EMQs Random

Treatment of osteomyelitis caused by Staphylococcus aureus in a 40-year-old IV drug misuser.

- Amoxicillin and flucloxacillin

- Cefotaxime

- Clarithromycin

- Erythromycin and amoxicillin

- Flucloxacillin and fusidic acid

- IV cefuroxine

- IV erythromycin

flux & fusidic acid

Link the syndrome with the chromosomal analysis: Down

- 45 XO

- Trisomy 13

- Trisomy 18

- Trisomy 21

- Pierre-Robin sequence

21

Link the syndrome with the chromosomal analysis: Edward

- 45 XO

- Trisomy 13

- Trisomy 18

- Trisomy 21

- Pierre-Robin sequence

18

Link the syndrome with the chromosomal analysis: Patau

- 45 XO

- Trisomy 13

- Trisomy 18

- Trisomy 21

- Pierre-Robin sequence

13

Link the syndrome with the chromosomal analysis: Turner

- 45 XO

- Trisomy 13

- Trisomy 18

- Trisomy 21

- Pierre-Robin sequence

45 XO

Choose the correct ICDAS-II code from the list: Distinct cavity with visible dentine

- 0

- 1

- 2

- 3

- 4

- 5

- 6

5

Choose the correct ICDAS-II code from the list: Distinct visual change in enamel seen when wet

- 0

- 1

- 2

- 3

- 4

- 5

- 6

2

Choose the correct ICDAS-II code from the list: Extensive distinct cavity (more than half the surface) with visible dentine

- 0

- 1

- 2

- 3

- 4

- 5

- 6

6

Choose the correct ICDAS-II code from the list: First visual change in enamel - opacity or discolouration visible at a pit of fissure after prolonged drying

- 0

- 1

- 2

- 3

- 4

- 5

- 6

1

Choose the correct ICDAS-II code from the list: Non-cavitated with underlying dark shadow from dentine

- 0

- 1

- 2

- 3

- 4

- 5

- 6

4

Choose the most appropriate option from the list: A 4-year-old has fallen over and hit the upper right central incisor. On clinical examination, a horizontal dark line is evident across the apical third of the root.

- Avulsion

- Concussion

- Crown fracture

- Crown-root fracture

- Extrusive luxation

- Intrusive luxation

- Lateral luxation

- Root fracture

- Subluxation

root fracture

Choose the most appropriate option from the list: A toddler has tripped, and now the two central incisors are infra-occluded.

- Avulsion

- Concussion

- Crown fracture

- Crown-root fracture

- Extrusive luxation

- Intrusive luxation

- Lateral luxation

- Root fracture

- Subluxation

intrusive luxation

Choose the most appropriate option from the list: A 3-year-old boy has hit his mouth against a toy, and his mother has noticed that a tooth is chipped.

- Avulsion

- Concussion

- Crown fracture

- Crown-root fracture

- Extrusive luxation

- Intrusive luxation

- Lateral luxation

- Root fracture

- Subluxation

crown fracture

Choose the most appropriate option from the list: A 6-year-old girl has been knocked in the mouth playing. She now says that the upper left central incisor tooth is tender; on clinical examination the tooth is firm, and no radiographic changes are evident.

- Avulsion

- Concussion

- Crown fracture

- Crown-root fracture

- Extrusive luxation

- Intrusive luxation

- Lateral luxation

- Root fracture

- Subluxation

concussion

Choose the most appropriate option from the list: A 4-year-old girl has been hit in the face playing ball. The upper left lateral incisor is now supra-occluded. On clinical examination the tooth is mobile, and radiographically there is a widened PDL space.

- Avulsion

- Concussion

- Crown fracture

- Crown-root fracture

- Extrusive luxation

- Intrusive luxation

- Lateral luxation

- Root fracture

- Subluxation

extrusive luxation

Describes Charter's:

A - Apply pressure to blanch the gingivae, then remove. Repeat several times. Slightly rotate the brush and gradually move it occlusally.

B - Roll brush occlusally, maintaining contact with gingivae, then the tooth surface.

C - Scrub in antero-posterior direction, keeping brush horizontal

D - Vibrate the brush, not changing the position of the bristles.

E - Vibrate the brush while moving it apically into the gingival margin.

F - With the teeth in occlusion, move the brush in a rotary motion against the maxillary and mandibular tooth surfaces and gingival margins.

E

Describes Bass:

A - Apply pressure to blanch the gingivae, then remove. Repeat several times. Slightly rotate the brush and gradually move it occlusally.

B - Roll brush occlusally, maintaining contact with gingivae, then the tooth surface.

C - Scrub in antero-posterior direction, keeping brush horizontal

D - Vibrate the brush, not changing the position of the bristles.

E - Vibrate the brush while moving it apically into the gingival margin.

F - With the teeth in occlusion, move the brush in a rotary motion against the maxillary and mandibular tooth surfaces and gingival margins.

D

Describes Stillman:

A - Apply pressure to blanch the gingivae, then remove. Repeat several times. Slightly rotate the brush and gradually move it occlusally.

B - Roll brush occlusally, maintaining contact with gingivae, then the tooth surface.

C - Scrub in antero-posterior direction, keeping brush horizontal

D - Vibrate the brush, not changing the position of the bristles.

E - Vibrate the brush while moving it apically into the gingival margin.

F - With the teeth in occlusion, move the brush in a rotary motion against the maxillary and mandibular tooth surfaces and gingival margins.

A

Choose the most appropriate term from the list: The process of influencing behaviour towards a desired ideal.

- Association

- Behaviour shaping

- Desensitisation

- Disassociation

- Modelling

- Reinforcement

- Sensitisation

- Tell, show, do

Behaviour shaping

Choose the most appropriate term from the list: The strengthening of a pattern of behaviour which increases the probability that the behaviour will be displayed in the future.

- Association

- Behaviour shaping

- Desensitisation

- Disassociation

- Modelling

- Reinforcement

- Sensitisation

- Tell, show, do

reinforcement

Choose the most appropriate term from the list: An occlusion which satisfies the requirement of function and aesthetics but in which there are minor irregularities of individual teeth.

A - complete overbite

B - complete overjet

C - ideal occlusion

D - incomplete overbite

E - incomplete overjet

F - malocclusion

G - normal occlusion

H - overbite

I - overjet

normal occlusion

Choose the most appropriate term from the list: The relation between upper and lower incisors in the horizontal plane.

A - complete overbite

B - complete overjet

C - ideal occlusion

D - incomplete overbite

E - incomplete overjet

F - malocclusion

G - normal occlusion

H - overbite

I - overjet

overjet

Choose the most appropriate term from the list: The overlap of the lower incisors by the upper incisors in the vertical plane.

A - complete overbite

B - complete overjet

C - ideal occlusion

D - incomplete overbite

E - incomplete overjet

F - malocclusion

G - normal occlusion

H - overbite

I - overjet

overbite

Choose the most appropriate term from the list: An overbite in which the lower incisors make contact with either the upper incisors or the palate.

A - complete overbite

B - complete overjet

C - ideal occlusion

D - incomplete overbite

E - incomplete overjet

F - malocclusion

G - normal occlusion

H - overbite

I - overjet

complete overbite

Choose the most appropriate term from the list: An overbite in which the lower incisors contact neither the upper incisors nor the palatal mucosa.

A - complete overbite

B - complete overjet

C - ideal occlusion

D - incomplete overbite

E - incomplete overjet

F - malocclusion

G - normal occlusion

H - overbite

I - overjet

incomplete overbite

Choose the most appropriate term from the list: An enamel-lined invagination sometimes present on the palatal surface of upper incisors.

A - Anodontia

B - Cingulum pit

C - Dens in dente

D - Dilaceration

E - Macrodontia

F - Microdontia

G - Odontome

H - Oligodontia

I - Palatal invaginatus

J - Polydontia

K - Supernumary teeth

L - Supplemental teeth

C

Choose the most appropriate term from the list: Abnormally small teeth, often the last of a series.

A - Anodontia

B - Cingulum pit

C - Dens in dente

D - Dilaceration

E - Macrodontia

F - Microdontia

G - Odontome

H - Oligodontia

I - Palatal invaginatus

J - Polydontia

K - Supernumary teeth

L - Supplemental teeth

F

Choose the most appropriate term from the list: The developmental absence of a number of teeth.

A - Anodontia

B - Cingulum pit

C - Dens in dente

D - Dilaceration

E - Macrodontia

F - Microdontia

G - Odontome

H - Oligodontia

I - Palatal invaginatus

J - Polydontia

K - Supernumary teeth

L - Supplemental teeth

H

Choose the most appropriate term from the list: Teeth in excess of the usual number - usually of abnormal form.

A - Anodontia

B - Cingulum pit

C - Dens in dente

D - Dilaceration

E - Macrodontia

F - Microdontia

G - Odontome

H - Oligodontia

I - Palatal invaginatus

J - Polydontia

K - Supernumary teeth

L - Supplemental teeth

K

Choose the most appropriate term from the list: Supernumary teeth resembling normal teeth.

A - Anodontia

B - Cingulum pit

C - Dens in dente

D - Dilaceration

E - Macrodontia

F - Microdontia

G - Odontome

H - Oligodontia

I - Palatal invaginatus

J - Polydontia

K - Supernumary teeth

L - Supplemental teeth

L

Choose the most appropriate name from the list: Pointing the brush apically, parallel to the long axis of the teeth, roll the brush occlusally maintaining contact with the gingivae, then with the tooth surface.

- Bass

- Charter's

- Fones

- Modified Stillman

- Roll

- Scrub

- Stillman

roll

Choose the most appropriate name from the list: Pointing the brush apically, at 45 to the long axis of the teeth, vibrate the brush, not changing the position on the bristles.

- Bass

- Charter's

- Fones

- Modified Stillman

- Roll

- Scrub

- Stillman

bass

Choose the most appropriate name from the list: Pointing the brush apically, at 45 to the long axis of the teeth, apply pressure to blanch the gingivae. Repeat several times. Slightly rotate the brush occlusally during the procedure.

- Bass

- Charter's

- Fones

- Modified Stillman

- Roll

- Scrub

- Stillman

stillman

Choose the most appropriate name from the list: Pointing the brush apically, at 45 to the long axis of the teeth, make the gingivae blanch, but at the same time vibrate the brush and move it occlusally.

- Bass

- Charter's

- Fones

- Modified Stillman

- Roll

- Scrub

- Stillman

modified stillman

Choose the most appropriate name from the list: Pointing the brush horizontally with the teeth in occlusion, move the brush in a rotary motion against the maxillary and mandibular teeth surfaces and gingival margins.

- Bass

- Charter's

- Fones

- Modified Stillman

- Roll

- Scrub

- Stillman

fones

Choose the most appropriate treatment from the list: A 6-year-old child with a small carious lesion in a lower right second molar. He is cooperative and his first permanent molars have erupted.

A - extraction under GA

B - extraction under LA

C - fissure sealants only

D - non-vital pulpotomy

E - no treatment required

F - preventative and dietary advice only

G - simple restoration

H - simple restoration and fissure sealants

I - systemic fluoride only

J - topical fluoride and preventative advice

K - vital pulpotomy

H

Choose the most appropriate treatment from the list: A 4-year-old child with six first and second molars that cannot be restored.

A - extraction under GA

B - extraction under LA

C - fissure sealants only

D - non-vital pulpotomy

E - no treatment required

F - preventative and dietary advice only

G - simple restoration

H - simple restoration and fissure sealants

I - systemic fluoride only

J - topical fluoride and preventative advice

K - vital pulpotomy

A

Choose the most appropriate treatment from the list: A 2-year-old child with a single tiny pit caries lesion in an upper first molar.

A - extraction under GA

B - extraction under LA

C - fissure sealants only

D - non-vital pulpotomy

E - no treatment required

F - preventative and dietary advice only

G - simple restoration

H - simple restoration and fissure sealants

I - systemic fluoride only

J - topical fluoride and preventative advice

K - vital pulpotomy

J

Choose the most appropriate treatment from the list: A 5-year-old child who has caries in his lower left first molar which is causing the tooth to throb. The tooth is vital.

A - extraction under GA

B - extraction under LA

C - fissure sealants only

D - non-vital pulpotomy

E - no treatment required

F - preventative and dietary advice only

G - simple restoration

H - simple restoration and fissure sealants

I - systemic fluoride only

J - topical fluoride and preventative advice

K - vital pulpotomy

K

Choose the most appropriate treatment from the list: A 7-year-old child with a non-vital lower left second molar.

A - extraction under GA

B - extraction under LA

C - fissure sealants only

D - non-vital pulpotomy

E - no treatment required

F - preventative and dietary advice only

G - simple restoration

H - simple restoration and fissure sealants

I - systemic fluoride only

J - topical fluoride and preventative advice

K - vital pulpotomy

G

Choose the most appropriate calcification date: Mandibular second permanent molars

- Birth

- 1-2 months

- 2-3 months

- 3-4 months

- 4-5 months

- 6-7 months

- 12-15 months

- 15-18 months

- 18-21 months

- 21-24 months

- 24-30 months

- 30-36 months

- 36-42 months

30-36m

Choose the most appropriate calcification date: Mandibular first permanent molars

- Birth

- 1-2 months

- 2-3 months

- 3-4 months

- 4-5 months

- 6-7 months

- 12-15 months

- 15-18 months

- 18-21 months

- 21-24 months

- 24-30 months

- 30-36 months

- 36-42 months

birth

Choose the most appropriate calcification date: Maxillary central incisors

- Birth

- 1-2 months

- 2-3 months

- 3-4 months

- 4-5 months

- 6-7 months

- 12-15 months

- 15-18 months

- 18-21 months

- 21-24 months

- 24-30 months

- 30-36 months

- 36-42 months

3-4m

Choose the most appropriate calcification date: Maxillary canines

- Birth

- 1-2 months

- 2-3 months

- 3-4 months

- 4-5 months

- 6-7 months

- 12-15 months

- 15-18 months

- 18-21 months

- 21-24 months

- 24-30 months

- 30-36 months

- 36-42 months

4-5m

Choose the most appropriate calcification date: Maxillary first premolars

- Birth

- 1-2 months

- 2-3 months

- 3-4 months

- 4-5 months

- 6-7 months

- 12-15 months

- 15-18 months

- 18-21 months

- 21-24 months

- 24-30 months

- 30-36 months

- 36-42 months

18-21m

Choose the most appropriate diagnosis of malocclusion: The lower anteriors lie anterior to the cingulum plateau of the upper incisors.

- Class I

- Class II division 1

- Class II division 2

- Class III

Class III

Choose the most appropriate diagnosis of malocclusion: The lower arch is at least one half cusp width post-normal to the upper and the upper central incisors and lateral incisors are retroclined.

- Class I

- Class II division 1

- Class II division 2

- Class III

Class II division 2

Choose the most appropriate diagnosis of malocclusion: The lower arch is at least one half cusp width post-normal to the upper and the upper central incisors and lateral incisors are retroclined, but the lateral incisors are proclined.

- Class I

- Class II division 1

- Class II division 2

- Class III

Class II division 2

(trick! decide on basis of r/s of central incisors & disregard positional of the lateral incisors)

Choose the most appropriate diagnosis of malocclusion: The lower incisor edges lie posterior to the cingulum plateau of the upper incisors and there is an increased overjet.

- Class I

- Class II division 1

- Class II division 2

- Class III

Class II division 2

Chose the most appropriate diagnosis of malocclusion: The lower incisor edges occlude with or lie directly below the cingulum plateau of the upper inciors.

- Class I

- Class II division 1

- Class II division 2

- Class III

Class I

Choose the most appropriate condition from the list: Sodium valproate

- Asthma

- Duodenal atresia

- Eczema

- Epilepsy

- HF&M

- Herpetic gingivostomatitis

- Impetigo

- Measles

- Mumps

- Pneumonia

- Trigeminal neuralgia

epilepsy

Choose the most appropriate condition from the list: Aciclovir

- Asthma

- Duodenal atresia

- Eczema

- Epilepsy

- HF&M

- Herpetic gingivostomatitis

- Impetigo

- Measles

- Mumps

- Pneumonia

- Trigeminal neuralgia

herpetic gingivostomatitis

Choose the most appropriate condition from the list: Flucloxacillin

- Asthma

- Duodenal atresia

- Eczema

- Epilepsy

- HF&M

- Herpetic gingivostomatitis

- Impetigo

- Measles

- Mumps

- Pneumonia

- Trigeminal neuralgia

impetigo

Choose the most appropriate condition from the list: Hydrocortisone

- Asthma

- Duodenal atresia

- Eczema

- Epilepsy

- HF&M

- Herpetic gingivostomatitis

- Impetigo

- Measles

- Mumps

- Pneumonia

- Trigeminal neuralgia

eczema

Choose the most appropriate condition from the list: Salbutamol

- Asthma

- Duodenal atresia

- Eczema

- Epilepsy

- HF&M

- Herpetic gingivostomatitis

- Impetigo

- Measles

- Mumps

- Pneumonia

- Trigeminal neuralgia

asthma

Choose the most likely cause from the list: Failure of upper lateral incisor to appear

- abnormal position of tooth crypt

- congenital absence

- dilaceration

- early loss of deciduous predecessor

- primary failure of eruption

- retention of deciduous tooth

- supernumary tooth

congenital absence

Choose the most likely cause from the list: Crowding

- abnormal position of tooth crypt

- congenital absence

- dilaceration

- early loss of deciduous predecessor

- primary failure of eruption

- retention of deciduous tooth

- supernumary tooth

early loss of deciduous predecessor

Choose the most likely cause from the list: Failure of eruption of upper central incisor

- abnormal position of tooth crypt

- congenital absence

- dilaceration

- early loss of deciduous predecessor

- primary failure of eruption

- retention of deciduous tooth

- supernumary tooth

supernumary tooth

Choose the most likely cause from the list: Palatal position of upper canine

- abnormal position of tooth crypt

- congenital absence

- dilaceration

- early loss of deciduous predecessor

- primary failure of eruption

- retention of deciduous tooth

- supernumary tooth

abnormal position of tooth crypt

Choose the most likely cause from the list: Delayed eruption of lower first permanent molar

- abnormal position of tooth crypt

- congenital absence

- dilaceration

- early loss of deciduous predecessor

- primary failure of eruption

- retention of deciduous tooth

- supernumary tooth

primary failure of eruption

Choose the most appropriate diagnosis from the list: Anodontia

- AI

- Amoxicillin

- Cleidocranial dysostosis

- DI

- Down syndrome

- ED

- Hydrocortisone

- Kernicterus

- Local infection

- Paget's disease

- Tetracycline

ED

Choose the most appropriate diagnosis from the list: Exaggerated transverse diameter of cranium; delayed fontanelle closure; hypoplastic teeth; hypomineralisation; hypoplastic clavicle

- AI

- Amoxicillin

- Cleidocranial dysostosis

- DI

- Down syndrome

- ED

- Hydrocortisone

- Kernicterus

- Local infection

- Paget's disease

- Tetracycline

CD

Choose the most appropriate diagnosis from the list: Single tooth with brown hypoplastic crown (Turner tooth)

- AI

- Amoxicillin

- Cleidocranial dysostosis

- DI

- Down syndrome

- ED

- Hydrocortisone

- Kernicterus

- Local infection

- Paget's disease

- Tetracycline

local infection

Choose the most appropriate diagnosis from the list: All teeth hypoplastic, enamel is brown-yellow, teeth are soft and chip under attrition

- AI

- Amoxicillin

- Cleidocranial dysostosis

- DI

- Down syndrome

- ED

- Hydrocortisone

- Kernicterus

- Local infection

- Paget's disease

- Tetracycline

AI

Choose the most appropriate diagnosis from the list: Yellow, brown or green hyperpigmentation of teeth. Child had recurrent ear and chest infections

- AI

- Amoxicillin

- Cleidocranial dysostosis

- DI

- Down syndrome

- ED

- Hydrocortisone

- Kernicterus

- Local infection

- Paget's disease

- Tetracycline

tetracycline

Choose the most appropriate diagnosis from the list: A 21-year-old female who us of normal weight, complains of thin and chipped incisors which are sharp and sensitive.

- Achalasia

- Anorexia

- Bulimia

- Myasthenia gravis

- Oesophageal candidiasis

- Pharyngeal pouch

- Plummer-Vinson syndrome

- Reflux oesophagitis

Bulimia

Choose the most appropriate diagnosis from the list: A 45-year-old female who is obese complains of 'heart burn' after eating and lying down. She has noticed excessive salivation and wheezing when suping.

- Achalasia

- Anorexia

- Bulimia

- Myasthenia gravis

- Oesophageal candidiasis

- Pharyngeal pouch

- Plummer-Vinson syndrome

- Reflux oesophagitis

reflux oesophagitis

Choose the most appropriate diagnosis from the list: A 47-year-old female complains of food sticking in the back of the throat. She exhibits spoon-shaped nails and has a smooth tongue.

- Achalasia

- Anorexia

- Bulimia

- Myasthenia gravis

- Oesophageal candidiasis

- Pharyngeal pouch

- Plummer-Vinson syndrome

- Reflux oesophagitis

Plummer-Vinson Syndrome (iron deficiency anaemia - glossitis & angular stomatitis also common)

Choose the most appropriate diagnosis from the list: A 65-year-old male complains of difficulty in swallowing, especially after the first mouthful, unless he regurgitates. A neck swelling is evident.

- Achalasia

- Anorexia

- Bulimia

- Myasthenia gravis

- Oesophageal candidiasis

- Pharyngeal pouch

- Plummer-Vinson syndrome

- Reflux oesophagitis

pharyngeal pouch

Choose the most appropriate diagnosis from the list: A 31-year-old female presents for dental treatment. She is very underweight but considers that she needs to lose more weight.

- Achalasia

- Anorexia

- Bulimia

- Myasthenia gravis

- Oesophageal candidiasis

- Pharyngeal pouch

- Plummer-Vinson syndrome

- Reflux oesophagitis

anorexia

Choose the option which can lead to the following conditions for patients with HIV/AIDS: Intracerebral lymphoma

- Candida albicans

- Cryptococcus

- Cytomegalovirus (CMV)

- EBV

- HHV8

- Streptococcus

- Toxoplasma gondii

EBV

Choose the option which can lead to the following conditions for patients with HIV/AIDS: Kaposi's sarcoma

- Candida albicans

- Cryptococcus

- Cytomegalovirus (CMV)

- EBV

- HHV8

- Streptococcus

- Toxoplasma gondii

HHV8

Choose the option which can lead to the following conditions for patients with HIV/AIDS: Odynophagia

- Candida albicans

- Cryptococcus

- Cytomegalovirus (CMV)

- EBV

- HHV8

- Streptococcus

- Toxoplasma gondii

Candida albicans

Choose the option which can lead to the following conditions for patients with HIV/AIDS: Retinitis

- Candida albicans

- Cryptococcus

- Cytomegalovirus (CMV)

- EBV

- HHV8

- Streptococcus

- Toxoplasma gondii

CMV

Choose the option which can lead to the following conditions for patients with HIV/AIDS: The most common type of pneumonia

- Candida albicans

- Cryptococcus

- Cytomegalovirus (CMV)

- EBV

- HHV8

- Streptococcus

- Toxoplasma gondii

Streptococcus

Choose the most appropriate personality disorder from the list: Abnormal sense of self-importance, ideas of success, power and intellectual superiority.

- Affective

- Anxious

- Borderline

- Dependent

- Histronic

- Narcissism

- Obsessive-compulsive

narcissm

Choose the most appropriate personality disorder from the list: Emotionally detached and cold, self-sufficient, introspective with potential to fantasise.

- Affective

- Anxious

- Borderline

- Dependent

- Histronic

- Narcissism

- Obsessive-compulsive

-Schizoid

schizoid

Choose the most appropriate personality disorder from the list: Unstable relationships, impulsivity, variable moods and chronic feelings of emptiness.

- Affective

- Anxious

- Borderline

- Dependent

- Histronic

- Narcissism

- Obsessive-compulsive

borderline

Choose the most appropriate personality disorder from the list: Unduly compliant, lack of vigour and self-reliance. Avoid responsibility.

- Affective

- Anxious

- Borderline

- Dependent

- Histronic

- Narcissism

- Obsessive-compulsive

dependent

Choose the most appropriate personality disorder from the list: Unduly focused on unimportant detail and resultant indecision.

- Affective

- Anxious

- Borderline

- Dependent

- Histronic

- Narcissism

- Obsessive-compulsive

obsessive-compulsive

Choose the most likely diagnosis from the list: A 2-year-old boy who develops a barking cough with stridor.

- Acute asthma

- Croup

- Heart failure

- Inhaled foreign body

- Pneumonia

- Tuberculosis

- Whooping cough

croup

Choose the most likely diagnosis from the list: A 3-year-old girl with unilateral wheeze and shortness of breath.

- Acute asthma

- Croup

- Heart failure

- Inhaled foreign body

- Pneumonia

- Tuberculosis

- Whooping cough

inhaled foreign body

Choose the most likely diagnosis from the list: A 5-year-old boy with a long-term chronic cough which develops into gasping for breath with a characteristic noise.

- Acute asthma

- Croup

- Heart failure

- Inhaled foreign body

- Pneumonia

- Tuberculosis

- Whooping cough

whooping cough

Choose the most likely diagnosis from the list: A 12-year-old boy with ventral septal defect now has ankle pitting oedema and bi-basal crepitation in the lung fields.

- Acute asthma

- Croup

- Heart failure

- Inhaled foreign body

- Pneumonia

- Tuberculosis

- Whooping cough

heart failure

Choose the most likely diagnosis from the list: A 13-year-old girl who has recently returned from a family holiday in Indian has developed night sweats, weight loss, malaise and failure to thrive.

- Acute asthma

- Croup

- Heart failure

- Inhaled foreign body

- Pneumonia

- Tuberculosis

- Whooping cough

tb

A 65-year-old woman with a history of hypothyroidism and vitiligo has an anaemia with a mean corpuscular volume (MCV) of 102fL. She has a positive Schilling's test.

Vitamin:

A, B1, B6, B12, C, D, E, K

vitamin B12 (pernicious anaemia = megaloblastic)

A 23-year-old alcoholic with an INR of 4.5, who is bleeding, should receive this vitamin.

Vitamin:

A, B1, B6, B12, C, D, E, K

vitamin k (cofactor for blood clotting)

A 95-year-old man presents to you with bleeding gums and loose teeth. You can see that his periodontal condition has worsened seriously since his last visit 12 months before. He sadly lost his wife last year and now lives on tea and biscuits.

Vitamin:

A, B1, B6, B12, C, D, E, K

vitamin C

A patient opens his eyes to voice, localises to pain and makes incomprehensible sounds.

GCS Score:

3, 4, 8, 10, 11, 12, 13, 14, 15

10

A confused nursing home resident localises to pain and opens her eyes when addressed.

GCS Score:

3, 4, 8, 10, 11, 12, 13, 14, 15

12

A patient in resuscitation is found to have a 'blown and fixed pupil', is unresponsive and extends to painful stimuli.

GCS Score:

3, 4, 8, 10, 11, 12, 13, 14, 15

4

A patient is shouting inappropriate words, his eyes are open and when asked to sit down, he obeys.

GCS Score:

3, 4, 8, 10, 11, 12, 13, 14, 15

13

A known epileptic is assessed post-seizure and is awake and obeys commands, but his speech is slow is deliberate.

GCS Score:

3, 4, 8, 10, 11, 12, 13, 14, 15

14

A 76-year-old woman presents to her GP complaining of weight gain, dry brittle hair and lethargy.

- Achondroplasia

- Acromegaly

- Addison's disease

- Cushing syndrome

- Graves' disease

- Hypothyroidism

- Type 1 DM

- Type 2 DM

hypothyroidism

A 19-year-old man presents to the emergency department complaining of a gradual loss of peripheral vision. On inspection of the oral cavity you notice prognathism and large tongue.

- Achondroplasia

- Acromegaly

- Addison's disease

- Cushing syndrome

- Graves' disease

- Hypothyroidism

- Type 1 DM

- Type 2 DM

acromegaly

A 41-year-old woman presents to the emergency department with vomiting, diarrhoea and abdominal pains. She is hypotensive and tachycardic. BM analysis reveals hypoglycaemia.

- Achondroplasia

- Acromegaly

- Addison's disease

- Cushing syndrome

- Graves' disease

- Hypothyroidism

- Type 1 DM

- Type 2 DM

addison's disease

A 58-year-old woman with a past MH of polymyalgia rheumatica presents with weight gain, acne and oral candidiasis.

- Achondroplasia

- Acromegaly

- Addison's disease

- Cushing syndrome

- Graves' disease

- Hypothyroidism

- Type 1 DM

- Type 2 DM

cushing syndrome

A 68-year-old patient with painless jaundice and hyperglycaemia.

- Achondroplasia

- Acromegaly

- Addison's disease

- Cushing syndrome

- Graves' disease

- Hypothyroidism

- Type 1 DM

- Type 2 DM

T1 DM

A 46-year-old African-Caribbean woman with a butterfly rash and a recurrent history of miscarriages.

SLE

A Somali immigrant with night sweats, fever, persistent cough and weight loss.

- Anorexia nervosa

- Bulimia

- Carcinoma of the stomach

- Depression

- DM

- Hypercalcaemia

- Malabsorption

- None of the above

- Thyrotoxicosis

- Tuberculosis

tb