Austin Block 3

1

Which of the following is not characteristic of diabetic ketoacidosis?


  Elevated urea

  Depleted body potassium stores

  A low serum bicarbonate level

  Hypocapnia

  Hypocalcemia

2

Which of the following is not a feature of thyrotoxicosis?


  exophthalmos

  pre-tibial myxoedema

  atrial fibrillation

  hyperkalemia

  irritability

3

In intermittent claudication due to peripheral vascular disease


  Pain is typically relieved by elevation of the leg

  Ischaemic ulcers are usually painful

  Pedal pulses are usually palpable

  Exercise should be avoided

  The risk of progression is not affected by smoking

4

All of the following are characteristic of a dissecting aortic aneurysm except


  Haemopericardium

  Interscapular back pain

  Puimonary oedema

  Early diastolic murmur

  Pleural effusion

5

Which of the following is not associated with acute urinary retention in elderly men?


  dull percussion note in the suprapubic region

  confusion

  pain

  urinary incontinence

  anaemia

6

Which of the following is not a symptom of hypercalcaemia?


  nausea

  polyuria

  constipation

  tinnitus

  confusion

7

A 16 year old boy has had several short episodes of right sided testicular pain over the preceding two months. He presents with more severe right testicular pain which has been present for 3 hours. On examination he has a tender swollen right testis. Which one of the following would you choose?


  M.S.U. and commence broad spectrum antibiotics

  Immediate surgical exploration of the testis

  Cystoscopy and pandenoscopy

  Intravenous pyelogram

  T ech:1etium nuclear scan

8

Which of the following statements about a thyroglossal cyst is true?


  lt is fluctuant

  lt usually transilluminates

  lt moves upwards on swallowing

  lt moves upwards on protruding the tongue

  lt is usually palpable to one side of the midline.

9

In hypothyroidism, which of the following characterises the ankle reflexes?


  brisk

  diminished

  delayed relaxation

  pendular

  absent

10

The commonest arrhythmia associated with thyrotoxicosis is:


  sinus tachycardia

  atrial fibrillation

  atrial flutter

  atrial ectopics

  ventricular ectopics

11

The most common cause of unilateral painful swollen testes in a 45 year old man is:


  teratoma

  torsion

  haematocele

  acute epididymo-orchitis

  mumps

12

A 75 year old man who is a heavy smoker presents with claudication in his right calf after walking about 500 metres. He is most likely to have occlusive arterial disease affecting his:


  aortic bifurcation

  common iliac artery

  superficial femoral artery

  profunda femoris artery

  popliteal artery

13

The most common organism causing a urinary tract infection in a 20 year old female would be:


  Pseudomonas aeruginosa

  Lebsiella species

  Staph.aureus

  Strep.faecalis

  None of the above

14

Addison's disease (primary failure of the adrenal glands) is frequently associated with all of the following EXCEPT:


  Pigmentation in the mouth

  Hypertension

  Hyperkalaemia

  Anorexia

  Hypoglycaemia

15

Sexual impotence in a young man is most commonly due to:


  Excessive smokng

  Diabetes mellitus with autonomic neuropathy

  Primary testicular failure

  Coarctation of the aorta

  Psychological causes

16

A previously healthy male adult, 29 years oid, develops generalised oedema, unassociated with other symptoms. Urinalysis reveals heavy proteinuria and slight glycosuria. The sediment of centrifuged urine contains hyaline, granular and fatty casts. The blood creatinine level is normal. The most likely diagnosis is:


  Diabetic glomerulosclerosis

  Minimal change glomerulonephritis

  Malignant hypertension

  Membranous glomerulonephritis

  Amyloidosis

17

The most common cause of haematuria is:


  Minor trauma to the bladder

  Carcinoma kidney

  Obstruction at pelvic-ureteric junction

  Cystitis

  Ureteric calculus

18

Which of the following manoevres is most likely to confirm that a cervical swelling is an enlarged thyroid gland:


  Asking the patient to poke out his/her tongue

  Asking the patient to swallow

  Asking the patient to tighten the deep fascia of the neck by flexing neck against resistance

  Testing for fluctuance

  Testing for translucency

19

The characteristics of a thyroglossal cyst are:


  lt is fluctuant

  lt usually transilluminates

  lt moves upwards on swallowing

  lt moves upwards on extruding the tongue

  1t is usually to one side of the midline