A 17 yr nonsmoking man presents with deep venous thrombosis and a pulmonary embolus. This is his second hospital admission for a similar presentation 1 yr ago. The patient has a family history for reccurent pulmonary emboli. The PTT remains normal after initiation of heparin therapy. Another dose of heparin produces similar results. The patient most likely has
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von Willibrands disease
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Antithrombin III deficiency
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Antibodies against heparin
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Protien C defect
All of the following are hypercoagulable conditions except
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AT III deficincy
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Protien C deficiency
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Protien S defieciency
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Anti Lupus anticoagulant deficiency
All of the following are responsible for internal rotation of shoulder joint except
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Infraspinatus
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Teres Major
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Deltoid
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Pectoralis Major
In a patient presenting with hoarseness of voice, inability to turn head to left against resistance was on examination found to have a swelling in the cervical region. The nerves affected in the lesion are
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IX, XII XII
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VII, X, XI
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IX, X XI
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V, X, XI
In undisplaced fracture of neck of femur the ideal treatment includes
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Skeletal traction
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Internal fixation
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Femoral head prosthesis
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Each of the above has similar prospects and results
A person skying on a slope falls and presents with pain in the wrist. On examination there is no deformity. The diagnosis is
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Colles fracture
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Scaphoid fracture
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Trapezius dislocation
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Lunate subluxation
A patient with Hb level 6 gms/dl, TLC-3500 and platelet count 50, 000. The most probable diagnosis is
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Leukemia
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Multiple myeloma
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Aplastic anemia
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Megaloblastic anemia
Fresh frozen plasma is best given in which of the following situations
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Post op bleeding
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Elective endoscopy where PT has been found to have increased due to effect of coumarin
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Bleeding due to thrombocytopenia
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In burns patient
A patient presented with pulmonary embolism the treatment to be given is
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Urokinase with fibrinolytics
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IV heparin with continous infusion followed by coumarin for 4 − 5 months
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Subcutaneous Heparin 5000 units
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Warfarin with INR 1 − 1.5
In a patient post myocardial infarction developed atrial fibrillation. Subsequently the ECHO showed a mural thrombus. The management is by
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Warfarin
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Cardioversion
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Digoxin
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Propranolol