Anna Kowalewski - Get Ahead! Basic Sciences: 100 EMQs

Anna Kowalewski

Foundation Doctor, London

Priya Jeevananthan

Obstetric and Gynaecology Registrar

Queen Charlottes and Chelsea Hospital, London

Series Editor

Saran Shantikumar

Academic Clinical Fellow in Public Health

University of Warwick

Coventry, UK

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Welcome to Get Ahead! Basic Sciences: 100 EMQs.

Here is a collection of EMQs to get you started on your road to medical school success! With any exam the key is practice, practice, practice. We cannot emphasise enough how important it is to answer as many questions as you can before your exams. This book, along with its companion volume Get Ahead! Basic Sciences: 500 SBAs, is a great way to test your knowledge, whether you are at the start, middle or scarily close to your exams.

The knowledge required to pass your exams is seemingly infinite. As soon as you learn one aspect, a thousand more immediately seem more important. To be a good doctor you have to be a lifelong learner. However, just knowing stuff is not enough. You need to know how to play the game. One way to get yourself ahead is to read as many questions as possible. The more you read, the more you realise the same questions are being asked again and again albeit in slightly different ways. Undergraduate exams are not here to catch you out.

To help your studying, the questions have been organised in two ways. The first three papers have certain topics grouped together to focus your attention on a specific area, for example, the cell or cardiology. In contrast, the last two papers are in an exam style, perfect for using as practice closer to exam time. We would suggest setting a time limit of 40 minutes for each paper, leaving you 2 minutes for each question.

In summary, practice, practice, and practice some more. Good luck.

Anna Kowalewski

Priya Jeevananthan

Anna Kowalewski

Priya Jeevananthan

Neel Sharma

Avishek Das

Pavithra Logitharajah

Chinedu Maduakor

Vikram Malhotra

Ian Mann

John Nehme

Naomi Periselmeris

Donna Pilkington

James Richardson

Ravnita Sharma

Naren Srinivasan

Stephanie Stone

Helen Butler

Saran Shantikumar

1. Aortic regurgitation

2. Aortic stenosis

3. Mitral regurgitation

4. Mitral stenosis

5. Pulmonary regurgitation

6. Pulmonary stenosis

7. Tricuspid regurgitation

8. Tricuspid stenosis

For each of the following scenarios, select the most appropriate condition. Each option may be used once, more than once or not at all.

1. A 58-year-old male patient presents with a history of exertional chest pain and dizziness. He notices he becomes short of breath on climbing stairs.

2. A 70-year-old female patient has a bobbing uvula and an early diastolic murmur best heard at the left sternal edge, 4th intercostal space on examination.

3. A 44-year-old female patient presents to her GP with palpitations and is found to be in atrial fibrillation. Further questioning reveals a history of a jerking movement disorder as a child. She is found to have a murmur and facial flushing on examination.

4. A 76-year-old male patient has a loud pansystolic murmur and lateral displacement of his apex beat. The murmur is heard best with the breath held in full expiration.

5. A 24-year-old male patient of no fixed abode presents to accident and emergency with a high temperature and looks unwell. He has a pansystolic murmur heard best on inspiration. Multiple scars are observed over his arms, and it is especially difficult to find a vein to cannulate.

1. Angiotensin-converting enzyme inhibitors

2. Beta-blockers

3. Calcium channel blockers

4. Loop diuretics

5. Methyldopa

6. Minoxidil

7. Potassium sparing diuretics

8. Thiazide diuretics

For each of the following scenarios, select the most appropriate medication. Each option may be used once, more than once or not at all.

1. A male patient has started on a drug by his GP and now reports problems sustaining erections.

2. A female patient has developed a swollen, tender first metatarsophalangeal joint in her left foot since starting this new medication.

3. A male patient has started on a new medication as an inpatient for severe hypertension by a specialist. He notices that his male-pattern balding seems to be improving with the growth of new hair.

4. A female patient has developed a dry irritating cough after starting a new medication.

5. A male patient has developed constipation and ankle swelling after starting this drug.