What is the single immediate management?
65years man had a bowel resection 5days ago. He is anuric and breathless. His BP=150/110mmHg.He has lung bases and sacral edema. Bloods: K+=6.8mmol/l, urea=58mmol/l, creatinine=600umol/l. What is the single immediate management?A . Bolus of 20U insulinB . 5% dextrose infusionC . Calcium resonium enemaD . 10U insulin, 50ml of 50%...
What is the next investigation?
17 year’s female with lump in the breast, freely mobile, not attached to the skin. What is the next investigation?A . UltrasoundB . MammogramC . FNAD . BiopsyView AnswerAnswer: B
What is the most likely investigation?
A 2-year-old baby with atrophy of the buttocks, distended abdomen with frequent offensive smelly stool. What is the most likely investigation?A . Upper GI endoscopyB . ColonoscopyC . Stool cultureD . Sweat testE . Endomysium/alpha gliadin antibodyView AnswerAnswer: E Explanation: Endomysium/alphagliadin antibody. Atrophy of buttock due to fat malabsorption and...
What is the treatment option?
lady presents with hot flashes and other symptoms of menopause. What is the treatment option?A . Topical estrogenB . Conbined Oral ContraceptiveC . BiosphosphonateD . RaloxifenE . Hormone Replacement TherapyView AnswerAnswer: E
A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:
A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:A . A retrograde urethrogram.B . A voiding cystourethrogram.C . An intravenous pyelogram.D . A cystogram obtained after filling, until a detrusor response occurs.View AnswerAnswer:...
Which of the following is not a degenerative corneal disease?
Which of the following is not a degenerative corneal disease?A . KeratokonusB . Marginal dystropathyC . Fatty/lipid degenerationD . Moorens’s ulcerE . Band keratopathyView AnswerAnswer: D Explanation: All other options are degenerative disease of cornea except Mooren’s ulcer which is ulcerative keratitis.
What is the most likely underlying cause?
A 64-year-old man complains of increasing dyspnea and cough for the past 18months. He coughs up a Table mucopurulent sputum with occasional specks of blood. What is the most likely underlying cause?A . Acute bronchitisB . BronchiectasisC . Chronic bronchitisD . Lung cancerE . PneumoniaView AnswerAnswer: C Explanation: Chronic bronchitis....
What is the most appropriate next investigation?
A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed rigid abdomen. What is the most appropriate next investigation?A . Coagulation profileB . Chest X rayC . Ultrasound abdomenD ....
She has been prescribed diazepam 2.5m delivery route?
72-year-old lady is drowsy and her relatives want to take her home. She has been prescribed diazepam 2.5m delivery route?A . Per rectalB . Intra MuscularC . SubcutaneousD . OralE . IntravenousView AnswerAnswer: A
A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following, except:
A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following, except:A . A polygenic syndromeB . Teratogenic syndromeC . A mendelian syndromeView AnswerAnswer: A Explanation: The features given can occur as a part...