Get Ahead! Basic Sciences

100 EMQs

Anna Kowalewski, Priya Jeevananthan

• Publisher: CRC Press
• Year: 2016
• ISBN:
  9781315351315
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

• Includes 100 EMQs written in the style of the Medical Schools Council Assessment Alliance (MSCAA) bank
• The first three papers are divided by subject area for targeted revision
• The final two papers are presented in the style of the exam, perfect for practice
• Delivers answer explanations to guide further revision
• Written by authors with recent success in the basic sciences examinations

EMQs Paper 1

1. CARDIOLOGY

1. Aortic regurgitation
2. Aortic stenosis
3. Mitral regurgitation
4. Mitral stenosis
5. Pulmonary regurgitation
6. Pulmonary stenosis
7. Tricuspid regurgitation
8. Tricuspid stenosis

For each of the following scenarios, select the most appropriate condition. Each option may be used once, more than once or not at all.

1. A 58-year-old male patient presents with a history of exertional chest pain and dizziness. He notices he becomes short of breath on climbing stairs.
2. A 70-year-old female patient has a ‘bobbing uvula’ and an early diastolic murmur best heard at the left sternal edge, 4th intercostal space on examination.
3. A 44-year-old female patient presents to her GP with palpitations and is found to be in atrial fibrillation. Further questioning reveals a history of ‘a jerking movement disorder’ as a child. She is found to have a murmur and facial flushing on examination.
4. A 76-year-old male patient has a loud pansystolic murmur and lateral displacement of his apex beat. The murmur is heard best with the breath held in full expiration.
5. A 24-year-old male patient of no fixed abode presents to accident and emergency with a high temperature and looks unwell. He has a pansystolic murmur heard best on inspiration. Multiple scars are observed over his arms, and it is especially difficult to find a vein to cannulate.

2. PHARMACOLOGY

1. Angiotensin-converting enzyme inhibitors
2. Beta-blockers
3. Calcium channel blockers
4. Loop diuretics
5. Methyldopa
6. Minoxidil
7. Potassium sparing diuretics
8. Thiazide diuretics

For each of the following scenarios, select the most appropriate medication. Each option may be used once, more than once or not at all.

1. A male patient has started on a drug by his GP and now reports problems sustaining erections.
2. A female patient has developed a swollen, tender first metatarsophalangeal joint in her left foot since starting this new medication.
3. A male patient has started on a new medication as an inpatient for severe hypertension by a specialist. He notices that his male-pattern balding seems to be improving with the growth of new hair.
4. A female patient has developed a dry irritating cough after starting a new medication.
5. A male patient has developed constipation and ankle swelling after starting this drug.

3. CARDIOLOGY

1. Collapsing pulse
2. Electrical alternans
3. Jerky pulse
4. Pulsus alternans
5. Pulsus bisferiens
6. Pulsus paradoxus
7. Radial femoral delay
8. Slow rising pulse

For each of the following scenarios, select the most appropriate examination finding. Each option may be used once, more than once or not at all.

1. A 66-year-old female patient reveals a wide pulse pressure and an early diastolic murmur.
2. An 82-year-old male patient is found to have a loud ejection systolic murmur radiating to the carotids. What else would you expect to find?
3. A 24-year-old male student with a family history of sudden unexplained death at a young age presents with dizzy spells and occasional palpitations. Examination reveals a double apical impulse. What else might be found on examination?
4. A 21-year-old female patient has a wide carrying angle and an abnormal chest X-ray. The X-ray shows a normal heart size but some rib notching. Which sign may you expect to find on examination?
5. A 76-year-old male patient is known to have severe left ventricular failure. On palpation of the carotid pulse you notice the volume does not feel the same each time.

4. CARDIOLOGY

1. Atrial flutter with 2:1 block
2. Atrial flutter with 3:1 block
3. Bifascicular block
4. Complete heart block
5. First-degree heart block
6. Mobitz type I heart block
7. Mobitz type II heart block
8. Trifascicular block

For each of the following descriptions, select the most appropriate ECG pattern. Each option may be used once, more than once or not at all.

1. A ventricular rate of 100 beats per minute with a saw-tooth appearance between the R–R intervals.
2. Sinus rhythm with normal axis, a QRS duration of 96 ms and a PR interval of 238 ms.
3. Sinus rhythm, left axis deviation, a QRS duration of 110 ms with a right bundle branch block pattern and a PR interval of 230 ms.
4. Ventricular rate of 40 beats per minute, and P-waves at a rate of 90 beats per minute which seem to ‘march through’ the trace.
5. A prolonged PR interval followed by a ‘dropped beat’. The PR t...

Table of contents

• Cover
• Title Page
• Copyright Page
• Contents
• Preface
• Contributors
• EMQs Paper 1
• Answers Paper 1
• EMQs Paper 2
• Answers Paper 2
• EMQs Paper 3
• Answers Paper 3
• EMQs Paper 4
• Answers Paper 4
• EMQs Paper 5
• Answers Paper 5
• Index