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Let's Play Doctor...
"Let's Play Doctor is an introduction to basic medical diagnostics. Can you piece the clues together? For each scenario, choose the most likely cause from the selection."
15 Points Per Correct Answer - No time limit
A 19 year old man has a rapid onset of high fever, nausea and vomiting, neck stiffness and photophobia (dislike of bright lights). He begins to develop a non-blanching rash all over his body.
A 56 year old man has a sudden onset of crushing central chest pain radiating to both arms and his jaw. He is breathless at rest and unable to complete sentences. His pain is not relieved by GTN (Glyceryl Trinitrate) sublingual spray.
Myocardial infarction (Heart attack)
Severe asthma attack
A 78 year old lady awakes one morning to find the left side of her face is drooping. She is drooling, unable to close her mouth on that side. On examination she has paralysis of her left facial muscles, she is unable to raise her eyebrow, close her eye or blow out her cheek on the left. The right side is completely unaffected. She has recently lost her husband to prostate cancer.
Stroke (Cerebrovascular accident)
Bell's palsy (Cranial nerve VII lesion)
A 19 year old woman has a dull ache low in her abdomen. She feels unwell, has burning pain on urination and is urinating more frequently.
A 78 year old man presents with sudden onset of back pain and feeling full in his abdomen. Doctors notice his blood pressure is low.
Ruptured abdominal aortic aneurysm
Acute urinary retention
The family of a 22 year old man are concerned about his behaviour. He is withdrawn, and often "mutters to himself". Upon questioning he says that he hears voices telling him what to do. He also feels that others control him by putting thoughts into his head. He feels low in mood, but has no plans of suicide.
Bipolar disorder (Manic depression)
A 32 year old man is hit on the side of the head during a rugby match. He loses consciousness but awakens 3 minutes later. He can remember the accident and is lucid. Later that day he becomes drowsy and confused; and he is rushed to hospital.
A 15 year old boy complains of worsening diarrhoea and severe abdominal pain. He opens his bowels up to 6 times a day and has noticed occasional blood. He feels unwell and also has lower back pain.
Irritable bowel syndrome
An 88 year old man has gradually become very jaundiced. He has noticed his urine is very dark, and he has lost about 8kgs in weight over the last 6 months. He has no abdominal pain.
Cholelithiasis (Gall stones)
A 57 year old lady has noticed that her feet catch when she walks. She complains that her legs are weak. On examination she has fasciculations (individual muscle fibres twitching), reduced power and muscle wasting. Her reflexes are brisk and she has increased muscle tone.
Amyotrophic lateral sclerosis (Motor neurone disease)
Chronic inflammatory demyelinating polyneuropathy
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Compiled Jun 28 12