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Question 1: Achalasia Stem: A 45-year-old woman presents with a 5-year history of dysphagia to both solids and liquids, associated with regurgitation of undigested food. A barium swallow examination is…

Question 1: Rheumatoid Arthritis Stem: A 55-year-old woman presents with symmetrical, bilateral pain and swelling in her hands, worst in the morning. A radiograph of her hands reveals periarticular osteopenia,…

Question 1: Slipped Upper Femoral Epiphysis (SUFE) Stem: A 13-year-old overweight boy presents with a 3-week history of a painful limp and referred pain to his left knee. An AP…

Question 1: Cervical Spine Trauma (Jefferson Fracture) Stem: A 30-year-old man is brought to the emergency department after diving into a shallow pool and hitting his head. A CT scan…

Question 1: Scaphoid Fracture Stem: A 22-year-old man presents to the emergency department with wrist pain after a fall on his outstretched hand (FOOSH). He has focal tenderness in the…

Question 1: Aortic Dissection (Stanford A) Stem: A 60-year-old man presents to the emergency department with severe, "tearing" chest pain radiating to his back. A CT angiogram demonstrates a dissection…

Question 1: Pericardial Constriction Stem: A 62-year-old man with a remote history of tuberculosis presents with ascites, elevated jugular venous pressure (JVP) with Kussmaul's sign, and peripheral oedema. A CT…

Question 1: Anterior Mediastinum Stem: A 52-year-old woman is newly diagnosed with myasthenia gravis. A contrast-enhanced CT of the chest is performed for staging. It reveals a 3 cm, well-defined,…