EMQs and SBAs for Medical Finals

Jonathan Bath, Rebecca Morgan, Mehool Patel

• Publisher: Wiley-Blackwell
• Year: 2013
• ISBN:
  9781118690949
• Edition: 2
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Prepare for final and penultimate-year exams with EMQs and SBAs for Medical Finals

• Five complete practice question papers for realistic preparation
• Each question paper contains 60 Single Best Answer questions and 30 Extended Matching Questions
• Includes topic index so that readers can target problem areas
• Detailed explanation of the knowledge behind both correct and incorrect answers

EMQs and SBAs for Medical Finals is perfect for the student looking to test their knowledge and identify weak subject areas. Practice questions cover all key topics in medicine, with the subject balance reflecting the weighting in real exams. For this edition, all content has been updated and focused to remain relevant for today's finalists and the exams they will face. Inclusion of the topic index means that the title allows for both wide-ranging and focused revision. All in all, an essential resource for anyone facing their final medical exams.

PART 1

Practice Papers

PAPER 1

Questions

Single Best Answer Questions

1 Which area of the breast is most commonly affected by breast cancer?

a. Upper outer quadrant

b. Upper inner quadrant

c. Lower outer quadrant

d. Lower inner quadrant

e. Retro-areolar

2 A 75-year-old man is referred to cardiology for management of his newly diagnosed atrial fibrillation. His heart rate is 70–90 beats/minute (bpm) and he suffers from palpitations and occasional shortness of breath. He has no past history of cardiovascular disease. Which one of the following is the most appropriate next stage in his management?

a. Start digoxin for rate control

b. Warfarinization to reduce the risk of thromboembolism formation

c. Start a beta-blocker for associated hypertension

d. Organize an echocardiogram

e. Refer back to his general practitioner (GP) as his case can easily be managed in the community

3 Which one of the following is NOT a risk factor for breast cancer?

a. Nulliparity

b. Late pregnancy (>30 years)

c. Early menarche

d. Late menopause

e. High dietary dairy intake

4 A 38-year-old man attends Accident and Emergency (A&E) complaining of 12 hours of intermittent chest pain. His pain is central in location with no radiation but some associated nausea. He has a family history of cardiovascular disease. His troponin I is 0.05 (significant >0.1) and his electrocardiogram (ECG) shows no ischaemic changes. He asks you what will happen next. What should you tell him?

a. He needs to be admitted for further bloods tests

b. He requires an exercise tolerance test (ETT) before he is discharged

c. An echocardiogram will be useful in his further management

d. He can be safely discharged without further follow-up

e. He should be started on aspirin

5 A 31-year-old man presents to his GP complaining of an itchy rash on his hands. On questioning, he reveals that he works as a dishwasher for a Chinese restaurant. On examination of his hands, there are multiple excoriated sites on the dorsum and over the fingers of both hands with cracking of the skin over an erythematous base. The most likely diagnosis is:

a. Dermatitis

b. Lichen planus

c. Chemical burn

d. Porphyria cutanea tarda

e. Psoriasis

6 Optimal assessment of a breast lump in a 55-year-old woman is best descr...

Table of contents

• Cover
• Contents
• Title Page
• Copyright
• Preface
• Abbreviations
• Part 1: Practice Papers
• Part 2: Answers to Practice Papers
• Topic Index