a 36-year old woman presents with a painless breast lump. On examination 1 x1 cm rubbery, firm freely mobile mass is felt in the upper outer quadrant of the right breast with no axillary lymph nodes. What is the next most appropriate step in management?
mammography and ultrasound
24-year old woman, 6 weeks postpartum and currently breast feeding, presents with breast pain. Her temperature is 38-C. Examination shows a swollen area in her right breast. There is no fluctuance. Which of the following is the next best step in management
antibiotics, analgesics and continue breast feeding
A blood stained discharge from the nipple would most likely indicate
Duct papilloma
A 42-year old female presents with a hard, mobile lump in her right breast. Which investigation would be the most helpful in making diagnosis?
Core needle biopsy
On mammogram, all of the following are the features of a malignant tumour, Except:
macrocalcification
A 50-year-old man presents with fever 3 days after having an inguinal hernia repaired. The most likely diagnosis of his fever is:
postoperative atelectasis
Causes of air under the diaphragm includes all of the following Except:
Crohns disease
A 38-year-old male presents with a 2cm lump on the left side of the neck for 6 months. On examination the lump is firm, fixed to overlying skin and moves with swallowing. the most likely diagnosis is?
paippilary thyroid carcinoma
A 38-year-old male presents with a 2cm lump on the left side of the neck for 6 months. On examination the lump is firm, fixed to overlying skin and moves with swallowing. The best investigation to confirm your diagnosis is
Fine needle aspiration cytology
A 34-year-old male presents to the emergency department with a 10-hour history of abdominal pain associated with nausea and vomiting. On examination the patient is lying still and has tenderness with with guarding in the right iliac fossa. His temperature is 37.6. What is the most likely diagnosis
Appendicitis
A 22-year-old male presents with increased shortness of breath after he was stabbed in the chest during a bar fight. He has a deviated trcahea to the right, reduced tactile fremitus and hyper resonance to percussion on the left. The most likely diagnosis is
Left sided tension pneumothorax
A 50-year-old smoker presents with a complaint of cramping in the left leg, pain after walking several metres. His pain is relieved by rest. He was diagnosed with hypertension and hyperlipidemia two years ago but has been non-compliant with medication. Distal pulses are all palpable. The most appropriate initial investigation is
Ankle-brachial index measurement using a Doppler
A 50-year-old smoker presents with a complaint of cramping in the left leg, pain after walking several metres. His pain is relieved by rest. He was diagnosed with hypertension and hyperlipidemia two years ago but has been non-compliant with medication. Distal pulses are all palpable. This patients ankle brachial index is likely to be
0.6-0.8
