details of the history and examination of a patient and making them choose between five plausible options. RevMED contains questions on a broad variety of topics in general medicine and surgery that range in difficulty to cover the basics, but also challenge even the most able students. The explanations include up-to-date guidelines and a thorough exploration of not only the correct answer, but a breakdown of the incorrect options as well. Therefore, each SBA is a form of case-based tutorial that can succinctly communicate a concept in general medicine or surgery.

Question books are an exceptionally useful resource for medical students preparing for their clinical exams. RevMED is designed by medical students who recently sat clinical written examinations and has been reviewed by doctors/professors thereby combining clinical accuracy with a student-friendly delivery.

Contents:

• Foreword
• Preface
• About the Authors
• About the Reviewers
• Acknowledgements
• Paper 1:
  • Questions
  • Answers
• Paper 2:
  • Questions
  • Answers
• Paper 3:
  • Questions
  • Answers
• Paper 4:
  • Questions
  • Answers
• Paper 5:
  • Questions
  • Answers
• Paper 6:
  • Questions
  • Answers
• Paper 7:
  • Questions
  • Answers
• Paper 8:
  • Questions
  • Answers
• Paper 9:
  • Questions
  • Answers
• Paper 10:
  • Questions
  • Answers
• Index

Readership: Medical students preparing for their clinical exams.Medicine;Surgery;Single Best Answer;Clinical Exams;Multiple Choice Questions;MCQ0 Key Features:

• Offers shorter tests (10 x 30 questions) than most other question books (e.g. 50 x 6) as this is considered a much more manageable test length by medical students
• Contains up-to-date clinical information
• The editor, Professor Karim Meeran, is a world-renowned Endocrinologist and Deputy Directory of Medical Education at Imperial College London, one of the world's top ranking medical schools
• Written by students who have recently sat clinical written examinations, to make it as student-friendly and relevant to current clinical exams as possible

Paper 1

Questions

1.A 43-year-old man presents with a painless lump in his groin that appeared 2 weeks ago. He claims that the lump protrudes on defecation and he also reports becoming constipated recently. On examination, the lump is reduced and a finger is placed over the midpoint of the inguinal ligament. When the patient is asked to cough, the lump reappears. What is the most likely diagnosis?

ADirect inguinal hernia

BIndirect inguinal hernia

CFemoral hernia

DObturator hernia

ESpigelian hernia

2.Which of the following murmurs is associated with severe aortic regurgitation?

AAustin-Flint

BGraham-Steell

CGibson

DCarey-Coombs

EBarlow

3.A 67-year-old man is brought into A&E having been involved in a road traffic accident. On examination, he opens his eyes to pain, makes a few grunting noises and withdraws his legs from painful stimuli. What is his GCS?

A2

B4

C6

D8

E10

4.A 2-year-old boy is brought to the GP after his father noticed some swelling around his eyes. On examination, there is periorbital and pedal oedema. A urine dipstick is positive for proteins and negative for blood. What is the most likely diagnosis?

AIgA nephropathy

BMembranous glomerulonephritis

CRapidly progressive glomerulonephritis

DMinimal change glomerulonephritis

EHenoch–Schönlein purpura

5.A 54-year-old man is brought into A&E with a suspected acute coronary syndrome. An ECG is performed, which reveals ST elevation in leads I, aVL, V5 and V6. Which coronary artery has been occluded?

ALeft main stem

BLeft anterior descending coronary artery

CLeft circumflex coronary artery

DRight coronary artery

EPosterior descending artery

6.A 46-year-old housewife visits her GP complaining of pain in the joints of her hands that has gradually got worse over 3 months. It has started affecting her ability to complete daily tasks such as cooking for her children. Both of her hands are affected equally and the pain and stiffness is worst in the morning but gets better when she starts using her hands. On closer inspection, her hands do not appear to be deformed although her metacarpophalangeal joints and proximal interphalangeal joints appear slightly swollen, warm and tender. What is the most likely diagnosis?

AReactive arthritis

BOsteoarthritis

CRheumatoid arthritis

DPsoriatic arthritis

ESeptic arthritis

7.A 56-year-old man with a history of alcoholism complains of intermittent epigastric pain that radiates through to his back. When questioned, he admits to losing about 3 kg in weight over the past 6 months and says that his stools have become pale and difficult to flush away. Which investigation would you request to aid the diagnosis?

ASerum amylase

BBlood cultures

CFaecal elastase

DCA 19-9

EOGD

8.A 25-year-old female has suffered from shortness of breath over the past 2 months. She gets particularly breathless when she exerts herself, and has had to stop going on her morning jog. She has not experienced a cough, fever or chest pain. She has no past medical history of note, however, her periods have become quite heavy over the past 3 or 4 months. What is the most likely diagnosis?

AHyperthyroidism

BAnaemia

CPneumonia

DCOPD

EAsthma

9.A 46-year-old man, with a history of type-1 diabetes, visits the GP for an HbA1c reading. He has recently been feeling more tired than usual and has noticed that the skin on his hands has become darker over the past few months. On examination, hepatomegaly and a tanned complexion (despite not having been on any recent holidays) are noted. Haemochromatosis is suspected and iron studies are requested. Which set of results would be consistent with haemochromatosis?

AHigh serum iron, high ferritin, high transferrin, low transferrin saturation, low TIBC

BHigh serum iron, low ferritin, low transferrin, high transferrin saturation, low TIBC

CHigh serum iron, high ferritin, high transferrin, high transferrin saturation, low TIBC

DHigh serum iron, high ferritin, low transferrin, high transferrin saturation, high TIBC

EHigh serum iron, high ferritin, low transferrin, high transferrin saturation, low TIBC

10.A 72-year-old woman has recently suffered a fracture of her right distal radius after falling on an outstretched hand. She is at high risk of osteoporosis because she is post-menopausal and has undergone several decades of steroid treatment for her asthma. A DEXA scan is performed. Which result would be diagnostic of osteoporosis?

AT-score of −1.5 or worse

BT-score of −2 or worse

CT-score of −2.5 or worse

DT-score of −3 or worse

ET-score of −3.5 or worse

11.A 52-year-old man was watching TV yesterday when he suddenly become very aware of his heart beating rapidly. This lasted around 45 mins and then subsided spontaneously. It has happened several times over the past 2 months. An ECG reveals no abnormalities. However, due to the strong suspicion of atrial fibrillation, the patient is placed on a 24-hr tape, which confirms the diagnosis. Which scoring system should be used to determine the benefit of long-term anticoagulation in this patient?

AQRISK2 score

BABCD² score

CGRACE score

DCHA₂DS₂-VASc score

ECURB-65 score

12.Which of the following is not a feature of background diabetic retinopathy?

AHard exudates

BCotton wool spots

CMicroaneurysms

DBlot haemorrhages

ELeakage of lipids from blood vessels

13.A 53-year-old man, who has recently recovered from a diarrhoeal illness, comes to A&E with a 1-week history of gradually worsening weakness in his legs. A neurological examination reveals reduced tone, reduced reflexes and impaired sensation in both lower limbs. He adds that the weakness began in his feet and has gradually progressed up his legs. Guillain–Barré syndrome is suspected. Which of the following parameters should be closely monitored in this patient?

ABody temperature

BSerum osmolality

CSerum potassium

DForced vital capacity

EUrine output

14.A 14-year-old school boy was diagnosed with asthma 6 months ago. He was given a salbutamol inhaler to use PRN, however, he continued to have regular episodes of breathlessness. He was started on a regular inhaled corticosteroid (beclomethasone) 3 months ago. Although the frequency of his attacks has reduced with the medication, he is still experiencing bouts of breathlessness about four times per week. What would be the next most appropriate step in his management?

AIncrease the dose of salbutamol

BChange the inhaled corticosteroid

CAdd an oral corticosteroid

DAdd a long-acting beta agonist

EMontelukast therapy

15.Which of the following is the most common cause of chronic kidney disease?

AHypertension

BDiabetes mellitus

CGlomerulonephritis

DPyelonephritis

EPolycystic kidney disease

16.A 46-year-old woman has been suffering from frequent headaches over the past 4 months, along with some blurring of vision. She also mentions ...