By Una Coales

Progressively more clinical faculties within the united kingdom are altering the structure of undergraduate examinations and adopting the preferred kind of unmarried top solutions (SBAs)/best of fives (BOFs) and prolonged matching questions (EMQs). This quantity provides a thousand clinically proper SBAs, BOFs and EMQs in all parts of the present curriculum: medication, surgical procedure, psychiatry, obstetrics and gynaecology, and paediatrics.

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D. Korsakoffs psychosis E. hypoglycaemia c A. complete median nerve lesion B. carpal tunnel syndrome C. median and ulnar nerve palsy D. cervical spondylosis E. cervical rib The most useful investigation is: · lateral and antero-posterior cervical-spine x-ray · MRI scan of the neck · nerve conduction studies • · hand x-ray . chest x-ray [ 40-year-old man presents with diplopia and pain over the It eye. His medication includes lisinopril and Humulin ·psulin. On examination he has an almost total ophthalmo11egiawith sparing of lateral eye movement on the left.

I\ ~ 2. A 65-year-old farmer presents with a grey thickened patch 0 skin on the rim of his left ear. The 1-cm lesion is painles raised, firm and has not changed in size over many years. CK- 3. A 40-year-old woman presents with a rapidly growing 1-c lump in the skin of her wrist. The lump is the same colour her skin but the centre is necrotic. It is freely mobile an rubbery in consistency with a hard core. · A 32-year-old female presents with progressive dysphagia · with regurgitation of fluids.

A Carcinomatous neuropathy B Side-effect of drug therapy C Diabetic neuropathy D Vitamin Bil deficiency E Vitamin B, deficiency F Polyarteritis nodosa G Guillain-Barre syndrome H Amyloidosis I Sarcoidosis J Industrial poisoning J K Porphyria For each patient below, choose the SINGLE most likely diagnosis from t: above list of options, Each option may be used once, more than once, or at 21\, I A B C D E F G H I 61. A 50-year-old man presents with distal sensory neuropat affecting the lower limbs in a 'stocking' distribution and noted to have Charcot's joints.

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