A 25 year old woman presents with a change to her periods. She is experiencing heavy, painful bleeding for the first time. Which of the following is the least appropriate investigation?

A) Urine beta-HCG
B) FBC
C) Serum free testosterone
D) TSH
E) LH/FSH ratio

Which of the following is not an absolute contraindication for the combined oral contraceptive pill?

A) Migraine
B) Diabetes
C) Hypertension
D) Knee replacement surgery
E) Breast feeding 4 weeks post-partum

A woman is unsure of the name of the contraception she is using, she describes it as "I take a tablet every day of the month without breaks, I know it is important I take it at the same time every day."

Which of the following is she most likely to be using?

A) Mirena
B) Cerazette
C) Nexplanon
D) Yasmin
E) Microgynon 30

You are a medical student on attachment in ICU. The arterial blood gas (ABG) machine in A&E is currently broken so staff are coming up from A&E to use your machine. You read one set of results as follows:

pH: 7.2
pCO2: 5kPa
pO2: 12 kPa
HCO3-: 18

Which of the following clinical scenarios best fits the ABG results presented above?

A) Aspirin overdose.
B) Opiate overdose.
C) COPD.
D) Panic attack.
E) Pneumonia.

A 24 year old woman presents to her GP with a 3 month history of bloating, abdominal discomfort and diarrhoea. Along with an examination the GP decides that a diagnosis of coeliac disease is most likely, which of the following is most associated with coeliac disease?

A) AFP
B) Anti-mitochondrial antibodies
C) Anti-GBM antibodies
D) c-ANCA
E) IgA Endomysial antibodies

A new drug is undergoing testing, at 10am 100mg is given to a patient. At 10pm a blood sample is taken from the patient and the patient is found to have 12.5mg of the drug circulating.

Which of the following best describes the half-life of this drug?

A) 2 hours
B) 4 hours
C) 6 hours
D) 8 hours
E) 10 hours

A patient presents to A&E with acute onset chest pain radiating into the neck and left arm. The patient is short of breath and sweating and reports some nausea. An ECG is preformed showing ST elevation in leads II, III and AVF. Where is the infarction most likely to be situated and which cardiac territory is affected?

A) Right coronary artery affecting the inferior territory of the heart.
B) Left anterior descending artery affecting the anterior territory of the heart.
C) Left circumflex artery affecting the lateral territory of the heart.
D) Left circumflex artery affecting the septum of the heart.
E) Left anterior descending artery affecting the inferior territory of the heart.

P.S. Sorry about not actually having an ECG for this question. If anyone knows of a site with ECG pictures licensed under the creative commons act, let me know.