MSRA Clinical Problem Solving 5

Question 1

A 45-year-old woman presents with fatigue, conjunctival pallor and a microcytic anaemia. What is the most likely underlying cause?

Accepted Answer

Iron deficiency

Answer

Microcytic anaemia is most commonly due to iron deficiency.

Question 2

A 25-year-old man presents with acute testicular pain, swelling and a high-riding testis after sudden onset. What is the immediate concern?

Accepted Answer

Testicular torsion

Answer

Sudden severe testicular pain with a high-riding testis is testicular torsion, a surgical emergency.

Question 3

A 62-year-old man with COPD presents with increased breathlessness, green sputum and wheeze. What is the most appropriate first-line treatment for an infective exacerbation?

Accepted Answer

Antibiotics and bronchodilators

Answer

An infective COPD exacerbation is treated with antibiotics and increased bronchodilators.

Question 4

A 30-year-old woman with a positive pregnancy test presents with unilateral lower abdominal pain and vaginal bleeding. What must be excluded first?

Accepted Answer

Ectopic pregnancy

Answer

Abdominal pain and bleeding in early pregnancy must prompt exclusion of an ectopic pregnancy.

Question 5

A 55-year-old diabetic presents drowsy with a glucose of 2.1 mmol/L. What is the most appropriate immediate treatment if he can swallow safely?

Accepted Answer

Fast-acting oral glucose

Answer

Hypoglycaemia in a conscious patient who can swallow is treated with fast-acting oral carbohydrate.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test

MSRA Clinical Problem Solving 5