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Phase 3 Medicine 2026

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A 75 year old man presents with a two day history of constipation, colicky suprapubic abdominal pain, and faeculent vomiting.  He has no other medical problems and has not previously undergone a laparotomy.  Examination reveals a distended abdomen and no tenderness.  Abdominal X-ray demonstrates dilated bowel loops in the peripheral part of the abdominal cavity.  Renal function is normal.  Which of the following is the most appropriate next investigation after stabilisation?
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A 57 year old man presents with progressively worsening low back pain over four weeks. He has not experienced back pain previously.  There is no history of trauma and no recent weight loss.  Physical examination is normal.  Lumbar spine Xrays are unremarkable. Full blood count is normal except for mildly increased white cell count. Serum CRP is 143 mg/L (<5).  Which of the following is the most likely diagnosis?
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Which of the following feature is not associated with heat stroke?
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What core temperature meets the definition of drug induced hyperthermia?
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Which one of the following arrhythmia is common in mild to moderate cases of hypothermia?
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Which one of the following is an appropriate method to use to prevent heat loss?
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It is raining and a patient is found injured at the site of a bush track. He wants to continue walking on his injured ankle and you note he is shivering. Which one of the following rewarming methods is not appropriate to use?
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In the Emergency Department, where is the core temperature taken in a hypothermic patient?
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The human body needs to be at which of the following core temperatures to meet the definition of hypothermia?
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A 26-year-old woman is brought in by her distraught husband.

She has been unwell for the last 3 days. She is intermittently confused and

over the last 24 hours, has refused to eat or drink and appeared to be

disengaged and cannot look after her 1- and 3-year-old children. She has no regular medications. The only sick contact is one of her children who had a diarrhoeal illness last week.

Her vital signs are HR 100/min, BP 100/80, RR 20/min, temp

39°C, BSL 4.0 mmol/L. She cannot follow your commands. She does not make eye

contact or respond to you. You find no meningism. You do not find any focus of infection on examination.

Question:

Which of the following is the most likely cause of her

delirium?

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