A 20-year-old woman gave birth to a full term baby who was floppy at birth and required resuscitation followed by assisted ventilation. The mother had ptosis, muscle weakness and bilateral cataracts. Her father also had premature cataracts.
What is the baby’s most likely diagnosis?
a. Galactosaemia.
b. Hypoparathyroidism.
c. Hypothyroidism.
d. Myasthenia gravis.
e. Myotonic dystrophy.
Pheochromocytoma is associated with?
A wermer syndrome
B zollinger Ellison syndrome
C sipple Syndrome
A 70 yrs old female suffered from an attack of influenza but refused to take the vaccine. She subsequently develop pneumonia and died in 5 days.
What is the most common cause of post influenza pneumonia???
a) Staphylococcus aureus
b) CMV
c) EBV
d) Measles
e) Legionella
37 year old male comes to physician for routine maintainace examination…his father was diagnosed with colon cancer at age of 50 and treated with colectomy …he has 30 pack year smoking history which of the fallowing is initial screning test for this pt ?
A.colonoscopy at age of 60
B.colonscopy at age of 30
C.colonscopy at age of 40
D.colonscopy at age of 50
Least specific test for pheochromocytoma is ?
A Twenty-four hour urinary free catecholamines
B Plasma metanephrine testing
C vanillylmandelic acid
60 year old woman develops hypotension and new systolic murmur 36 hours after being successfully thrombolysed for anterior MI. Which of the following statement is correct ?
A acute mitral incompetence due to rupture of posterior papillary muscle is the most likely diagnosis
B acute mitral incompetence due to rupture of anterior papillary muscle is the most likely diagnosis
C a basal VSD is the most likely diagnosis
D an apical VSD is the most likely diagnosis
E the systolic murmur is likely to be due to mitral valve prolapse .
Causes of Hypercalcemia 
️
…CHIMPANZEES…
C…Calcium supplementation.
H…Hyperparathyroidism.
I…Immobilization.
M…Multiple myeloma, Milk-alkali syndrome, Medication (e.g Lithium).
P…Parathyroid hyperplasia or adenoma
A…Alcohol
N…Neoplasm (e.g breast cancer, lung cancer)
Z…Zollinger Ellison syndrome
E…Excessive Vit D.
E…Excessive Vit A.
S…Sarcoidosis.
NO FIR AGAINST A ADVOCATE OR DOCTOR - SC
In an important decision Hon’ble Supreme Court of India said, that if the advise of a lawyer and Doctors goes wrong in some way, even than no case under section 420 IPC or something like that can be registered against him/her. Though Supreme Court also said that Lawyer and Doctors should take care of the interests of his/her clients.(Justice P. Sthasivam and Justice Ranjan Gogoi bench)
Court also said that in professions like lawyers and doctors, the professionals cannot guarantee for the success of the case. Courts said that the advocate cannot provide guarantee to his/her client that he would definitely win the case and nor doctor can tell his patient that is operations are always successful. And though this professions doctor and lawyer can only say that they are experienced in their work and they would do their best efforts so that they are successful.
reaching constant maintinance of drug depends on :
Bioavalability
Clearance
Loading dose
55 year old man presents with bilateral gynaecomastia and ataxia, which of the following is most likely diagnosis:
A bronchial carcinoma
B hyper eosinophilic syndrome
C Long term teartment with cyclophosphomide
D Klinefelter’s syndrome
E long term treatment of oral steroid for asthma .
A 25-year-old female presented to her GP after noticing asymmetry of her face & drooling of saliva. For the past two days she had also experienced dizziness and lethargy, particularly on exertion. She had no past medical history. Six weeks previously she had been to visit friends in North America. While on holiday, she developed a painful rash on her left arm which she described as a small red nodule which gradually expanded over the next few days before subsiding. A friend had taken a photo graph of the rash which was macular & appeared to be fading in the centre.
On examination, she had a temperature of 37°C (98.6°F) and a slow pulse.
Neurological examination revealed left sided lower motor type facial palsy.
Examination of the ears was normal. The doctor was concerned and performed an ECG which revealed complete heart block.
What is the most likely diagnosis?
A. Rheumatic fever
B. Lyme disease
C. Lymphoma
D. Guillain-Barre-syndrome
E. Chagas disease