Semester 1 Summative

Ophthalmology:
1. Hypertensive retinopathy, soft exudates, flame haemorrhages: Grade 3.
2. Measurement of retinal layer thickness:ОСТ.
3. Ptosis that worsens throughout the day, eye movements reduced: Myasthenia Gravis.
4. Branched linear ulcer, stains with Rose Bengal, photophobia, watery eyes:Antivirals.
5. Eye pain, bulging eye, fever, diplopia on eye movement, eyelid oedema: Orbital cellulitis.

Dermatology:
1. Milky white patches: Vitiligo.
2. Tests before oral isotretinoin: Lipids and LFTs.
3. Erythematous, itchy face and legs, after stopping emollient, mother has asthma:Atopic dermatitis.
4. Dermatitis herpetiformis treatment:Dapsone.
5. Raised edge, erythematous, itchy lesions, thighs: Tinea cruris.

ENT:
1. OM complicated by nausea, vertigo, tinnitus: Labyrinthitis.
2. Bilateral septal haematoma treatment:Incision and drainage.
3. Diabetic, old, scanty purulent discharge, pain on tragus, no itching, fever, treatment: Hospitalisation
and blood sugar correction (MOE)
4. Regurgitation of undigested food, heartburn, barium swallow: Fusiform dilatation of lower
oesophagus (achalasia cardia).
5. Elderly man, unilateral reduced hearing, tympanometry shows B curve, next investigation:
Nasopharyngeal endoscopy.

Neurology:
1. Trigeminal neuralgia treatment:Carbamazepine.
2. Seizure with visual hallucinations:Occipital lobe.
3. Fasciculations, loss of motor function upper and lower, slightly raised CK, AHC affection: ALS.
4. MCA infarction, normal MRA, two days late, patient has AF, treatment: Aspirin alone.
5. Pain on touching, after resolution of rash on the back: Post-herpetic neuralgia.

Mental Health:
1. SSRI that can cause relapse of breast cancer: Paroxetine.
2. Never had a relationship but wants one:Avoidant.
3. Manic episode, agitated, IM drug she needs to do an ECG before taking:Haloperidol.
4. Child with depression most common comorbidity: Anxiety.
5. Digit span test: Working memory.

ОРЕС:
1. 27/30 on MMSE, 71-year-old male: Mild cognitive impairment.
2. Ovarian cancer tumour marker: CA125.
3. Hepatic single focus tumour, 5x6 cm, patent portal vein, good Child-Pugh score treatment: Hepatic
resection.
4. Most likely symptom to persist in elderly with severe dementia: Verbal aggression.
5. Cancer depression scale: Geriatric depression scale.
SC Summative
1. 7.2% HbA1C, failed lifestyle modification, first line treatment: Metformin.
2. CXR bilateral hilar lymphadenopathy, Hx of dry cough and erythema nodosum: Sarcoidosis.
3. Polycythaemia Vera initial treatment: Venesection.
4. SLE most sensitive marker: ANA.
5. Methotrexate supplement that helps with symptoms: Folic acid.
6. Slightly elevated T4, tender nodule, patient was sick before: Subacute viral thyroiditis.
7. Mid-diastolic rumble heard at apex + ECG: Left atrial enlargement.
8. Pericarditis following MI: Dressler syndrome.
9. Patient transfused with blood develops haemolysis within 15 minutes: Immediate haemolytic
reaction.
10. Needlestick injury, positive for hepatitis C 6 weeks later, treatment: Start antiviral therapy.
11. Acute liver failure, INR 5, Bilirubin 30 management: Liver transplant.
12. Shingles treatment: Acyclovir.
13. Non-seminomatous testicular cancer marker: B-hCG.
14. Which of these is the most common extraintestinal feature found in IBD: Erythema nodosum.
15. Which of the following medications caused a woman’s hip bony pain: Prednisone.
16. Test used for suspected IBD: Faecal calprotectin.
17. Pleural effusion, which of the following indicate it is exudative in nature: Fluid/serum LDH >0.6.
18. Coffee ground vomit, duodenoscopy shows ulcer in first part of duodenum with adherent clot,
Forrest classification: Forrest 2B.
19. Treatment for PE with hemodynamic instability: rTPA.
20. Cause of anaemia in thymoma: Aplasia.
21. Factor V Leiden causes thrombophilia due to: Activated protein C resistance.
22. Hypertrophic cardiomyopathy, which of the following should be used to treat first: Beta-blocker.
23. Hypercalcemia with osteitis fibrosa cystica: Primary hyperparathyroidism.
24. Membranoproliferative GN with HCV treatment: ACEi + Sofosbuvir.
25. Secondary hyperparathyroidism treatment: Calcimemtics.
26. LUQ free fluid after trauma, most likely originated from: Spleen.
27. Field triage scoring system: Revised trauma score.
28. Following trauma, patient has RR of 60, diminished air sound on the right, management: Pleural
decompression.
29. Open fracture, 5cm: Gustilo 2.
30. Lateral epicondylitis exacerbated by: Extension and supination.
31. Positive Finkelstein’s sign: De Quervain’s tenosynovitis.
32. Osteochondroma X-ray, treatment: Surgical excision.
33. Paravertebral pain, no trauma or precipitating factors, young man, works as an accountant:
Muscular back pain.
34. Septic arthritis treatment: Admission and IV antibiotics.
35. Young man was hit on the side of the head, was ok then deteriorated, unknown whether he lost
consciousness when he was hit, most likely pathology: Extradural hematoma.
36. Femoral gunshot wound with hematoma formation, weakened distal pulse management:
Decompression in theatre.
37. Knee dislocation, absent distal pulses, relocated, which investigation should follow: Limb arterial CT
angiography.
38. Investigation used to determine origin of varicosities: Duplex.
39. Initial investigation for bowel obstruction: Plain radiograph.
40. Atypical ductal hyperplasia with microcalcifications management: Wire guided mass excision.
41. Irregular unilateral parotid mass causing facial nerve symptoms: Malignant parotid tumour.
42. Parameter measured to identify whether someone on parenteral protein is benefitting from it:
Serum prealbumin level.
43. Renal cell carcinoma, unilateral, no nodal extension, treatment: Radical nephrectomy.
44. Intermittent RUQ pain following meals, lasts 1-2 hours, no jaundice: Symptomatic cholelithiasis.
45. Paraumbilical hernia, reducible, no pain: Elective surgical repair.
46. 3cm head of pancreas mass encasing SMA, with bilirubin of 8: Biliary stent and chemotherapy.
47. 39-year-old with ulcerative colitis with high grade dysplasia: Proctocolectomy with ileal pouch and
ileo-anal anastomosis.
48. Antibiogram shows 60% of gram-negative species are resistant, which antibiotic do you use:
Piperacillin-tazobactam.
49. 80 y/o with fever, tachycardia, tachypnoea, O2 is 80%, 110/62 BP: Severe sepsis.
50. 6hr post-thyroidectomy dyspnoea cause: Reactive haemorrhage.
51. Child poured bleach on their skin, initial management: Copious irrigation.
52. 1.5cm renal stone, renal colic: External lithotripsy.
53. Assessment of T stage of squamous cell carcinoma of the oesophagus: Endoscopic ultrasound.
54. 6 hours of acute lower limb ischaemia, fixed flexion deformity, absent popliteal, posterior tibial, and
dorsalis pedis pulses, management: Amputation.

Unknown:
1. Young woman, 2 fibroadenomas in the same breast 2cm each: Reassurance? Ultrasound?
2. 80 y/o? 162/120 BP treatment: Lifestyle modification + ACEi + CCB? Lifestyle modification + ACEi?
3. 2-year history of IBD, 6-month history of ankylosing spondylitis, first line treatment: Salazopyrine?
Prednisone?
4. Perianal fistula with internal? opening at 7 o’clock, where would the external? opening be: 6 o’clock
5. Investigation for avascular necrosis of the hip: MRI hip if definitive, X-ray if initial.
6. DKA patient given IV fluids and insulin, glucose still at 200, still acidotic, next step: IV fluids? NPH
insulin?
Final SBA 1
1. Dystonia and oculogyric crisis, most probably drug to cause this: Haloperidol.
2. Connection between attention and memory: Attention causes sensory information to become short-
term memory.
3. Acute seizure treatment: Lorazepam.
4. Vitiligo treatment: Calcineurin inhibitor.
5. Pityriasis versicolour treatment: Topical antifungal.
6. Guttate psoriasis infectious cause: Streptococcus pyogenes.
7. Vogt striae, post-slit lamp, next useful investigation: Corneal topography.
8. Post-TIA most important investigation: Doppler duplex.
9. Bleeding duodenal ulcer is seen on endoscopy, treatment: Injection therapy.
10. Varices prophylaxis: Carvedilol.
11. Treatment of acute HF, given furosemide, next treatment: Metoprolol.
12. Testicular torsion, next best step: Surgical exploration of scrotum.
13. Testicular tumour, high AFP: Teratoma.
14. Asthma shows what on spirometry: Low FEV1/FVC, positive bronchodilator.
15. Treatment of sigmoid volvulus: Sigmoidoscopy & flatus tube.
16. Treatment of uremic pericarditis: Dialysis.
17. McMurray test positive: Medial meniscus tear.
18. Displaced patella fracture treatment: Open reduction internal fixation.
19. Salivary gland tumour caused lung metastases: Adenoid cystic carcinoma.
20. Old homeless man, hot tender parotid, dental caries: Acute parotitis.
21. Ibuprofen causes peptic ulcer through what mechanism: Decreased prostaglandins.
22. Evisceration first line management: Cover in sterile saline gauze.
23. Hypocalcaemia ECG finding: Long QT interval.
24. Which of these drugs causes hyperkalaemia: Spironolactone.
25. AAA screening is done through: Ultrasound.
26. Positive faecal occult blood, next step: Upper and lower GI endoscopy.
27. Sarcoidosis biopsy: Non-caseating granuloma.
28. SNHL investigation: MRI with gadolinium.
29. Bradycardia and hypotension shock: Neurogenic shock.
30. Bowel obstruction first line investigation: X-ray.
31. Most common kidney stone type: Calcium oxalate.
32. Artery to be clamped in cholecystectomy: Cystic artery.
33. Bone cancer X-ray, which investigation confirms diagnosis: Bone biopsy.
34. Numbness and tingling in ring and little finger, medial side of forearm: C7-T1.
35. Colorectal cancer invading most of muscular layer, no nodal, no metastasis: Duke stage B.
36. BMI 38, stops breathing at night: Obstructive sleep apnoea.
37. X-ray hip lytic lesions, increased ALP: Paget disease of the bone.
38. Self-harm, feels good when harming then feels guilt, what part of the cycle is she on: Negative
effects.
39. Scoliosis, Cobb angle 42, treatment: Surgery and rebalancing.
40. Bilateral pain in front of ears when chewing hard candy: TMJ arthritis.
41. Intestinal obstruction, fever, young male, strictures, fistulae: Crohn’s disease.
42. Pelvic fracture, unstable patient, best investigation: CT angiography pelvic vessels.
43. Hard, nodular, enlarged liver: Hepatocellular carcinoma.
44. Most worrying feature in COPD exacerbation patient: Absent chest sounds.
45. Proptosis, black upper palate, pain on ocular movement: Cavernous sinus thrombosis.
46. Vasculitis, renal affection, lung affection: Wegner’s granulomatosis.
47. Teen, bruises, splenomegaly, blast cells, leucocytosis, CD7 and CD34: T-cell ALL.
48. Test for capability of falling as an elderly: Timed up and go test.
49. Lupus, ANA done, next test: Anti-dsDNA.
50. Pulmonary artery hypertension, positive vasoreactivity, treatment: CCB.
51. Focal swelling on dorsal aspect of wrist, non-tender, not attached to skin: Ganglion.
52. Traumatic eye picture: Lens subluxation.
53. Vortex keratopathy side effect of which drug: Amiodarone.
54. Triple negative breast cancer treatment: Neoadjuvant chemotherapy.
55. Post thyroid surgery, hypocalcaemia treatment: IV calcium gluconate.
56. Nephrogenic diabetes insipidus due to lithium, treatment: Amiloride.
57. Anti-VEGF side effect: Epistaxis.
58. Active tetanus in child treatment: Clean wound and passive immunisation.
59. Gastric ulcer treated, 48 hours later there is melena, next best step: Repeat FBC.
60. Haemothorax post-stab, GCS 4/15, died in ten minutes, what is the cause: Airway compromise.
61. Haemolytic jaundice, which of these would be concurrent on a lab test: Increased urobilinogen.
62. Pyloric antrum tumour treatment, no nodes, no metastases: Subtotal gastrectomy.
63. Recurrent acute pancreatitis patient, alcoholic, 4cm pseudocyst, management: Observation and
serial CT.

Unsure:
1. Sign most indicative of non-accidental injury: Spiral fracture.
2. CKD patient, generalised itching, itchy nodules on extensor surface of legs: Prurigo nodularis.
3. 15-year-old girl, oedema unilateral leg, scan shows lymphatic abnormality: Lymphedema praecox.
4. Increased LDL, increased triglycerides, type of familial dyslipidaemia: Hypercholesterolemia, mixed
lipid.
5. Areas of tight skin on trunk and arms, no Raynaud’s, no organ involvement: Limited systemic sclerosis,
morphoea.
6. Tibial thrombus, pulses not felt, cold limb, not paralysed, femoral constrictions, management:
Intraarterial thrombolysis, percutaneous embolectomy.
7. Stab in hepatic flexure of colon, minimal contamination, treatment: Debridement and primary
anastomosis.
Final SBA 2
1. SSRI for children: Fluoxetine.
2. Child scared about his family and about his grades but he does well: GAD.
3. Shooting pain down neck when flexed: Demyelinating disease of cervical spine.
4. MRI of right brain with left paresis, bright frontal area: Right ACA.
5. DVT prophylaxis in old woman post-hip replacement: LMWH.
6. Infant with umbilical hernia, worried mother: Reassure, recedes within 2 years.
7. Posterior duodenal ulcer usually affects: Gastroduodenal artery.
8. Testicular cancer tumour marker: B-HCG.
9. Pancreatic cancer tumour marker: Ca19-9.
10. Elevated PT, which factor deficiency: Factor 7.
11. Prolactinoma, which visual field defect: Bitemporal hemianopia.
12. Cholesteatoma treatment: Radical mastoidectomy.
13. Hospice care patient, how to improve QoL: Add opioid.
14. Receptor for pain: Nociceptors.
15. First line ankylosing spondylitis treatment: Diclofenac.
16. Pain on standing for long time, no arch but arch present when on tip toes: Flexible flat foot.
17. Hepatic encephalopathy due to: Increased ammonia levels.
18. Gallbladder stones, CBD 4.5mm, fever, RUQ pain, treatment: Laparoscopic cholecystectomy.
19. COPD exacerbation patient, next best investigation: ABG.
20. COPD patient in respiratory acidosis and type 2 respiratory failure, oxygenation: BIPAP.
21. Brudzinski positive, neck rigidity, CT brain normal, LP shows lymphocytes: Viral meningitis.
22. Violaceous lesions on face and dorsal aspect of hand: Actinic lichen.
23. Urinary retention, BPH, treatment: Urinary catheter.
24. Spinal shock: Absent bulbocavernosus reflex.
25. Cyst anterior of sternocleidomastoid muscle: Branchial cyst.
26. Dry cough, bad breath: GERD.
27. First line investigation acute cholecystitis: Ultrasound.
28. Acanthosis nigricans, hirsutism, acne, menstrual irregularities: Polycystic ovary.
29. Systolic murmur, radiates to carotids, LVH: Aortic stenosis.
30. Mitral regurgitation, fever, investigation: Blood culture.
31. Extradural hematoma cause: Middle meningeal artery.
32. Carpal tunnel investigation: EMG (Dr Maghraby).
33. Aortic dissection investigation: CT aortogram.
34. TB drug resistance investigation: PCR.
35. Hypertension, flash pulmonary oedema, abdominal bruit, cause: Renovascular.
36. Ankle, Anterior drawer positive, Varus test positive, anterior talofibular ligament pain: Lateral ankle
instability.
37. Diabetic, flame haemorrhages, hard exudates, cataract, next investigation: OCT macula.
38. Hypertension, hypokalaemia, family history of abdominal tumour, investigation: Renin aldosterone
levels.
39. Neutropenic fever, multiple antibiotics failed, D-glucan positive: Amphotericin.
40. Sleep attacks, loss of tone when laughing (cataplexy), hallucinations: Narcolepsy.
41. Medial malleolus shallow ulcer, history of pelvic fracture and immobility: Postphlebitic.
42. Projectile vomiting nonbilious, epigastric mass, infant: Pyloric stenosis.
43. Treatment for kidney Goodpasture’s disease: Immunosuppressives and plasma exchange.
44. 5cm phyllodes tumour treatment: WLE with 1cm safety margin.
45. Pregnant rheumatoid arthritis patient, given hydroxychloroquine, in acute attack, what to add:
Prednisone.
46. Anterior triangle of neck mass, dysphagia, gurgling sound: Pharyngeal pouch.
47. CKD acid-base imbalance: Non-anion gap metabolic acidosis.
48. Constipation: Hypercalcemia.
49. Colicky abdominal pain, diarrhoea, history of CAD: Ischaemic colitis.
50. Stage 3 Hodgkin lymphoma, mediastinal & mesenteric nodes, spleen affection, treatment: ABVD for
6-8 courses.
51. Lower oesophagus polypoid mass management: Submucosal endoscopic resection.
52. Short bowel syndrome, management: Parenteral feeding.
53. Furosemide acts where in the nephron: Thick ascending loop of Henle.
54. Bladder cancer, dye worker, cause: Naphthylamine.
55. Back pain, 2 weeks, gymnast: Oblique x-ray (Dr Maghraby).
56. Child, pain in foot, X-ray: Kohler’s disease.
57. Man, alopecia, treatment: Minoxidil 5% topical.
58. Blunt trauma to chest, chest X-ray shows wide mediastinum, next investigation: CT angiography.
59. Diabetic patient on metformin and DPP4, uncontrolled, lives alone and scared of hypoglycaemia,
which drug to add: SGLT2 inhibitor.
60. IBS with diarrhoea treatment: Rifaximin.
61. Adult nasolacrimal duct obstruction: Dacryocystorhinostomy.
62. Appendicular mass not responding to antibiotics, pain persistent for 14 days: Percutaneous drainage.
63. 40-year-old man, screening colonoscopy, family member with CRC, following screening: Colonoscopy
every 5 years.
64. Perforated peptic ulcer investigation: X-ray.
65. Factor affecting prognosis of oesophageal perforation patient: Time of surgery.
66. 70-year-old man Parkinson’s treatment: Levodopa, Levodopa/Carbidopa.
67. Rhinoscleroma has which cells other than Mikulicz: Russell bodies, plasma cells.
68. Patient had anterior uveitis, aphthous and genital ulcers (Behcets), which of the following is the most
probable ocular sign: Hyphema, Sheathing of vessels, Normal vitreous.
69. Pneumoperitoneum causing decreased heart rate, how to stop: Stop insufflation, decrease
insufflation.
70. Post femoral embolectomy, tender swollen calf, painful, pulses palpated, treatment: Fasciotomy
(Unsure).
Final SBA 3
1. GERD not responding to medical treatment, normal endoscopy, next management: pH monitoring.
2. Achalasia most sensitive investigation: Barium swallow, oesophageal manometry. (Unsure)
3. 4cm lower lobe kidney RCC management: Partial nephrectomy.
4. Sexual assault PTSD management: Eye desensitisation and reprocessing.
5. Diabetic controlled on metformin and DPP4, sent for laparoscopy, diabetes medication modification:
Switch to insulin.
6. Diabetic with GI upset (constipation): Decrease metformin.
7. Obese woman, papilledema, normal brain CT, most important investigation: Lumbar puncture.
8. Vesicular lesions on face going to tip of nose, dendritic corneal ulcer: Herpes zoster ophthalmicus.
9. Pneumothorax treatment: Needle decompression.
10. Cardiac tamponade treatment: Pericardiocentesis.
11. Haemothorax treatment: Chest tube.
12. BMI 20 but wants to do bariatric surgery even though she doesn’t need it: Body dysmorphic
disorder.
13. Bipolar disorder, rhymes her words (sleep, sheep, sweep): Clang association.
14. Young girl, pain on internal rotation, X-ray: AVN femoral head.
15. Parkland formula, 14% BSA, 70kg: 1-2L of Ringer in 8h.
16. UTI most likely pathogen: E. coli.
17. Interstitial nephritis, labs: High eosinophils.
18. Acute management of gout: Colchicine.
19. Tender liver, ascites, hepatic vein thrombosis: Budd Chiari.
20. Gastric perforation/rupture, barium meal picture, treatment: Laparotomy (Dr Hesham Amer).
21. Renal transplant patient gets acute bout of bloody diarrhoea: Infective colitis.
22. Blunt trauma caused laceration to pancreatic neck and duct, treatment: Laparotomy.
23. Hard nodules in rheumatology patient: Subcutaneous calcifications.
24. Necrotizing fasciitis in scrotum: Fournier’s gangrene.
25. Perianal itching and dripping red blood in toilet pan, no pain: Haemorrhoids.
26. Irreducible indirect inguinal hernia in the scrotum treatment: Urgent repair.
27. Fresh frozen plasma preparation: Thaw 20-30 minutes in advance.
28. 30-year-old female, bilateral conductive hearing loss, sharp drop at 2KHz: Otosclerosis.
29. Person was transferred to different job with a hard time adjusting, therapy involving role play:
Interpersonal therapy.
30. Acquired melanocytic nevus dermoscope: Reticular network.
31. Area of skin tightening, venous problem: Lipodermatosclerosis.
32. Pulmonary embolism, right ventricle dysfunction, treatment: Enoxaparin.
33. External rotation of shoulder problem, greater trochanter pain: Infraspinatus.
34. Transverse sinus thrombosis, small amount of haemorrhage, treatment: LMWH. (Unsure)
35. Most important factor in patient with acute MI: LVEF of 40%. (Unsure)
36. Auscultation, anterior STEMI: S3 gallop. (Unsure)
37. 35-year-old female, mother died of cancer, BRCA1 positive, management: Annual mammography
screening.
38. S-shaped nasal septum treatment: Septoplasty.
39. Young boy poured alkali over his thighs, treatment: Lavage with large amounts of water.
40. Fever, jaundice, RUQ pain: Acute cholangitis.
41. First metacarpophalangeal arthritis treatment: Resection arthroplasty.
42. Pulmonary congestion, lower limb oedema, potassium 6, creatinine 7, treatment: Continuous renal
replacement therapy, IV calcium gluconate, insulin and glucose. (Unsure)
43. Father stopped child from falling by pulling on their arm: Nursemaids elbow.
44. Small cell lung cancer associated with: Increased ADH.
45. Bacterial conjunctivitis with papilla treatment: Chloramphenicol topical.
46. INR 14, on warfarin, two elbow hematomas: Vitamin K.
47. Patient with muscle weakness, relative died young of heart and respiratory failure: Dystrophin gene.
48. Patient on oxycodone and paracetamol, changes pain management to: Hydromorphone.
49. Hypothyroidism, anti-TPO antibodies, associated with: Pernicious anaemia.
50. Patient on dialysis, PTH 1000, hypercalcemia, hypophosphatemia: Tertiary hyperparathyroidism.
51. Female on OCPs for 3 years, before prescribing isotretinoin: Pregnancy test.
52. ECG, regular bradycardia, P and QRS dissociation: 3rd degree heart block.
53. 3cm skin-coloured papule, telangiectasia, face: Basal cell carcinoma.
54. Carotid body tumour investigation: Carotid angiography.
55. Patient lying with arms supine on surgical bed with no gel pads, which nerve injured: Ulnar nerve.
56. Hypertrophic cardiomyopathy treatment: Propranolol.
57. Diverticulitis investigation: CT with oral and IV contrast.
58. Complicated (strictures and fistulae) Crohns treatment: Infliximab.
59. Recurrent stye treatment: Excisional biopsy.
60. Bilateral plantar fasciitis treatment: Shockwave lithotripsy (Dr Maghraby).
61. Meniere disease, resistant to medical treatment, dizziness affecting his life: Injectable gentamycin.
62. COPD with vomiting, acid-base imbalance: Respiratory acidosis, mixed acidosis. (Unsure)
63. Hallucinating elderly patient treatment: Lorazepam, Risperidone. (Unsure)
64. Neutropenic fever, hypotensive: G-CSF and oral antibiotics, IV fluids and steroids. (Unsure)
65. Acute liver failure, worst prognosis: Hypoglycaemia. (Dr Negm)
66. 1cm thyroid nodule, euthyroid patient, investigation: FNA, follow up in 1 year. (Unsure)
67. Wet gangrene in big toe, with cellulitis, initial management: IV antibiotics, big toe amputation.
(Unsure)
68. Breast feeding woman, cracked nipples, tense enlarging swelling, erythema around the nipples, no
fever, no pain, stable: Galactocele, breast abscess. (Unsure)
69. Smoker 35 cigarettes per day, black ulcers, tips of 4th and 5th finger, palpable pulses: Buerger’s
disease, Raynaud’s disease. (Unsure)
70. Knee replacement, infection, sinus formation: Acute hematogenous OM, subacute hematogenous
OM, periprosthetic infection, septic arthritis. (Unsure)