which causes flatulence diarrhea
A acarbose
B metformin
C pioglitazone
D glipizide
A 19-year-old student is brought to the Emergency Department by friends due to a severe headache and drowsiness. On examination he has a widespread purpuric rash. Meningococcal infection is strongly suspected but he is known to be penicillin allergic (previous anaphylaxis). What is the antibiotic of choice?
A-Chloramphenicol
B-Meropenem
C-Teicoplanin
D-Erythromycin
E-Ciprofloxacin
A 35-year-old woman returns from a journey to the Gambia with fevers of 39 °C, rigors, vomiting
and diarrhoea. She took chloroquine and proguanil prophylaxis. Her oxygen saturations are 90% on
air, pulse 120 bpm, blood pressure 80/60 mmHg. Which one of the following options is the most
likely diagnosis?
O Malaria
O Typhoid
q Gastroenteritis
O Atypical pneumonia
O Pneumococcal pneumonia
Tsh receptor antibodies r found in which thyroid ca
Papillary
Toxic adenoma
Anaplastic
Medullary ca
which of following causes vaginal yeast infections
A pramlintide
B canagliflozin
C exenatide
D liraglutide
which cause aplasia cutis
A methimazole
B metoformin
C PTU
D fludrocortisone
A 52-year-old obese hypertensive female was seen in the Emergency Department with sudden onset of palpitations and breathlessness. She had a history of hypertension, congestive cardiac failure and non-insulin-dependent diabetes mellitus. She was taking captopril 50 mg twice daily, nifedipine slow release 20 mg twice daily, metformin 500 mg three times daily, and furosemide 80 mg daily. The furosemide dose had recently been doubled by her GP to control her persistently elevated blood pressure and help her breathlessness. She had previously undergone several investigations to exclude a secondary cause for the hypertension.
On examination, the patient appeared breathless, butwas not cyanosed. She was well perfused. The heart rate was100 beats/min, and regular; blood pressure was 150/100mmHg. The JVP was not elevated. On examination of herprecordium, the apex was not palpable, but the heart sounds were normal. There were no murmurs. Respiratory examination revealed good chest expansion. The trachea was central and percussion was normal. Auscultation of the lung fields was normal. There was no evidence of peripheral oedema, but she had an erythematous skin rash on her shins.
Blood results are shown.
Sodium 134 mmol/l, Potassium 4.3 mmol/l
Creatinine 120 μmol/l, Urea 8 mmol/l
ECG Sinus tachycardia
Chest X-ray normal.
Arterial blood gases:
pH 7.5, PaCO2 1.8 kPa, PaO2 15 kPa, Bicarbonate 19.3 mmol/l
Base excess +7
What is the most likely diagnosis?
A. Salicylate poisoning
B. Hyperventilation
C. Pulmonary fibrosis
D. Pulmonary embolism
E. Cystic fibrosis
which of the following is reversiible complication of haemochromatosis
- cirrhosis
- hypogonadotrophic hypogonadism
- cardiomyopathy
- arthropathy
- renal failure
A 72-year-old man is prescribed a dipyridamole in addition to aspirin following an ischaemic stroke. What is the mechanism of action of dipyridamole?
A.Phosphodiesterase inhibitor
B.Glycoprotein IIb/IIIa inhibitor
C.Inhibits ADP binding to its platelet receptor
D.Agonist of thromboxane synthase
E.Irreversibly acetylating cyclooxygenase