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Worksheets

Sunday chai and chat

Total questions: 9

Worksheet time: 5mins

Name
Class
Date
1.

Patient presents with shoulder pain and progressive shoulder stiffness ,which shoulder movement is lost earliest in adhesive capsulitis?

a)

Internal rotation

b)

Abduction

c)

External rotation

d)

Flexion

2.

75 year old male presents with the gradual onset of blurred vision in both his eyes he notices that while his side vision remains intact ,he can no longer read the newspaper or recognise the faces of his grand children .what could be the likely cause of this?

a)

Cataracts

b)

Open angle glaucoma

c)

Central retinal artery occlusion

d)

Age related macular degeneration

3.

A 45 year old man is incidently found to have a serum uric acid level of 8.5 mg/dl during routine testing, he has never had a episode of acute gouty arthritis and has normal renal function .what is the most appropriate management

a)

Start allopurinol immediately

b)

No pharmacologic treatment is needed

c)

Start colchicine prophylaxis

d)

Start febuxostat

4.

35 year old male presents with episodes of excruciating sharp stabbing pain around his right eye lasting for about 45 minutes. These episodes occur multiple times a day often waking him up from sleep accompanied by the redness of his right eye and tearing and drooping of the eyelid on the same side. What could be the most likely diagnosis?

a)

Migraine

b)

Tension type headache

c)

Cluster headache

d)

Stress induced headache

5.

A 72 year old lady presents with bilateral knee pain for the past year that has been progressively getting worse. x-ray report shows asymmetric narrowing of the joint space subchondral sclerosis and the presence of marginal osteophytes at the joint edges.what could be the most likely cause?

a)

Rheumatoid arthritis

b)

Gouty arthritis

c)

Septic arthritis

d)

Osteoarthritis

6.

A 35 year old male presents with acute non specific low back pain of 4 days duration. He has no red flags and no history of gastrointestinal or renal issues. What is the recommended first line pharmacologic treatment?

a)

Oral Paracetamol monotherapy

b)

Oral NSAIDS

c)

Oral Codeine

d)

Diazepam 2mg BID

7.

A 48 year old office worker presents with nocturnal parasthesia in thumb, index and middle fingers. A diagnosis of mild to moderate carpal tunnel syndrome is made. Regarding pain relief which is the most appropriate?

a)

NSAIDS are highly effective and recommended as first line therapy

b)

Paracetamol should be prescribed to reduce median nerve inflammation

c)

Oral NSAIDS and paracetamol not recommended as they donot provide significant benefit

d)

High dose oral aspirin is the gold standard non surgical management

8.

In primary care settings , which of the following is considered the most common cause of low back pain and which age group typically experiences the highest prevalance of activity limiting symptoms?

a)

Disc Herniation (ages 20-30 years)

b)

Non specific msk pain (age 40-60 years)

c)

Spinal stenoses(age 70 years and above)

d)

Ankylosing spondylitis (age 18-25 years)

9.

68 year old patient requires pain management . Which of the following clinical circumstances represent as the "highest risk" contraindication when prescribing NSAIDs?

a)

Stage 1 HTN*(controlled)

b)

mild OA of knee

c)

CKD (eGFR <30ml/min) and Active Peptic Ulcer Disease

d)

Past medical history of repaired inguinal hernia