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What is the most appropriate test for him?
33-year-old female complains of diplopia on upright gaze. Exam: ptosis can be seen. There are no other co significant Past medical history. What is the most appropriate test for him?A . OphthalmoscopyB . Checking red reflexC . Thyroid function testD . Visual field testView AnswerAnswer: B Explanation: This is a...
What is possible treatment?
A terminally ill with metastatic carcinoma presents with dysphagia and difficulty in swallowing. What is possible treatment?A . AnalgesicB . CotrimazoleC . PO fluconazoleD . Nystatin suspensionE . Amphotericin B IVView AnswerAnswer: C Explanation: PO fluconazole. Treatment of carcinoma can predispose to development of esophageal candidiasis as follows: Oral fluconazole...
What is the most probable diagnosis?
A 30-year-old female has chronic diarrhea, mouth ulcers and skin tags. She complains of visual problems, low morning stiffness. Inv: ESR & CRP=raised, Hgb=10mg/dl. What is the most probable diagnosis?A . SLEB . Seronegative arthritisC . GoutD . Reactive ArthritisView AnswerAnswer: B Explanation: Chronic diarrhea, mouth ulcers and skin tags...
What should be prescribed?
A 38-year-old man presents with acute infection of skin in the leg. Diagnosis of cellulitis has been made. What should be prescribed?A . Ceftriaxone + FlucloxacillinB . Vancomycin + MetronidazoleC . Metronidazole + ErythromycinD . Ceftriaxone + TerbinafineE . Penicillin + FlucloxacillinView AnswerAnswer: E Explanation: Penicillin + Flucloxacillin. Cellulitis is...
What is the diagnosis?
A 25-year-old girl saw a tragic RTA in which a young boy was killed. The night of the event she couldn’t sleep after she suddenly lost her vision. She was previously fine and there was no history of medical or psychologic What is the diagnosis?A . DissociationB . Generalize Anxiety...
He is in the risk of which condition?
An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites. He is in the risk of which condition?A . Werniecke’s encephalopathyB . HepatomaC . Renal failureD . cerebellar degenerationE . Hepatic vein...
Which of the following is the best therapy?
A 78-year-old woman is admitted to the intensive care unit for acute pulmonary edema. She has rales to the apices and Jugular vein distention. Her EKG shows ventricular tachycardia. Which of the following is the best therapy?A . Synchronized cardioversionB . AmiodaroneC . LidocaineD . Unsynchronized cardioversionE . ProcainamideView AnswerAnswer:...
Which type of contraceptive is contraindicative in lactation?
Which type of contraceptive is contraindicative in lactation?A . UIDB . Depo-ProveraC . Mini pillsD . OCPsE . CondomView AnswerAnswer: D Explanation: Based on the available evidence, expert opinion in the United States holds that the risks of combination contraceptive products usually outweigh the benefits before 4 weeks postpartum. Between...
The patient passed a 4 mm stone in his urine. Does he have a 3mm stone in the renal pelvis found on an ultrasound?
The patient passed a 4 mm stone in his urine. Does he have a 3mm stone in the renal pelvis found on an ultrasound?A . ESWLB . NoneC . SurgeryD . Dormia basketE . PCNLView AnswerAnswer: B Explanation: Stones less than 5 mm in diameter pass spontaneously in up to...
What is the appropriate investigations?
A 27-year-old lady after C-section developed epigastric pain after 8h. What is the appropriate investigations?A . Liver enzymeB . Liver biopsyC . ABGD . CoagulationView AnswerAnswer: A Explanation: Epigastric pain is a warning sign of HELLP syndrome. So to rule out HELLP syndrome should be done.
