Known HTN pt presented with muscle weakness. K 6.5. what could be the cause?
a. Enalapril
b. Amiloride
c. Simvastatin
d. Thiazide
Patient having surgery of colon, no previous hx, how to give heparin ?
A. 14 days post op
B. Till discharge
C. 28 days post op
D. No heparin
5yr old baby brought to you by the mother with crusted patches on face. Otherwise well. The
mother had used iodine antiseptic with no improvement. Whats the treatment?
a) Bactroban
b) Erythromycin
c) Beclomethasone
d) Acyclovir cream…
70 year old lady who came for examination. No symptoms . Exam normal
HB 10 MCV 71 MCHC 21
A)CA stomach
B)CA endometrium
C)CA breast
D)Dietary
47 Years old lady with Chronic Cough Presenting to you with recent onset of Mild SOB on exertion .Physical examination showed some painful rash in her lower legs and Few scattered Rhonchi Bilaterally and few Generalised Crepitations as well .You order CXR as a preliminary Ix.Skin Lesion and CXR Given below . What is the best possible Diagnosis ,
1.CHF
2.Chronic Bronchial Asthma
3.Sarcoidosis
4.Adenocarcinoma of the Lungs
5.Tuberculossis.
62 yrs old Gentleman presenting to you with facial rash today .It started over the Nasolabial groove and spreading upwards and downwards as well .He claims this rash is mildly itchy but not bothering him at all.Which Statement IS NOT true about this Eruption.
- It is Mildly Scaly,Greasy,Yellow,Chronic Inflammatory ,Red rash affecting Face.
2.Common in Hair bearing areas as it affects sebaceous Glands area.
3.Most Common in young adult males
4.Effectively managed with Hydrozole cream (1% Hydrocortizone + Ketoconozole) Topically - Scalp is never involved.
72 yrs old woman presenting to discuss about the hand deformity to your office as a new patient.some times she complains pain in the evening after doing some garden work.
o/e Her hands are nodular and enlarged as in the picture.
1.Her Rheumatoid Factor likely be elevated
2.Uric Acid Likely be elevated
3.Her Laboratory Evaluation likely be Normal
4.Her ESR,CRP Likely be elevated Markedly
5.ANA Level likely be Elevated .
49 yrs old factory worker presenting with heavy tinnitus in the ears and some hearing impairment . Rinne test Positive and Weber test louder in the better ear .Other wise Auriscope examination NAD,You perform Audiology testing and the Audiogram is as follows.What is most likely cause of his hearing impairment
1.Age related Sensoneural Deafness
2.Noise induced sensoneural Deafness
3.Conduction deafness
4.Mixed deafness
5.Normal Audiogram
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Check the pre anaesthetic statutes of a man with OSA history…what to do
Abgs
Sleep studies
Forced expiratory volume
Spirometry
50Yrs old Gentleman presenting for his “50 yrs old” check up . HIs PMH Nothing significant . you find his several previous BP s all around 150/100mmHg .As his preliminary Ix all normal except on his ECG, he has severe LVH .How do you manage his Essential Hypertension.
1.HCT
2.Life Style Modification and review in 3/12
3.Perindopril+ Life Style Changes
4.Perindopril plus +Life Style Changes
5.Life style modification and review in 6/12
An old lady is on warfarin and multi-drugs. All her medication were timed and properly titrated. She could always keep her INR under 2.5. She is now visiting to her daughter house. She took paracetamol 500mg tds for mild body ache from travelling, amoxicillin for UTI, and tamazepam for insomnia. Her INR is now 4.5. Which of the following make her INR gone high?
a. Tamazepam
b. Paracetamol
c. Amoxicillin
d. Her current UTI and stress from visiting
Young patient has multiple fibroids and It is palpable upto the umbilicus. Her hb is 6gm/dl. She wants to have children in future. What to do.
a. Open myomectomy after correcting her anemia with blood transfusion ( severe anemia – fix)
b. Gnrh analogue for 3 months followed by myomectomy *** (GNRH to reduce side of fibroids)
c. OCP for 3 months followed by myomectomy
d. hysterectomy
e. immediate myomectomy
A 50 yrs old woman with sore throat presenting to you with some skin rashes in the hands and fore arms .what is your diagnosis
1.Impetigo
2.Erythema nodosa
3.Erythema multiforme
4.Erythema marginatum
5.Fungal Rash .
Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?
A.Weight gain should be reported to the physician.
B.An alternate method of birth control is needed when taking antibiotics.
C.If the client misses one or more pills, two pills should be taken per day for one week.
D.Changes in the menstrual flow should be reported to the physician.
A man presents with 5 x 6 cm patch on the scalp which is shiny and glossy. Rx?
A- Steroid ointment
B- oral steroids
C- intrelesional methyl prednisone injection
D- antifungal treatment
Mathew 4 yrs c/o R/Ear pain for 4 days , Brought to you by her mum today because refusing to eat and always like to sleep O/E
T 39.8,Toxic looking,Tenderness behind the ears with Erythematous patch over mastoid process,Otoscopy findings as follows,BEST MANAGEMENT,
1.Amoxycillin orally High dose
2.Ampicillin orally High dose
3.Ceftriaxone 1gr Iv stat then Orally
4.Urgent referral to Nearest Hospital for antibiotics + Surgery after ceftriaxone IV,
5.Referral to ENT out patients.
Mathew 4 yrs c/o R/Ear pain for 4 days , Brought to you by her mum today because refusing to eat and always like to sleep O/E
T 39.8,Toxic looking,Tenderness behind the ears with Erythematous patch over mastoid process,Otoscopy findings as follows,BEST MANAGEMENT,
1.Amoxycillin orally High dose
2.Ampicillin orally High dose
3.Ceftriaxone 1gr Iv stat then Orally
4.Urgent referral to Nearest Hospital for antibiotics + Surgery after ceftriaxone IV,
5.Referral to ENT out patients.
cancer colon , patient on warfarin after cardiac stent for 6 month Came to u in ER, what initial Tx?
a.Change warfarin to clopigrol and after 10 d proceed to operation
b.Stop warfarin and give vit k and proceed now
c.Stop warfarin and give ffp and proceed now
d.Stop warfarin for 10 d and proceed to operation after 10 d
Patient with history of swelling right leg for 1 week and now presented with sudden Dyspnea, tachypnea, tachycardia and chest pain. Oxygen saturation 83% on room air. The best test?
A. X-ray
B. ABGs
C Doppler USG leg
D. CTPA
E. ECG