- 14-year-old boy with short stature. father says he was also shortest in his class till he was 15years. Growth is at the 9th centile, growth velocity is 6cm/yr. other examination findings are normal. What is the most appropriate approach to evaluate short stature?
- A) Endomysial antibodies status
- B) MRI
- C) review in 6 months
- D) TFT
- E) wrist X-ray for bone age
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- 79-year-old woman presents with increased thirst, polyuria, constipation of two weeks. There is increasing confusion over the last 3 days. She had left mastectomy for breast Ca. She is taking fluoxetine. Temp is 36.9, PR 100, BP?? reduced skin turgor. No papilledema or focal neurological signs. Urinalysis showed trace ketones. What is the most likely cause?
- A) Cerebral metastasis
- B) DKA
- C) hypercalcemia
- D) hyponatremia
- E) fluoxetine overdose
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- an elderly woman that had hip surgery and is on LMWH but developed sudden SOB and chest pain.
- A. increase LMWH and arrange for CTPA
- B. Continue on current dose and arrange CTPA
- C. Increase LMWH and arrange VQ scan
- D. Ct scan of the chest
- E. DC cardioversion
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