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What is the most appropriate diagnosis?
45 year’s female looking pale has bluish discoloration of hands whenever she goes out in the cold. She has reddish spots on her body. She has symmetrical peripheral arthroplasty for the last year. What is the most appropriate diagnosis?A . Limited systemic sclerosisB . OsteosarcomaC . ChondrosarcomsD . Diffuse systemic...
What is the most appropriate investigation?
A 32-year-old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar nasolabial fold can be seen. What is the most appropriate investigation? A. Anti-histone B. Anti-centromere C. Anti-ds DNA D. Anti Jo E. Anti Scl70View AnswerAnswer: C Explanation: Features are suggestive of SLE. So most...
What is the s appropriate injection?
A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds. What is the s appropriate injection?A . FlupenthixolB . RisperidoneC . HaloperidolD . FluphenazineView AnswerAnswer: B Explanation: Protocol...
What will you suggest regarding her next check-up?
19-year-old sexually active lady came for her annual check-up, she is otherwise healthy using no contraceptive, her pap smear and all investigations are normal. What will you suggest regarding her next check-up?A . After 6 monthsB . After 5 yearsC . After 1 yearD . After 3 yearsView AnswerAnswer: D...
What is the most appropriate management for this patient?
A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup. Exam: BP=145/85mmHg. What is the most appropriate management for this patient?A . Continue same doseB . Stop medsC . Repeat the blood testD . Increase the doseView AnswerAnswer: C Explanation: Bendroflumethiazide causes hyponatremia and hypokalemia. But the findings...
What is the most likely diagnosis?
A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid. What is the most likely diagnosis?A . Pancoast tumorB . Cervical ribC . Thoracic outlet syndromeD . PneumoniaView AnswerAnswer: D
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...
Which of the following is the most likely finding on EKG?
A 3-month-old female infant is brought in because her parents say she will not eat anymore. Upon physical examination, a loud pansystolic murmur is appreciated. The child also appears small for her age, but her records show no maternal or delivery complications. Which of the following is the most likely...
Best method to maintain air way in conscious multiple injury is _______________________.
Best method to maintain air way in conscious multiple injury is _______________________.A . IntubationB . Oropharyngeal deviceC . Nasopharyngeal deviceView AnswerAnswer: C
What is the next appropriate management?
A 62-year-old man diagnosed with T2DM with BMI=33. Lifestyle modifications have failed to control blood. Labs: urea=3.6mmol/l, creatinine=89mmol/l. What is the next appropriate management?A . Sulfonylurea receptor binderB . GlitazoneC . BiguanideD . SulfonylureaView AnswerAnswer: C Explanation: Explanation Patient is obese type 2 diabetic. So biguanide is the treatment of...
