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Phase 3 Medicine 2026

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A 16 year old skate-boarder is brought in by ambulance with a right ankle injury.  The foot is externally rotated at the ankle and is white and cold.  There are no other injuries.  After analgesia, which of the following is the next best course of action?
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An 18 year old man presents with a 4 hour history of acute right testicular pain.  He has a past history of sexually transmitted urethritis.  On examination, his temperature is 37.3°C and his right scrotum is tender and swollen.  What is the most appropriate next management step?
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A 72 year old man presents with a 3 day history of jaundice, dark urine, pale stools, fever and right upper quadrant pain.  Which of the following test results is most consistent with his presentation?
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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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