Austin Block 5
Which of the following statements about metastatic cancer is correct?
Colon cancers commonly metastasize to bone
Meningiomas commonly metastasize to the lungs
Ovarian cancer commonly spreads to the peritoneum
Testicular cancers commonly metastasize to the liver
Basal cell carcinomas commonly metastasize to local lymph nodes
Surgical excision is the primary treatment for each of the following neoplasms except:
Small cell carcinoma of the lung
Adenocarcinoma of the esophagus
Villous adenoma of the rectum
Adenocarcinoma of the gall bladder
Which of the following is the least likely cause of iron deficiency in a 65 year old female?
All of the following are features of an enlarged spleen except:
lt is possible to palpate a space between it and the left costal margin
lt moves downwards and medially on inspiration
lt is usually not ballottable
lt has a notch
lt is dull to percussion
Which of the following is most consistent with an anaemia of chronic disease?
Microcytic hypochromic red cells and a high neutrophil count
Macrocytic normochromic red cells and hypersegemented neutrophils
Normochromic normocytic red cells and a high ESR
Macrocytic normochromic red cells, leukopenia and thrombocytopenia
Normochromic normocytic red cells, leukopenia and thrombocytopenia
The ESR is not increased in which one of the following conditions?
systemic lupus erythematosus
polycythaemia rubra vera
Which of the following is the commonest cause of a lump in the neck in a 40 year old female?
Carcinoma in a cervical lymph node
The drug of choice for the treatment of left lower lobe pneumonia developing after a hemicolectomy is:
A 62 year old pipe smoker has noted a painless white area underneath his tongue, present for 6 months. The lesion is irregular, slightly raised and measures about 1 cm by 3 cm. What is the correct initial action?
advise the patient to cease smoking
arrange for a biopsy of the lesion
prescribe hydrocortisone lozenges
advise review in 1 month
refer for radiotherapy to the lesion
A 17 year old schoolgirl presents with a one week history of bouts of fever, an erythematous macular rash and polyarthritis. Each of the following diagnoses should be seriously considered EXCEPT:
Ross River virus infection
Systemic lupus erythematosis
Acute hepatitis C infection
A 52 year old alcoholic woman is admitted with a history of fever, cough and purulent sputum for one week. Chest radiographs show an irregular cavity in the superior segment of the right lower lobe, surrounded by pulmonary consolidation with a poorly defined margin. There is an air fluid level within the cavity. The most likely diagnosis is:
Cavitating pneumococcal pneumonia
Cavitating pulmonary infarct
Cavitating bronchial carcinoma
In a dirty thigh wound, the most important measure to prevent gas gangrene is:
intramuscular gas gangrene antitoxin
admission to an intensive care ward
immediate broad spectrum intravenous antibiotics