1. 38 yo lady presents to clinic with pregnancy of 10 weeks. Previously, one NVD at 39 weeks, had gestational DM but well controlled with diet only.
What would you look out for in history and physical examination, and how would you investigate and manage her condition to ensure the well-being of the baby? [20marks]
2. 70 yo woman comes in with 2 day history of sudden acute onset back pain. She has been bed bound for the past 2 days. Her daughter is worried about her condition. A spine xray shows a wedge compression at T12.
List four differential causes of her back pain. [4 marks]
How would you differentiate them based on history, physical examination and investigations? [10 marks]
Based on ONE most likely diagnosis, outline her management plan and what you would tell her daughter. [6 marks]
3. A 33 yo lady presents with acute onset of severe right lower abdominal pain with increasing severity over one day.
What are the differential diagnoses [4 marks], findings on history [4 marks], physical examination [4 marks], investigations [4 marks] and how would you approach management? [4 marks]
4. A 65 yo man comes in with a pale, painful right leg. On examination, no pulses are palpable. Diagnosis is that of an acute ischaemic limb.
What are the causes of an acute ischaemic limb? [4 marks]
What are the findings in history and the key physical findings that would point to the diagnosis? [8 marks]
What is one specific complication that can occur after a successful operation and how can it be prevented? [4 marks]
Thank goodness, only a little bit of smoke was created.
Thanks Sanz, but your fire engines weren’t needed… Lol…
Can save’em for tomorrow! lolz…
