A renal cancer patient who was on morphine with good pain

  1. a renal cancer patient who was on morphine with good pain control started vomiting and was placed on metoclopramide after which he developed neck stiffness and rigidity. What is responsible for the symptoms?
  • a. side effect of metoclopramide
  • b. side effect of opioid
  • c. meningitis
  • d. cerebral metastasis

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  1. 30yr old having progressive painless peripheral visual loss of 6 months duration. Worse at night. Similar history in father. What to do next?
  • A. Routine ophthalmologist referral
  • B. Oral prednisolone
  • C. high oral steroid
  • D. steroid eye drop
  • E. refer to his optician

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  1. Patient with 6 months of productive cough, fever present, left sided chest pain, worse on breathing. Absent breath sounds on the left lower lobe, dull percussion notes on the left lower lobe. What will be seen on chest x-ray
  • A. Enlarged hilar nodes
  • B. Left lobe collapse
  • C. left lobe consolidation
  • D. pleural effusion

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