ESA Style Question

1. ESA Style Question

2. Mr Smith, a 23 year old male presents to his GP with a persistent cough for 2 weeks. He is normally healthy and works as a builder. A chest infection is diagnosed and antibiotics are prescribed. Three days later, the cough is still unimproved and Mr Smith notices a lump in his left groin. He visits his GP again worried about the groin lump List three differential diagnosis for this presentation Max. Mark 3

3. Mr Smith, a 23 year old male presents to his GP with a persistent cough for 2 weeks. He is normally healthy and works as a builder. A chest infection is diagnosed and antibiotics are prescribed. Three days later, the cough is still unimproved and Mr Smith notices a lump in his left groin. He visits his GP again worried about the groin lump List three differential diagnosis for this presentation • Indirect hernia • Direct hernia • Hydrocoele • Varicocele • Testicular cancer • Testicular torsion Max. Mark 3

4. A diagnosis of an indirect hernia is made. Mr Smith is scheduled for surgery to avoid strangulation. List the borders of the inguinal canal Max. Mark 4

5. A diagnosis of an indirect hernia is made. Mr Smith is scheduled for surgery to avoid strangulation. List the borders of the inguinal canal • Roof – transversus abdominis muscle, arching fibers of the internal oblique muscle • Anterior – aponeurosis of the external oblique, fibers of the internal oblique muscle • Floor – inguinal ligament • Posterior – conjoint tendon, tranversalis fascia Max. Mark 4

6. Unfortunately Mr Boyle dies during the surgery due to excessive blood loss. A postmortem confirms the presence of undiagnosed haemophilia A. A death certificate is completed. Fill in the three sections of the death certificate related to Mr Smith’s death • Disease or condition directly leading to death (b) Other disease or condition, if any, leading to (a) (c) Other disease or condition, if any, leading to (b) Max. Mark 3

7. Unfortunately Mr Boyle dies during the surgery due to excessive blood loss. A postmortem confirms the presence of undiagnosed haemophilia A. A death certificate is completed. Fill in the three section of the death certificate related to Mr Smith’s death • Disease or condition directly leading to death – intra-abdominal haemorrhage (b) Other disease or condition, if any, leading to (a) – haemophilia A (c) Other disease or condition, if any, leading to (b) – surgery for indirect hernia Max. Mark 3

8. Haemophilia A is a genetic condition. From the pedigree chart state the pattern of inheritance for this condition Max. Mark 2

9. Haemophilia A is a genetic condition. From the pedigree chart state the pattern of inheritance for this condition X- linked Max. Mark 2

10. Two weeks following Mr Smith’s death, his mother receives a census form to fill out. Using the CARTA model, outline the advantages and disadvantages of the census Max. Mark 5

11. Two weeks following Mr Smith’s death, his mother receives a census form to fill out. Using the CARTA model, outline the advantages and disadvantages of the census Max. Mark 5

12. Mrs Smith finds herself having a persistent low mood and she has no desire to carry out daily tasks following her sons death. She visits her GP who suggests some antidepressant medication. Mrs Smith does not like taking medication. List three reasons why doctors should take account of patents perspectives. Max. Mark 3

13. Mrs Smith finds herself having a persistent low mood and she has no desire to carry out daily tasks following her sons death. She visits her GP who suggests some antidepressant medication. Mrs Smith does not like taking medication. List three reasons why doctors should take account of patents perspectives. • Can help doctors to make accurate diagnoses • Can lead to better medical outcomes for patients • Can lead to greater patient satisfaction with consultation Max. Mark 3