If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 Best of Five 103

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 103

A 52-year-old female presents with numbness and weakness of her upper and lower limbs.

She developed asthma at the age of 50 and her general practitioner treated her with steroids and antibiotics approximately one month prior to the onset of these symptoms.

On examination she looks unwell. She has palpable purpura over her face and over her elbows and knees.

On neurological examination she has a left sided wrist drop and there is weakness of dorsiflexion of her right hallux and weakness of dorsiflexion of her right foot.

Sensation is impaired over the dorsum of her right foot.

Lungs are clear.

CXR is normal

Hb 10.9 g/dL MCV 88 fl

WBC 23,000 10 9 /l

Eosinophils 12%

ANCA negative

In this patient abdominal pain could be due to:

a)      Pancreatic infarction

b)      Gall bladder infarction

c)      Vasculitis of the gastrointestinal tract

d)      Renal infarction

e)      Splenic infarction

 

Back
Up
Next

Up ] Answer ]