8 year old boy suspected to be allergic with strawberries. what is the most app investigation??
a. Doubleb lind, placebo controlled food provocation challenge
b. Skin prick test
c. Radio allergo sorbent test (RAST)
d. Tissue transglutaminase antibody
e. Total IgE blood test
56 year old man with new onset dyspepsia now reports with no longer relief with antacids.what is the single most app. management?
a. Barium meal
b. Urgent endoscopy
c. Test for H.pylori
d. Lansoprazole trial
e. 24 hour ambulatory Ph monitoring
In relation to physiological changes taking during exercise which statement is true ?
1- Involves muscle mechano and chemoreceptors
2- Sympathetic discharge is supressed
3- Total peripheral resistance is increased
4- Cardiac output increase mainly through stroke volume increase
5- Central venous pressure is elevated in moderate exercise
27 year old male had mild dysuria. he has been having sex with his current girlfriend for 4 weeks,occasionally using condom.she doesnt have any symptoms.the last time he had sex with his former girlfriend was 3 months ago.there is a slight mucoid discharge at the urethral meatus. what is the single most likely oragnism??
a. Chlamydia
b. Mycoplasma hominis
c. Neisserria gonorrhoea
d. Trichomonas vaginalis
e. Ureaplasma urealyticum
27 year old male had mild dysuria. he has been having sex with his current girlfriend for 4 weeks,occasionally using condom.she doesnt have any symptoms.the last time he had sex with his former girlfriend was 3 months ago.there is a slight mucoid discharge at the urethral meatus. what is the single most likely oragnism??
a. Chlamydia
b. Mycoplasma hominis
c. Neisserria gonorrhoea
d. Trichomonas vaginalis
e. Ureaplasma urealyticum
A 48 year old woman presents with severe left sided headaches,ocular pain and a red watering eye. She has intermittent blurring of vision and sees coloured haloes. Single most appropriate next step of action?
A. Measure intraocular pressure
B. Relieve pain with aspirin
C. Administer 100% oxygen
D. CT
E. Relieve pain with sumatriptan
A 15 year old girl presents to A and E with headache,vomiting,neck stiffness and photophobia. No rash was seen on examination. Her temperature is 38.3,heart rate is 90 and RR is 18. Single most appropriate investigation?
A. Blood culture
B. Blood glucose
C. LP
D. CXR
E.CT head
A man undergoes a pneumonectomy. After surgery, invs show hyponatremia. What could be the cause of the biochemical change?
a. Removal of hormonally active tumor
b. Excess dextrose
c. Excess colloid
d. Excessive K+
e. Hemodilution
A 32yo woman has had a febrile illness and swelling of the small joints of her hands, feet, wrists
and knees for two days. She has a maculopapular rash and a few palpable, small cervical lymph nodes.
She was previously well. There is no history of relevant travel outside the UK. She has two young
children. What is the SINGLE most likely dx?
a. Psoriasis
b. Reactive arthritis
c. Rheumatoid arthritis
d. Sarcoidosis
e. SLE
789 man presents with abdominal pain, vomiting, pulse=120bpm, BP=90/60mmHg and a rigid abdomen. His chest is clear. What is the immediate management?
a. Call radiology
b. Admit to medical ward
c. Urgent admission to ITU