S001. QUESTION NUMBER 1.
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QUESTION NUMBER 1
The Road to Health Card on the next slide belongs to Johanna Smuts, a 5-year-old child, who presents to the local clinic for routine immunisation. Johanna is well and has no clinical abnormalities Answer the questions that follow in relation to this Road to Health Card.
QUESTION NUMBER 2
This is a chest X-Ray of Mr. T. Ndlovu, a 45 year old who presents in respiratory distress with distended neck veins. He has had constitutional symptoms for 2 months.
Sipho Ndlela, 35 year old presents to you in OPD, and complains of pain in his right hypochondrium and jaundice for about a week. You notice fresh traditional scarification marks on his trunk. On the right is his liver function test results
Total bilirubin 150umol/lDirect bilirubin 80umol/lAlbumin 33 g/LALP 140 U/LGGT 55 U/LAST 986 U/LALT 1250 U/L
Use arrows keys to move between slides.
a) List at least five problems you would need to deal with in Dawn’s antenatal management. (5)
b) What would your management plan for today be? List at least five things you would do, including counselling, advice and treatment. (5)
This 27 year-old man, Jonas Mosupi, injured his ankle this morning. It is swollen, and the skin is intact. An x-ray has already been done. You are in a rural hospital.
The attached is a prescription for Mrs Feroza Desai, aged 56 who has hypertension, rheumatoid arthritis and asthma. She also takes Rennies tablets daily. Her blood tests have shown the following: Hb 12.6 WBC 8,900 Sodium 134 mmol/l Potassium 3.2 mmol/l Urea 18.4 mmol/l Creatinine 210 umol/l
List 10 clinical and/or legal irregularities in the prescription. (5)
Jeff, a 22 year old male student presents to you in the clinic on a Thursday with a complaint of a thick yellowish discharge for the past 2 days. The previous weekend he spent with his new girlfriend. After examining him you confirm his symptoms. There are no other pathological findings.
The ECG on the next slide is taken in casualty from Mr. Johannes Botha, 63 year old man who complains of palpitations and breathlessness for 3 days. His blood pressure is 110/60. He has bibasal crackles on examination
Mr Jacobus Swanepoel is a 69 year old man who presents to you in OPD with this painless subcutaneous lump on his neck, which has been getting bigger for the past 2 years. The lump is soft and mobile on examination.
a) What is the most likely diagnosis in this man? (2)
b) If this lesion occurred in the colon, what complication may occur as a result? (1)
c) If this lump was compressible, but not reducible, what diagnosis would you consider? (1)
d) If this lump had a black spot on the surface, what diagnosis would you consider? (1)