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- Jun 12, 2004
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Hi, just got 2 questions for you guys:
1 "A 78yr old woman with a PHx of atrial fibrillation, ischemic heart disease, cerebrovascular disease, peripheral vascular disease and peptic ulcer disease develops abdominal pain which gradually increases over 24hrs. On examination she looks unwell and has a temperature of 37.8C. She has mild generalised abdominal tenderness. No bowel sounds are audible. Investigations reveal an elevated neutrophil count and a low serum bicarbonate.
What is the most likely diagnosis?"
A. Diverticulitis
B. Mesenteric infarction
C. Perforated appendix
D. Perforated sigmoid carcinoma
E. Sigmoid volvulus
2 "An 81yr-old Greek woman who does not speak ENglish is brought to the Emergency Department by her son. He says that she has been complaining of severe pain in her right leg for the last 6 hrs. She has also become increasingly confused. His mother flew from Greece to Melbourne for a family visit seven days ago. SHe has temporal arteritis for which she normally takes prednisolone 4mg daily but she did not bring her tablets with her to Australia.
On examination she appears agitated and in pain. Her right leg is cold, pale and cyanosed. No pulses are palpabel below the femoral artery on the right. The femoral, popliteal and posterior tibial pulses are papable on the left but the dorsalis pedis pulse is not. A bruit is audible over the left femoral artery.
What is the most likely diagnosis?
A. An embolus to the right femoral artery
B. Extensive right deep vein thrombosis
C. Thrombosis of the right internal iliac artery
D. THrombosis of the right popliteal artery
E. Vasculitic occlusion of the right politeal artery
1 "A 78yr old woman with a PHx of atrial fibrillation, ischemic heart disease, cerebrovascular disease, peripheral vascular disease and peptic ulcer disease develops abdominal pain which gradually increases over 24hrs. On examination she looks unwell and has a temperature of 37.8C. She has mild generalised abdominal tenderness. No bowel sounds are audible. Investigations reveal an elevated neutrophil count and a low serum bicarbonate.
What is the most likely diagnosis?"
A. Diverticulitis
B. Mesenteric infarction
C. Perforated appendix
D. Perforated sigmoid carcinoma
E. Sigmoid volvulus
2 "An 81yr-old Greek woman who does not speak ENglish is brought to the Emergency Department by her son. He says that she has been complaining of severe pain in her right leg for the last 6 hrs. She has also become increasingly confused. His mother flew from Greece to Melbourne for a family visit seven days ago. SHe has temporal arteritis for which she normally takes prednisolone 4mg daily but she did not bring her tablets with her to Australia.
On examination she appears agitated and in pain. Her right leg is cold, pale and cyanosed. No pulses are palpabel below the femoral artery on the right. The femoral, popliteal and posterior tibial pulses are papable on the left but the dorsalis pedis pulse is not. A bruit is audible over the left femoral artery.
What is the most likely diagnosis?
A. An embolus to the right femoral artery
B. Extensive right deep vein thrombosis
C. Thrombosis of the right internal iliac artery
D. THrombosis of the right popliteal artery
E. Vasculitic occlusion of the right politeal artery
