Kevin's McMaster Medicine Page

Hot off the Press! 1999 LMCC part II exam questions.

10 minute stations

1. Man in 20's fell off ladder 14 feet. Bruised over left anterior ribs. On table in c-collar. Asking for pain relief. Manage.

2. Woman in 60's discharged 4 days ago from hospital with PE. Was on 5 mg of coumadin OD, discharged with INR of 2.0. INR today 1.0. Counsel and manage.

3. 10 year old child with frequent URI’s, in today with one. Physical exam and address parent’s concerns.

-> mother concerned re: meningitis; can child go to birthday party

4. Female 63 years old 4 days post GI surgery with 15 minutes of SOB. Physical exam.

-> DVT/PE

5. 16 year old female in office because her mother is concerned about her vomiting. History.

-> Eating Disorder +/- depression

6. Immigrant woman who has 6 week old baby. Her friends have told her that he needs "shots". Her mother has told her that the shots harm the baby. Counsel.

7. Woman in ?50's c/o numerous aches and pains. History and management. Give diagnosis.

-> no idea ? somatoform/somatization/depression

5 minute stations (A patient encounter; B written station)

1. A. 26 year old male refused life insurance because of elevated LFT’s. Focussed history. AST 160 ALT 140 ALKPhos 120 TBili 20

B. Ddx, other tests would order.

2. Forty-two year old executive/lawyer? with heavy bleeding per vaginum. Focussed history.

B. Ddx, testing

3. Woman thirties with infertility, couple trying to get pregnant 18 months. Husband couldn’t be there because of sudden business trip.

B. Ddx, testing

4. Young male, thrown 20 feet from bike by car, in ER. Neuro exam.

B: interpret and comment on c-spine film

5. HIV patient with increasing exercise intolerance and dyspnea, now dyspneic at rest. Physical exam.

B: interpret CXRay, Ddx, Rx

6. Visit mother who has given birth 6 hours earlier to a full term baby weighing less than 5 lbs. Focussed history.

B. Ddx. ?, ?

7. Construction worker with shoulder pain. Physical exam R shoulder. B. interpret xray, Ddx,Rx