Clinical Cases and Diagnoses MCQ

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Questions and Answers

What is the most likely cause of an 18-year-old woman's feeling of familiarity with the Emergency Department despite no prior visits?

  • Depersonalization.
  • Capgras syndrome in a patient with schizophrenia.
  • A normal mental state phenomenon. (correct)
  • Temporal lobe epilepsy aura.

What is the likely diagnosis for a 63-year-old man with persistent upper abdominal pain after a previous episode of acute epigastric pain?

  • Hydatid cyst.
  • Gastrointestinal stromal tumor.
  • Peripancreatic pseudocyst. (correct)
  • Peptic ulcer gastric outlet obstruction.

What is the most likely diagnosis for a 25-year-old man experiencing severe shoulder pain after a fall onto an outstretched arm?

  • Fracture of the surgical neck of the humerus.
  • Rupture of the shoulder rotator cuff tendon.
  • Dislocated glenohumeral joint. (correct)
  • Dislocated acromioclavicular joint.

What is the most likely diagnosis for a 15-year-old girl with itchy red eyes and eyelid redness?

<p>Hordeolum ('stye'). (D)</p> Signup and view all the answers

What is the most common cause of fever and bacteraemia in a 45-year-old man with a leaking porcine aortic valve prosthesis?

<p>Valvular endocarditis. (C)</p> Signup and view all the answers

Flashcards

Familiarity in Emergency Department

The phenomenon where a person feels a strong sense of deja vu in a familiar place, despite never having been there before.

Diagnosis of Persistent Abdominal Pain

The medical evaluation of chronic abdominal discomfort often resolving around a diagnosis like a peptic ulcer or pseudocyst.

Shoulder Injury from Fall

A common diagnosis for severe shoulder pain following a fall on an outstretched arm, often indicating rotator cuff issues.

Itchy Red Eyes in Teenager

A prevalent condition in youth characterized by red, itchy eyes, commonly identified as conjunctivitis.

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Infection in Aortic Valve Prosthesis

Signs of infection in a patient with a prosthetic heart valve, potentially indicated by symptoms like fever and abnormal ECG.

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Study Notes

MCQ 2.023

  • An 18-year-old woman, returning from a trip, experienced a feeling of familiarity in the emergency department.
  • She reported being anxious about her flight.
  • No other symptoms.
  • The most likely explanation is a temporal lobe epilepsy aura (a sensation of déjà vu).

MCQ 2.024

  • A 63-year-old man with epigastric pain (two months before) presented with persistent upper abdominal pain.
  • A CT scan of the abdomen was taken.
  • The most likely cause is a peripancreatic pseudocyst.

MCQ 2.025

  • A 25-year-old man fell, injuring his right arm.
  • Severe shoulder pain, particularly when lifting his arm.
  • The most likely diagnosis is a fracture to the surgical neck of the humerus.

MCQ 2.026

  • A 15-year-old girl had itchy red eyes and irritated eyelids.
  • The most likely diagnosis is a hordeolum (stye).

MCQ 2.027

  • A 45-year-old man with a leaking heart valve prosthesis experienced fever and staphylococcal bacteraemia.
  • Initial ECG results are not provided.

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