WorksheetsAbdominal pain, lumps and weight changes round up
Total questions: 14
Worksheet time: 7mins
An 82 year old woman attends with fatigue which she attributes to lack of sleep as she cannot lie flat. She also has a cough with white sputum and bilateral leg swelling.
CXR shows bilateral pleural effusions.
From the list below what is the most likely diagnosis?
Angina
Biventricular failure
COPD
Left ventricular failure
Right ventricular failure
Skip lesions are associated with
Crohn's disease
Ulcerative colitis
Coeliac disease
A 62 year old woman presents with a chronic cough productive of clear sputum for 2 months. She has been getting progressively more breathless over that time and started to develop a constant aching pain in her left shoulder. She is a smoker. She is clubbed and on examination of the chest there is a wheeze in the left mid and upper zones.
What is the most likely underlying diagnosis?
Asthma
Bronchiectasis
Lung Cancer
COPD
Pneumonia
You are performing a cardiovascular examination on the ward and hear a pansystolic murmur loudest in the 5th intercostal space in the midclavicular line.
What arrhythmia is most likely to be associated with mitral regurgitation?
Atrial fibrillation
Complete heart block
Ventricular fibrillation
Ventricular tachycardia
A 74 year old man presents with acute breathlessness. On examination he looks unwell, pale, is cool to touch, and has crackles throughout the lung fields. Pulse 104, BP 112/74, SpO2 91% (air), RR 28, temperature 36.8.
FBC is within normal range, other blood tests are pending.
What is the most likely reason for the clinical findings?
Acute heart failure
Anaemia
Community acquired pneumonia
Pneumothorax
Pulmonary embolus
A 68 year old man with hypertension presents following a third episode of losing consciousness shortly after standing. He feels 'lightheaded' and has tunnelled vision before he blacks out, is out for 10-30 seconds, and makes a quick recovery.
What is the most likely cause of his symptoms?
Aortic stenosis
Arrhythmia
Medication
Micturition syncope
Seizure
Which of the following are symptoms of hyperthyroidism?
Heat intolerance
Diarrhoea
Weight gain
Tremor
Urinary frequency
What is the diagnosis?
Sigmoid volvulus
Small bowel obstruction
Pneumoperitoneum
Diverticulitis
What is the most common finding on a urine dip in renal stones?
Protein
Hb
Leukocytes
Nitrites
Which of the following symptoms can be suggestive of a UTI?
Confusion
Dysuria
Suprapubic pain
Nausea/vomiting
Urinary incontinence
Which of the following would suggest a diagnosis of type 1 diabetes over type 2 diabetes?
Capillary blood glucose 21 mmol/L
Ketonuria
Polydipsia
Polyuria
An 18 year old girl presents with acute onset severe LIF pain, what is the most important initial investigation?
Urine dip
US Abdomen
WBC/CRP
Pregnancy test
Which of the options below are included in the SEPSIS 6
Give antibiotics
Check CRP
Take blood cultures
Check lactate
Which of the following can diagnose an AKI?
A rise in 20micromol/L of creatinine over 72 hours
1.5 times rise in urea over 48 hours
Passing less than 100mls urine in 1 hour
Passing less than 0.5ml/kg/hr urine for 6 hours
