Mock 9

Question 1

It is characterized by the overgrowth of endometrial cells and is caused by excess unopposed estrogen

Answer 1

Endometrial Hyperplasia vs. Endometrial cancer

Question 2

First-line and second-line treatment for endometrial hyperplasia

Answer 2

Mirena

Oral progestogen pill

Question 3

Describe ulcerative colitis in terms of diarrhea, goblet cells, granuloma, barium enema findings.

Answer 3

Ulcerative colitis presents with bloody diarrhea, mass in the left iliac fossa, decreased goblet cells with crypt abscesses, infrequent granuloma and Barium enema findings of loss of haustration and sandpipe apperance.

Question 4

Trauma to the temple + lucid interval + unconsciousness
Diagnosis?
Structure involved?
CT scan finding?
Management?

Answer 4

Epidural hematoma
Middle meningeal artery
Lens shaped***
Craniotomy

**Remember expanding lemon of epidural hematoma and selfish banana of subdural hematoma

Question 5

Serum progesterone is useful for investigating †he cause of what condition?

Answer 5

Female infertility - it is done to assess ovulation

***Also remember that it is also known as mid-luteal progesterone level
Remember that 7 days prior to the next period, serum progesterone is at its peak. So for a woman with 28-day cycle, mid-luteal progesterone level (MLPL) should be obtained on Day 21. While for a woman with 35-day cycle, it should be obtained on Day 28

Question 6

3-month old male + not gaining weight despite regular feedings + exclusively formula fed + constant reflux + baby is irritable and cries continuously
Diagnosis?
Next action?

Answer 6

Non-IgE Mediated allergic reaction to cow’s milk protein

Change to hypoallergenic formula; If still not responsive, swap to an amino acid formula