A 28 yo drug user presents to the ED with collapse and anuria. His serum K+ = 7.5mmol/L. CXR =
early pulmonary edema. What is the next appropriate management?
a. Urgent hemodialysis
b. IV calcium gluconate
c. IV insulin + dextrose
d. Furosemide
e. IV NS 0.9%
A 65yo known case of liver ca and metastasis presents with gastric reflux and bloatedness. On bone exam there is osteoporosis. He also has basal consolidation in the left lung. What is thenext appropriate step?
a. PPI IV
b. Alendronate
c. IV antibiotics
d. Analgesic
e. PPI PO
A 22 yrs old woman is referred by her GP bcoz of hand tremor.examination reveals a fine postural tremor in both hands. Which of the following is inconsistent with the likely dx??
A.Exacerbation with alcohol.
B.family hx.
C.improvement with beta blocker.
D.mild intention tremors.
E.titubation.
A 52yo man with hx of ant MI 3 wks ago developed sudden onset of dyspnea. Exam: BP=100/60mmHg, pulse=100bpm, SaO2=88%, chest=bilateral crackles. Which inv would you do to find the underlying cause? a. CXR
b. Echo
c. D-dimer
d. Radionucleotide lung scan
e. Troponin
74yo lady called an ambulance for an acute chest pain. She has a hx of DM and HTN, and is a heavy smoker. Paramedics mentioned that she was overweight and recently immobile because of a hip pain. She collapsed and died in the ambulance. What is the most likely cause of death?
a. Pulmonary embolism
b. MI
c. Stroke
d. Cardiac arrhythmia
e. Cardiac failure
A 30yo lady complains of intermittent diarrhea, chronic abdominal and pelvic pain andtenesmus. Sometimes she notices blood in her stool. Select the most likely cause leading to her symptoms?
a. Inflammatory bowel disease
b. Diverticulosis
c. Irritable bowel disease
d. Adenomyosis
e. UTI
A 76 year old man underwent emergency repair of an abdominal aortic aneurysm five days ago.he has made a good recovery and is mobilizing well. He suddenly develops diarrhea which contains moderate amounts of fresh blood.what is the best investigation to carry out next??
A.abdominal aortic angiography.
B.B.enema.
C.determination of prothrombin time.
D.flexible sigmoidoscopy.
E.Gastroscopy.
A 23-year-old man presents to the emergency room complaining of massive watery diarrhea for 6 hours. He doesn’t have any vomiting or abdominal pain. Stool culture reveals a curved; gram negative rod which secretes an enterotoxin contains subunit A and a binding subunit B.
What is the most likely reason for this patient’s massive diarrhea?
A- Deficiency in the brush border enzymes
B- Decreased production of cAMP
C- Increased production of cAMP
D- Destruction of the absorptive epithelium
E- Increased motility of the small intestine
A 57-year-old man presents to his GP due to pain in his right knee. An x-ray shows osteoarthritis. He has no past medical history of note. What is the most suitable treatment option for the management of his pain?
Oral diclofenac with omeprazole
Oral glucosamine
Oral diclofenac
Oral ibuprofen
Oral paracetamol
A 24yo woman presents with tingling and twitching of her fingers followed by throbbing
unilateral headache. What is the most likely dx?
a. Tension headache
b. Migraine
c. Cluster headache
d. TIA
e. SAH
While working in a ER . You encounter a case presented with sudden facial swelling and stridor.There is no history of pruritus and urticaria. Which of the following steps of management would you avoid ?
A. Glucocorticoids
B. FFP
C. Ensure airway
D. Androgens
L=7.5
w=7.5
R=7.5
s=6.5
should i go for rechecking?please guide me regarding the rechechking procedure.
A 19y/o woman has had a productive cough and chest pain for the past 2 months. She has lost 10kg in this time. She is cachectic and has raised cervical and inguinal lymph nodes. After initial tests, she is diagnosed with an atypical pneumonia and a large pleural effusion. The admitting consultant has asked that the team make it a priority to establish her HIV status. Which would be the single most appropriate way to do this?
A As it is in her best interests, send her blood without informing her
B Contact a specialist and ask them to secure written consent
C Gain consent from one of her family members
D Have a pre-test discussion and secure informed verbal consent
E Organize pre-HIV counselling before seeking consent
A 31yo woman presents with 7-10days following childbirth, with loss of feeling for the child, loss of
appetite, sleep disturbance and intrusive and unpleasant thoughts of harming the baby. What
is the best tx for this pt?
a. Fluoxetine
b. Haloperidol
c. CBT
d. Reassurance
e. ECT
A 60 year old postmenopausal woman complains of recent onset of vaginal bleeding.she has a hx of DM for which she takes metformin 500 mg bd.she underwent the menopause 10 yrs previously and took continuous combined HRT for 2 yrs. Digital vaginal examination is normal. What is the single most appropriate investigative test for this women??
A.cervical smear.
B.endometrial aspiration.
C.plasma oestrogen.
D.serum FSh/ lH.
E.transviginal U/S.