Q1.A 60-year-old woman complains of pain and swelling of gradual onset in both
her knees over a period of 2 years. On examination there is evidence of excess
synovial fluid and synovial thickening in both knee joints and local tenderness.
Standing X-rays of her knees show diminution of joint space, sclerosis and cysts
in the adjacent bones. Osteophytes are also seen at the articular margins.
Theme: Pathological fracture
a Osteoporosis
b Osteomalacia
c Metastatic carcinoma
d Osteoblastoma
e Giant cell tumour
Q2.Metastatic calcification:
A occurs in normal tissue
B is characterised by psammoma bodies
C is associated with hyperparathyroidism
D characteristically occurs in osteoarthritis
Q3.The cephalic vein:
A begins in the region of the anatomical snuffbox
B at the elbow is deep to the lateral cutaneous nerve of the forearm
C ends by joining the brachial vein
D is medial to the biceps muscle in the arm
E has no valves
Q4.Chest injuries
a Tension pneumothorax
b Aortic rupture
c Haemothorax
d Aortic dissection
e Ruptured spleen
f Cardiac tamponade
Q5. Swollen, painful joints
a Osteoarthritis
b Gout
c Rheumatoid arthritis
d Tuberculous arthritis
e Neuropathic joint disease
Q6. A 34-year-old woman presents with a 2-month history of severe unilateral
Raynaud's phenomenon.
Theme:Lower leg ulceration
a Chronic obliterative arterial disease
b Superficial venous dysfunction
c Deep venous dysfunction
d Rheumatoid arthritis
e Squamous cell carcinoma
Q7.An 80-year-old retired chef has noticed that the edge of an ulcer situated above
the medial malleolus for 17 years has recently become ‘heaped up’ and bleeds
easily on contact.
Theme: Aneurysms
a Immediate ultrasound
b Insert intravenous lines, crossmatch blood and transfer to theatre
c Check the pulse and blood pressure half hourly
d Immediate CT scan
e Immediate endovascular stenting
Q8. A construction worker has his left leg trapped under falling bricks. At a followup
clinic 8 weeks later, it is observed that on the left side he has a foot drop and
diminished sensation on the lateral aspect of his leg and the dorsum of the foot,
with marginal sparing. He is unable to dorsiflex his left ankle or foot.
Theme: Conditions of the parotid gland
a Mumps
b Carcinoma
c Abscess
d Sjögren’s syndrome
e Mikulicz’s syndrome
f Pleomorphic adenoma
g Sialectasis
