Mock EMQs Flashcards
44 year old female presents with abdominal pain, worse when the stomach is empty and relieved by food.
A. Pernicious anemia
B. Gastric ulcer
C. Gastri lymphoma
D Gastric adenocarcinoma
E. Duodenal Ulcer
F. Crohn’s disease
G. Ulcerative colitis
H. Coeliac disease
E - duodenal ulcer
54 year old female presents with a failure to produce intrinsic factor.
A. Pernicious anemia
B. Gastric ulcer
C. Gastri lymphoma
D Gastric adenocarcinoma
E. Duodenal Ulcer
F. Crohn’s disease
G. Ulcerative colitis
H. Coeliac disease
A - perncious anemia
25 year old female recently been on the Atkin’s diet, presents with pain, bloating and lethargy associated with eating. Had a recent relapse, and had a blistering rash that appeared on the knees and elbows.
A. Pernicious anemia
B. Gastric ulcer
C. Gastri lymphoma
D Gastric adenocarcinoma
E. Duodenal Ulcer
F. Crohn’s disease
G. Ulcerative colitis
H. Coeliac disease
H - coeliac disease
What is the name of the rash associated with coeliac disease?
A. Roscea
B. Pemphigoid
C. Pemphigus vulgaris
D. Acne
E. Squamous cell carcinoma
F. Basal Cell carcinoma
G. Psoraisis roscea
H. Eczema
I. Psoriasis
J. Dermititis herpetiformis
J - dermatitis herpetiformis
26 year old male presents with a 3 month history of bloody diarrhoea, weight loss and lethargy. Colonoscopy shows skip lesions
A. Pernicious anemia
B. Gastric ulcer
C. Gastri lymphoma
D Gastric adenocarcinoma
E. Duodenal Ulcer
F. Crohn’s disease
G. Ulcerative colitis
H. Coeliac disease
F - Crohn’s disease
45 year old non-smoker presents with bloody diarrhoea for the last week, associated with pain and tiredness. Colonoscopy shows a continuous ulceration from the rectum.
A. Pernicious anemia
B. Gastric ulcer
C. Gastri lymphoma
D Gastric adenocarcinoma
E. Duodenal Ulcer
F. Crohn’s disease
G. Ulcerative colitis
H. Coeliac disease
G - Ulcerative colitis
IgG bind to basement membrane. Sub epidermal bulla with eosinophils.
A. Roscea
B. Pemphigoid
C. Pemphigus vulgaris
D. Acne
E. Squamous cell carcinoma
F. Basal Cell carcinoma
G. Psoraisis roscea
H. Eczema
I. Psoriasis
J. Dermititis herpetiformis
B - Pemphigoid
Tense bulla that often rupture, intradermal bulla. IgG antibodies binds to desmosomes. Niksolsky’s sign present
A. Roscea
B. Pemphigoid
C. Pemphigus vulgaris
D. Acne
E. Squamous cell carcinoma
F. Basal Cell carcinoma
G. Psoraisis roscea
H. Eczema
I. Psoriasis
J. Dermititis herpetiformis
C - Pemphigus vulgaris
Which one also known as the ‘rodent ulcer’?
A. Roscea
B. Pemphigoid
C. Pemphigus vulgaris
D. Acne
E. Squamous cell carcinoma
F. Basal Cell carcinoma
G. Psoraisis roscea
H. Eczema
I. Psoriasis
J. Dermititis herpetiformis
F - Basal cell carcinoma
56 year old woman presents with an infection. Swabs show MRSA, which antibiotic should she be given?
A. Erythromycin
B. Isonazid
C. Ceftriaxone
D. Vancomycin
E. Clarithromycin and ceftriaxone
F. Rifampicin
G. Trimethoprim
D - vancomycin
18 year old presents with fever, headache, neck stiffness and a petechial rash.
Which antibiotic?
A. Erythromycin
B. Isonazid
C. Ceftriaxone
D. Vancomycin
E. Clarithromycin and ceftriaxone
F. Rifampicin
G. Trimethoprim
C - ceftriaxone
Likely to be meningococcal menigitis
75 year old female has dyspnoea and a productve cough. Starting to become confused.
Which antibiotics should be given?
A. Erythromycin
B. Isonazid
C. Ceftriaxone
D. Vancomycin
E. Clarithromycin and ceftriaxone
F. Rifampicin
G. Trimethoprim
E - Clarithromycin and ceftriaxone
Cover all atypicals and bacterial infections
6 month year old, father has recently been diagnosed with TB. Which antibiotics?
A. Erythromycin
B. Isonazid
C. Ceftriaxone
D. Vancomycin
E. Clarithromycin and ceftriaxone
F. Rifampicin
G. Trimethoprim
H. None
B - Isonazid prophylaxis
12 year old has widespread impetigo. Developed a uticarial rash 3 years ago when given penicillin V. Which antibiotic should be given?
A. Erythromycin
B. Isonazid
C. Ceftriaxone
D. Vancomycin
E. Clarithromycin and ceftriaxone
F. Rifampicin
G. Trimethoprim
H. None
I. Fluxclocacillin
A - erthyromycin
Staph auerus cover needed, but allergic to penicillin so fluxclocacillin cannot be given
34 year old IV drug user presents wit pyrexia, jaundice and hepatomegaly
What is the likely cause?
A. Hep A
B. Hep B
C. Hep C
D. Hep D
E. Hep E
F. EBV
G. CMV
H. NASH
C - Hep C
18 year old presents with pyrexia, jaundice and lymphadenopathy with a sore throat
What is the likely cause?
A. Hep A
B. Hep B
C. Hep C
D. Hep D
E. Hep E
F. EBV
G. CMV
H. NASH
F - EBV
10 and 8 year old brothers both present with mild illness and hepatomegaly after coming back from Bangledesh
What is the likely cause?
A. Hep A
B. Hep B
C. Hep C
D. Hep D
E. Hep E
F. EBV
G. CMV
H. NASH
A - Hep A
40 year old presents with a fever, jaundice and a positivep past of HBV.
What is the likely cause?
A. Hep A
B. Hep B
C. Hep C
D. Hep D
E. Hep E
F. EBV
G. CMV
H. NASH
D - Hep D
60 year old presents with liver cirrhosis. No IVDU, tee total. At the age of 25, recieved a blood transfusion after giving birth/post-partum haemorrhage.
What is the likely cause?
A. Hep A
B. Hep B
C. Hep C
D. Hep D
E. Hep E
F. EBV
G. CMV
H. NASH
C- Hep C
Donated blood was only screened for Hep C 10 years ago
60 year old woman presents with liver cirrhosis. No IV DU and tee total. At the age of 25 receieved a blood transfusion due to post-partum haemorrhage.
What is the cause of her liver cirrhosis?
A. Hep A
B. Hep B
C. Hep C
D. Hep D
E. Hep E
F. EBV
G. CMV
H. NASH
C - Hep C
The UK has only been screening donated blood for Hep C in the last 15 years
What is this tissue?
Thyroid tissue
Clearly demarkated follicles containing colloid
C-cells found inbetween 4-6 follicles
Surrounding cells are principle cells
- What is this tissue?
- What makes up the portal triad?
1.Liver
3 zones, with the 3rd zone making up more mature hepatocytes
Blood flows from the portal vein to the central vein.
- Portal vein, hepatic artery and bile duct
What is the tissue?
Kidney
Presence of demarcated glomeruli
What is this tissue?
Bowel
Presence of villi
A 7 year old child has a positive Coombs test
What is the possible diagnosis?
A. Hereditary spherocytosis
B. Hereditary elliptocytosis
C. Goodpasture’s syndrome
D. G6PD-deficiency
E. Alpha 1 anti-trypsin deficiency
F. Autoimmune haemolytic anemia
G. Henloch-Schonlein Purpura
H. Sickle cell anemia
I. Thalassemia Beta
F. Autoimmune haemolytic anemia
Newborn becomes jaundiced. Blood film shows the presence of spherocytes and reticulocytes. Increased serum bilirubin and urinary urobilinogen.
What is the possible diagnosis?
A. Hereditary spherocytosis
B. Hereditary elliptocytosis
C. Goodpasture’s syndrome
D. G6PD-deficiency
E. Alpha 1 anti-trypsin deficiency
F. Autoimmune haemolytic anemia
G. Henloch-Schonlein Purpura
H. Sickle cell anemia
I. Thalassemia Beta
A. Hereditary spherocytosis
Middle eastern 2 month year old, suddenly developed increased pallor and jaundiced. Blood film shows irregularly contracted cells.
What is the possible diagnosis?
A. Hereditary spherocytosis
B. Hereditary elliptocytosis
C. Goodpasture’s syndrome
D. G6PD-deficiency
E. Alpha 1 anti-trypsin deficiency
F. Autoimmune haemolytic anemia
G. Henloch-Schonlein Purpura
H. Sickle cell anemia
I. Thalassemia Beta
D. GDP6 deficiency
4 year old develops a pupuric rash across the legs and buttocks. Previously had a chest infection. Further examination reveals abdominal pain, haematuria and increased serum IgA.
What is the possible diagnosis?
A. Hereditary spherocytosis
B. Hereditary elliptocytosis
C. Goodpasture’s syndrome
D. G6PD-deficiency
E. Alpha 1 anti-trypsin deficiency
F. Autoimmune haemolytic anemia
G. Henloch-Schonlein Purpura
H. Sickle cell anemia
I. Thalassemia Beta
G. Henloch-Schonlein purpura
Caused by an abnormality in the spectrin molecule
What is the possible diagnosis?
A. Hereditary spherocytosis
B. Hereditary elliptocytosis
C. Goodpasture’s syndrome
D. G6PD-deficiency
E. Alpha 1 anti-trypsin deficiency
F. Autoimmune haemolytic anemia
G. Henloch-Schonlein Purpura
H. Sickle cell anemia
I. Thalassemia Beta
A. Hereditary spherocytosis
48 year old with Type 1 diabetes presents with weight loss, weakeness and depression.
Na decreased
K increased
Urea increased
Ca increased
What is the diagnosis?
A. Allergic reaction
B. Thyrotoxicosis
C. Hypothyroidism
D. Congenital adrenal hyperplasia
E. Addison’s disease
F. Cushing’s disease
G. Cushing’s syndrome
H. Phaeochromocytoma
E. Addison’s disease
Failure of the adrenal gland so reduced production of cortisol and aldosterone
33 year old female, ACTH and cortisol not suppressed after a low dose dexamethasone suppression test.
What is the diagnosis?
A. Allergic reaction
B. Thyrotoxicosis
C. Hypothyroidism
D. Congenital adrenal hyperplasia
E. Addison’s disease
F. Cushing’s disease
G. Cushing’s syndrome
H. Phaeochromocytoma
F. Cushing’s disease
10 year old with hirtuism. On further examination, decreased cortisol, increased ACTH and decreased 17-hydroxyprogesterone.
What is the diagnosis?
A. Allergic reaction
B. Thyrotoxicosis
C. Hypothyroidism
D. Congenital adrenal hyperplasia
E. Addison’s disease
F. Cushing’s disease
G. Cushing’s syndrome
H. Phaeochromocytoma
D. Congenital adrenal hyperplasia
34 year old presents with rapid palpitations, chest tightness, severe headache, tremor, weight loss and sweating.
What is the diagnosis?
A. Allergic reaction
B. Thyrotoxicosis
C. Hypothyroidism
D. Congenital adrenal hyperplasia
E. Addison’s disease
F. Cushing’s disease
G. Cushing’s syndrome
H. Phaeochromocytoma
B- Thyrotoxicosis
Phaeos do not cause weight loss!
29 year old presents with a 3 month history of weight loss and secondary amenorrhea. Also has postural hypotension and hyperpigmentation of the hands.
What is the diagnosis?
A. Allergic reaction
B. Thyrotoxicosis
C. Hypothyroidism
D. Congenital adrenal hyperplasia
E. Addison’s disease
F. Cushing’s disease
G. Cushing’s syndrome
H. Phaeochromocytoma
E. Addison’s disease
Increased pigmentation due to the increased production of POMC producing increased ACTH and MSH.
23 year old develops rapid onset chest and abdominal pain after recieving a blood transfusion. She is vomiting, and urine shows haemoglobinuria.
What is the diagnosis?
A. Fluid overload
B. Immediate haemolytic transfusion reaction
C. Allergic reaction
D. PKD
E. Delayed haemolytic transfusion reaction
F. Autoimmune haemolytic anemia
G. Purpura
B. Immediate haemolytic transfusion reaction
24 year old presents with rapid chest and abdominal pain, vomiting. Face is oedematous, SOB and hypotensive. Later diagnosed with IgA deficiency.
What is the diagnosis?
A. Fluid overload
B. Immediate haemolytic transfusion reaction
C. Allergic reaction
D. PKD
E. Delayed haemolytic transfusion reaction
F. Autoimmune haemolytic anemia
G. Purpura
C- Allergic reaction
63 year old man rapidly develops SOB and goes into heart failure after a blood transfusion. No white blood cell antibodies in donor blood.
What is the diagnosis?
A. Fluid overload
B. Immediate haemolytic transfusion reaction
C. Allergic reaction
D. PKD
E. Delayed haemolytic transfusion reaction
F. Autoimmune haemolytic anemia
G. Purpura
A - Fluid overload
36 year old man develops a mild uticarial rash.
What is the diagnosis?
A. Fluid overload
B. Immediate haemolytic transfusion reaction
C. Allergic reaction
D. PKD
E. Delayed haemolytic transfusion reaction
F. Autoimmune haemolytic anemia
G. Purpura
C- Allergic reaction
44 year old woman develops a fever occuring 8 days after a blood transfusion. She is anemic, jaundiced and has haemaglobinuria.
What is the diagnosis?
A. Fluid overload
B. Immediate haemolytic transfusion reaction
C. Allergic reaction
D. PKD
E. Delayed haemolytic transfusion reaction
F. Autoimmune haemolytic anemia
G. Purpura
E - delayed haemolytic transfusion reaction
30 year old presents with polyuria and polydipsia.
Na increased
K is normal
BM - 4.0
Urea - 4.0
Cr 100
What is the diagnosis?
A. Diabetes mellitus
B. Primary hyperaldosteronism
C. CKD
D. Diabetes insipidus
E. Cushing’s disease
F. SIADH
G. Thyrotoxicosis
H. Addison’s disease
D - Diabetes insipidus
55 year old woman presents with polyuria and polydipsia
Na increased
K increased
BM - 34.0
Urea - 14.0
Cr 100
What is the diagnosis?
A. Diabetes mellitus
B. Primary hyperaldosteronism
C. CKD
D. Diabetes insipidus
E. Cushing’s disease
F. SIADH
G. Thyrotoxicosis
H. Addison’s disease
A - diabetes mellitus
43 year old woman presents with polydipsia, polyuria. Has a history of hypertension that has been difficult to control on 3 antihypertensives.
Na is normal
K is normal
BM - 4.0
Urea - 4.0
Cr 100
What is the diagnosis?
A. Diabetes mellitus
B. Primary hyperaldosteronism
C. CKD
D. Diabetes insipidus
E. Cushing’s disease
F. SIADH
G. Thyrotoxicosis
H. Addison’s disease
B- Primary hyperaldosteronism/ Conn’s syndrome
55 year old presents with malaise and weakness. PMHx of T2DM and hypertension. Examination shows peripheral oedema.
Na decreased
K increased
BM - 4.0
Urea - 15.0
Cr 350
What is the diagnosis?
A. Diabetes mellitus
B. Primary hyperaldosteronism
C. CKD
D. Diabetes insipidus
E. Cushing’s disease
F. SIADH
G. Thyrotoxicosis
H. Addison’s disease
C- CKD
60 year old presents with left sided weakness and weight loss.
Na decreased
K is normal
BM - 5.0
Urea - 5.0
Cr 100
TFTs and SST are normal
Plasma osmolality = 270 (low)
Urine osmolality = 400 (high)
What is the diagnosis?
A. Diabetes mellitus
B. Primary hyperaldosteronism
C. CKD
D. Diabetes insipidus
E. Cushing’s disease
F. SIADH
G. Thyrotoxicosis
H. Addison’s disease
F- SIADH
