Free notes, MCQs, tables & flowcharts for UKMLA AKT Medicine (Core Systems)
A 42-year-old woman presents with fatigue, muscle aches, and widespread pain. She has multiple tender points but normal inflammatory markers. Sleep is poor. What is the most appropriate initial treatment?
ANSAIDs
BPrednisolone
CPregabalin
DMethotrexate
EPhysiotherapy alone
A 52-year-old man presents with progressive dysphagia and weight loss. He has tight skin on his hands and Raynaud's phenomenon. What is the most likely esophageal abnormality?
AEsophageal carcinoma
BAchalasia
CEsophageal dysmotility
DPeptic stricture
EEosinophilic esophagitis
A 48-year-old man presents with progressive muscle weakness affecting proximal muscles. CK is elevated at 3200 U/L. Muscle biopsy shows inflammatory infiltrates. What is the cancer screening recommendation?
ANo screening needed
BChest X-ray only
CCT chest/abdomen/pelvis
DColonoscopy only
EPSA testing only
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