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WorksheetsUTAR Year 3
Total questions: 10
Worksheet time: 20mins
A 55 year-old male presents with a recurrent episodes of chest pains following minor
physical exertion. He has 10 year history of diabetes and hypertension. What is the most likely cause of his chest pain?
Reflux eosophagitis
Angina pectoris
Peptic ulcer disease
tension pneumothorax
gall stones
On auscultation of a patient's heart you hear a 'pan-systolic murmur'. With which of the following conditions is this murmur associated?
Aortic regurgitation
Coarctation of Aorta
Ventricular Septal defect
Mitral stenosis
A 67-year-old man with long standing poorly controlled diabetes mellitus presents with swelling of his right ankle which appeared to be deformed. The overlying skin does not look inflamed. What is the most likely diagnosis?
Charcot's joints
cellulitis
Gout
Pseudogout
Septic Arthritis
A 78-year-old man with Chronic Obstructive Pulmonary Disease (COPD) presents with right upper quadrant pain. A pan-systolic murmur is heard at the left sternal edge
and there is a pulsatile mass in the right upper quadrant. Which of the following physical findings is likely to be present?
Absent ‘v’ waves
Absent ‘a’ waves
Cannon 'a' waves
Giant 'cv' waves
Kussmaul's sign
A 42-year-old patient presents with 2 weeks history of swinging pyrexia, right upper quadrant abdominal pain, pruritus and increasing jaundice. Her blood tests shows
raised alkaline phosphatase and bilirubin. She was diagnosed with ulcerative colitis 8 years ago. Which of the following is most likely diagnosis?
Alcoholic cirrhosis
Autoimmune hepatitis Type I
Pancreatic cancer
Primary biliary cirrhosis
Primary sclerosing cholangitis
A 52-year-old woman presents with acute onset of chest pain and breathlessness 2 weeks after ovarian surgery. On examination, her respiratory rate is 30/min and oxygen saturation on air is 88%. A pleural rub is heard on auscultation of her left lung. Which of the following investigations will confirm her diagnosis?
12-lead ECG (Electrocardiogram)
Chest x-ray
Computerized Tomographic pulmonary angiogram (CTPA)
D-dimers
Troponin T
A 16-year-old boy is newly diagnosed with beta-thalassemia minor. His haemoglobin is 10g/dl. Which of the following findings is most characteristic for this condition?
Increased levels of fetal haemoglobin (HbF)
Increased levels of haemoglobin A2 (HbA2)
Reduced osmotic fragility
Small amount of HbS
Target cells seen in the peripheral blood smear
A 16-year-old girl presents with acute Guillain-Barré syndrome and has developed worsening proximal muscle weakness. Which one of the following tests should be used to monitor her respiratory function?
Arterial blood gas
Chest expansion
FEV1/FVC ratio
Peak expiratory flow rate
Vital capacity
A 26-year-old young man presents with sore throat and fever for one week. Blood tests show a S. bilirubin of 40 µmol/L (1-22); the other LFTs (liver function tests) are completely normal. Which of the following is the most likely diagnosis?
Cholelithiasis
Acute pancreatitis
Gilbert's syndrome
Primary biliary cirrhosis (PBC)
Primary sclerosing cholangitis (PSC)
A 25- year-old male is evaluated for secondary hypertension. The patient’s biochemistry reveals hypokalemia and metabolic alkalosis. Which of the following conditions is consistent with these biochemical abnormalities?
Conns’s syndrome
Hyperthyroidism
Renal artery stenosis
Hypothyroidism
Phaeochromocytoma
