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WorksheetsMedical Quiz on Various Conditions
Total questions: 13
Worksheet time: 7mins
Which of the following is not a cause of gynaecomastia
Liver cirrhosis
Smoking
Malnutrition
Hypogonadism
Hyperthyroidism
Regarding small bowel obstruction
In Ghana it’s commonly caused by obstructed hernia
Presents with colicky abdominal pain and vomiting
Doesn’t require aggressive resuscitation
Abdominal distension is always present
Which of the following is not a hereditary cause of DVT and PE
Dysfibrogenemia
Hemophilia
Paroxysmal nocturnal hemoglobenemia
Hyperhomocystenemia
Anti-cardiolipin antibody
A 50 year old man presents to the hospital with abdominal pain, jaundice and weight loss. He’s diagnosed of HCC. Which of the following is true for HCC.
It is associated with Hepatitis B infection in 90% of cases
Vaccination against Hepatitis C gives one protection against HCC
Alfa feto-protein levels is less associated with fibrolamellar liver ca
Liver biopsy and histology is necessary to diagnose preoperative HCC
In the assessment of the Child-Pugh status of a patient with hepatocellular carcinoma, the following things are considered except;
Total bilirubin level
Cause of ascites
Prothrombin time
Albumin level
Degree of encephalopathy
32 year old female with a warm tender breast mass which is ill defined with axillary lymph nodes. Which of the following is not true
Staph aureus is a likely cause
Advice her to stop breastfeeding
Confirm diagnosis with breast mammogram
Amox and clav.
Elderly man comes with large right groin hernia. Which of the following is true about the hernia
It is an indirect inguinal hernia if the sac protrudes above the poupart ligament and medial to the inferior epigastric vessels.
Compression of the iliogastric nerve is associated with pain of …
Surgical site infection following post operative repair is 2% likely
Internal femoral nerve emerges through the superficial inguinal ring and may be injured
There’s a likelihood of ischemic orchitis if there is damage to the testicular vessels
30 year old driver, painful scrotal hernia. Says he can’t push it back. Dx of irreversible inguinoscrotal was made. Which of the ff is false for this patient.
Reduction-en-mass will lead to continuous abdominal pain hours after manual reduction
Bowel sounds is likely to be increased
Placement of nasogastric tube is indicated in this patient.
This will be a sliding hernia if the hernia sac contains caecum
Tissue based repair should be offered to the patient
On ward review, a patient who had an emergency hemicolectomy. Which of the ff is true?
Fever after 2 days postoperative is most likely due to atelectasis
Respiratory complications is best avoided by ensuring strict bed rest
Postop gastric dilatation presents as hiccups
Postop gastric dilatation is best managed with laparotomy
Postop intestinal obstruction is mostly caused by adhesions
A 35 year old active to clinic presented with a sudden onset of a right unilateral leg swelling. he has experience a similar condition 3 years ago. he has been diagnosed with deep vein thrombosis. Which of the following is incorrect in the management.
Warfarin must be initiated only after heparin
Patient must be admitted
He must be warned of skin necrosis whiles on treatment
Must continue warfarin for life
Vitamin k must be initiated when there is bleeding
A 25 year old labourer presents to the emergency department with generalised abdominal pain of 2 hours duration. He admits to being on non steroidal anti inflammatory drugs on a chronic basis for body aches. A clinical diagnosis of peritonitis secondary to a perforated peptic ulcer is made. Which of the following is true for this patient?
An erect abdominal x-ray should be taken to demonstrate free air under the diaphragm.
A supine abdominal x-ray will show air fluid levels to confirm ileus
The perforation will be found on the posterior aspect of the stomach/duodenum
His initial hematocrit level is expected to be low.
25 years old lady presents with severe abdominal pain of one day. She was conscious and alert but physical examination reveals tender abdomen with little guarding and rebound tenderness. Which of the following diagnosis will require emergent surgery
Acute calculous cholecystitis
Acute Appendicitis
Rectus sheath hematoma
Acute Necrotizing pancreatitis
Meckels diverticulitis
A patient presents with fever chills and complaints of RUQ pain. On examination there was RUQ tenderness. Which of the following is not important in differentiating pyogenic liver abscess from amoebic abscess
History of dm
History of alcohol abuse
Elevated bilirubin level
Radiological evidence of multiple abscesses
Blood culture
