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1. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?
A) Xiphisternum
B) Umbilicus
C) Sternal notch
D) Nipple line
E) Apex beat
2. A 43 year old man with presents with an infective exacerbation of COPD Your consultant advises you to give IV hydrocortisone What best describes the mechanism of action of this treatment for this acute condition?
A) Binding with glucocorticoid receptor
B) Activation of phospholipid A2
C) Inhibition of prostaglandin synthesis
D) Activation of NF-kappa B
E) Adrenal suppression
3. A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?
A) Binding to CD4 antigen
B) Adhesins on the fimbriae
C) IgA protease production
D) Attachment using haemagglutmin antigen
E) Expression of Protein A
4. An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?
A) Only inform the DVLA if disabling hypoglycaemia
B) You do not need to contact DVLA
C) Inform the DVLA if any episodes of hypoglycaemia
D) Inform the DVLA if insulin treatment for >3 months
E) Inform the DVLA if insulin dependent
5. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?
A) Superolateral superficial
B) Superomedial superficial
C) Inferior superficial
D) External iliac
E) Deep inguinal
Solutions:
Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: E |
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