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MED2100 & MED2200 - Foundations of medical practice & principles of medicine 2 - Clayton - FY 2025

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In the following image, label A-D.

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You are a medical student in a GP practice. With the consent of a patient identifying as male, you are performing a physical examination with a nurse present. You can feel some small, hard and swollen node-type structures just inferior to the mid-point of the inguinal ligament. Considering the lymphatic drainage in that area, pathology in which of the following would most likely be contributing to the enlarged nodes in this area?

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The tunica vaginalis layer has a variable attachment to the testis, which gives rise to a change in the risk of testicular torsion. This variability has been illustrated as follows:

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Which of the configurations of the tunica vaginalis is MOST LIKELY to result in testicular torsion (think about why while reviewing this question)?

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A 15-year-old boy (assigned at birth) presents to the Emergency Department with nausea, vomiting, and severe unilateral testicular pain. On examination, the affected testis seems to lie transversely. A diagnosis of testicular torsion is made, and the patient is rushed off to the surgical theatre for treatment. The anatomical structure that is primarily twisted in testicular torsion is:

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A patient presents with recurrent pancreatitis and on ultrasound is found to have thrombosis of a large intra-abdominal vein, which is running posterior to the body and tail of the pancreas. Which vein is MOST LIKELY to have been affected?

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He then tries to identify the left kidney. Which of the following would refer to the left kidney?

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While viewing the scan the ED resident decides to practice their anatomy. Noticing the structure A, they recall that it’s primary function is:

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The ureters can best be described as entering the wall of the bladder:

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A 23 year-old self- identified male presents to the ED with right sided loin-to-groin pain. The ED resident decides to order a CT KUB (Kidneys, Ureters and Bladder) to investigate for a renal stone. The following image is obtained. The stone is found in the red circle. Where has the stone most likely lodged?

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Which dermatome transmits pain from skin over the inguinal ligament?

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