CSA Stage 1 (V)

Mr Mitchell, 39yrs is complaining of palpitations. He has noticed a headache that comes and goes, sweating and pain the abdomen. What is the likely Dx?

Pheochromocytoma

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Mr Mitchell, 39yrs is complaining of palpitations. He has noticed a headache that comes and goes, sweating and pain the abdomen. What is an unlikely DDx?

Pneumonia

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Mr. Jones 25yrs has palpitation for 2 days. He uses heroin - IV injections and cannabis on the odd occasion. He also drinks a lot of tea and coffee. Dx?

Excessive caffeinated beverages

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Mr. Jones 25yrs has palpitation for 2 days. He uses heroin - IV injections and cannabis on the odd occasion. He also drinks a lot of tea and coffee. Not a DDx?

PE

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Mr. Evans 42yrs returned from France last week with knee pain. He suffered from diarrhoea whilst over. He now has multiple joint pain, including wrist and ankles, but more marked on right knee. Dx?

Reactive arthritis

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Mr. Evans 42yrs returned from France last week with knee pain. He suffered from diarrhoea whilst over. He now has multiple joint pain, including wrist and ankles, but more marked on right knee. What is not a DDx?

Achalasia

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Mr. Irving 66yrs with melena that started 2 weeks ago. Blood (dark) is mixed with the blood and occurs during defecation. Epigastric pain for a few weeks. No weight loss. Normal bowel habits. Using diclofenae for chronic lower back pain. No other hx. Dx?

NSAID induced gastritis

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Mr. Irving 66yrs with melena that started 2 weeks ago. Blood (dark) is mixed with the blood and occurs during defecation. Epigastric pain for a few weeks. No weight loss. Normal bowel habits. Using diclofenae for chronic lower back pain. No other hx. Not

Plummer-Vinson syndrome

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Mr. Andrews 22yrs has testicular pain (8/10 severity) that suddenly started this morning . Dx?

Testicular torsion

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Which statement is false regarding anal fissures?

Can be very painful, and usually takes months but less than a year to heal

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Which statement is incorrect regarding haemorrhoids?

Can cause haemoptysis and/or melena

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Mr. Andrews 22yrs has testicular pain (8/10 severity) that suddenly started this morning . Which option is not a DDx?

Varicocele

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What is incorrect regarding testicular torsion?

Usually only requires medical treatment (mainly for pain management) and adjustment to correct the testicular rotation

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What is incorrect regarding Epididymo-orchitis?

Tube at the back of the testicles becomes swollen and painful. It's often caused by an infection

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What is incorrect regarding Epididymitis?

Commonly caused by UTIs in comparison to other potential causes

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Which statement is not true concerning Testicular cancer?

Loss of libido is the main symptom

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Mumps orchitis. Which does not fit?

Occurs only in young boys of puberty age

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Mr. Wilinson 44yrs has come in with testicular pain, which began gradually and is now 6/10 in severity. Last week he had cold (runny nose/cough) and mild fever. Otherwise normally fit and well. He is sexually active but not married. Dx?

Epididymo-orchitis

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Mr. Wilinson 44yrs has come in with testicular pain, which began gradually and is now 6/10 in severity. Last week he had cold (runny nose/cough) and mild fever. Otherwise normally fit and well. He is sexually active but not married. What is not DDx?

Piles

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Mr. White 42yrs is referred for a left testicular mass that's non-trans illuminating. What is not part of the next steps in diagnostics?

Solid aspiration

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Mr. White 42yrs is referred for a left testicular mass that's non-trans illuminating. What is not a possible DDx?

Testicular torsion

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What would make you not consider a testicular tumour from a testicle lump/swelling?

Mass developing quickly on scrotum

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Why would you want to do an ultrasound on a non-trans illuminating testicular mass?

Confirm it is a solid structure, as opposed to a cyst

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Medical Negligence: Doctor colleague left patient without starting treatment and inserted cannula is bleeding. What should you not do in this situation?

Inform patient they cannot make a complaint until they have spoken to your colleague (part of the protocol)

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CSA Stage 1 (V)

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