easy q for good revision and discussion - djyoti - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: easy q for good revision and discussion - djyoti (/showthread.php?tid=79516) Pages:
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easy q for good revision and discussion - djyoti - ArchivalUser - 03-18-2006 one yr OLD with rash in inguinal creases buttocks beefy red macerated satellite pustules, uncomfortable 77 atheroscelerosis ccf, n digoxin co ectopic beat and ecg shows irregularly irregular pulse; tell me the rx preventable death in a child / mcc neding councelling lead mva tb pneumoniainfluenza -- 2o yr women have pruritic lesion in the leg with linear strie what hx you like to take --the progreesive pr interval is present in wolff parkinson ist degrre ht block 2nd degree wenke bache mobitz type 2 --worst side effect of amiodarone? --a pt suspected of negative bllod culture name the HACEK H INFLUE STREP KLEBCIELLA ENTEROCOCCUS EIKENELLA CORRODENS ==24 AGITED in er , hEaring voices and defensive P osture yelling after 30 mt he was groggy stumbling an asking for water /whatt did the dr prescribe? haloperidol /cholpromazine/risperidone/fluphenazine/ diphenhydramine ---peripheral tissue resistance in pregnancy is mediated by what hormone -- 18 month has a bad teeth refer reassurance stop giving bottle stop pacifier brush teeth wait for prmanent teeth hcg is not increase i n ectopic choriocarcinoma hydatiform mole abruptioplacenta teenager mother granulosa cell tumor 24 yr male comes in er he is red like abeet and hot like a hare and dry like a bone he has a temporary short term memory loss and eating too much in a resturant but cannot shit what is your diag ==pt stays allof in catonia and has flat affect alogia /what you prescribe doc --a womenhas pcos and infertility what medicine you prescribe her for fer tility after treating pcos ==since 8 yr she can not participate in a group perfomance and in spite of that risen to a post of clerk but can not give a sppeech or speak in ameeting her voice trble her leg become weak her hands tremble and heart racing she canot slleep before that day panic socoal phobia specific phobia scizoid avoidant personality discrder ---a ALCOHOLIC pt came to emergency and he is restlessness and says that he has taken methanol THERE IS NO DELIRIUM TREMENS. ' GIVE HIM ETHANOL FOMIPEZOLE DIAZEPAM DONT GIVE ANYTHING NOW CHECK URINE -- 20 YR male sexuall active with ingunial lympadenopathy with a painless ulcer in the penis . DX --BORDER LINE PERSONALITY DISODR LATER ON may have addd ptsd depressive disorder little risk of self harm social disorer abuser a 6 month with 3 day hx of fever has dramatic fall of fever and mother was so happy but child develop a generalised diffuse lacy rash dx --- sx of tremor emotional lability neureaesthesia. psychomotor disturbance. whih of the following subst lead mercury lsd malathion arsenic --30 stockbrocker your pt comes speaks rapidly and says that he has a formula for succees for stock marketing and he slept for only 3 hour and stiill feels so energetic and you want to say something he does not listen to you . which medicine is doc here --seven days following the resolution of a viral infection, a seven yr old boy come with ataxia abnormal finger to nose test and heel to shin test name the culprit virus herpes vzv /cmv/hhv6/ parvo19/rbv/ -- a pregnant women thinks she is a virgin mary and has sleeping difficulty what is the treatment of choice of this condition in pregnancy lithium valproic acid clonnazepam fluoxetine ect 32 has spotting for 2 wks which began 3 weeks after her lmp no routine care in past a divorcr now having boy friend PE IS NORMAL wet mount show some dot cells in epithelial cell what is this cell called? and what treatment you give and do you treat the partner? and which of the test is most important to order rapid chlydimia screen urine hcg cbc hiv usg -- endometrisosis is defined as an enlarged boggy atonic uterus an asymetrical uterus with endometrium in the myometrium endometrial gland in extrauterine sites ovarin tissue infiltration in endometrium an always painful condition always goive rise to infertility ,cramp, menorregia can occur after menopause common in multi parity progesterone will exacerbate the condition --a 42 married with increase freqency has protein dipstick positive she takes propranolol exedrin for headache which of the folowing is most likely to contribute to dipstick result uti pregnacy propranolol dehydration high protein diet analgesic -- a pt has auditory hallucination for 2 yrs and yesterday he took marijuana for the first time and occasionally takes alcohol to meet the criteria for major depression with psychotic feature which of the following must be true delusion and hakllucination guilt + the pt has expericienced recurrent sucidal ideation the pt has experinced either depressed mood or anhedonia . sx of depression began at least 2 2 weeks before the onset of hallucination .. the pt has experinced loss of intrest in activies that he enjoyed for at least 6 weeks or longer a 25 hypotension lanugo hair bradycardia hypotension/ unmarried college girl DX -- A 25 HYPERTENSION TREmor palpitation lossof weight inspite of good appetite/ what is the pathogenesis of thi hypertension/ what is this hypertension , systolic or diastolic/ what is the next step in diagnosiis --24 lady ask for combined contraceptive which of he folowing is a contraindication to OCP FIBROID WITH SEVERE BLEEDING hx OF dvt IN PEGNANCY SMOKER FX OF FIBROCYSTIC BREAST HEALTHY 15 yr girl has to go to TO THE BATHROOM several times and is late in the school and is having a bad time in school and cannot concentrate and comes to you for hellp / urology workup is normal/DX healthy 15 yr old boy can not stop speaking obscene sentences and got beaten by girls . what is the above condition a/w what is the doc a 4yr cannot concentrate no eye contact and keeps on playing alone but speaks clearly/dx pure autism delayed mile stone sparing language asperger syndrome ocd analretentive personality disorder a25 yr male is brought by his mother for for the habit of checking car lock several times and door lock several times and on querry he says you gotta be careful doctor / dx paranoid pesonality disorder schizophrenia obscessive compulsive personality disorder obsecessive compulsive disorder you are having a party and now a beutiful girl is talking to you she has no pallor she is neither thin nor obese she is pretty but she is taking beer though she is 17/ while talking to her you noticed that she had abrasion on the dorsum her hand and on further seeing her you noticed erosion of her tooth too / which of the thing should be most concern in this pt alcohol dependance underage drinking sports injury bulimia nervosa a pt of atrial fibllation c/o memory oss for last 4 month and lost the appetite too what is the most appropriate test you do and what drug could have caused it -- 14 yr girl having a toothlike thing in left lower quadrant DX -- a 10 yr boy likes to play alone and keeps on aligning the block for hour keeps on running his vaccumcleaner for hours your dx --the commonest cause of gynaecological cancer is - the commonest cause of mortality of gynae ca ncer is -72 year women have bumps in her neck /oe multiplenontender en;arged most important next step in management ab cxr ct thyroid scan refer a 50 yr man had sudden chest pain with severe hypoxia after just returuning from long vacation from europe afebrile cardiaovascular exam is normal he is on proparanolol for first stage hypertensionand he had leg pain too. dx pneumonia mi pulmonary embolism propranolol side effect aortic rupture a 40 yr lady swollen rt calf ; she had norecent trips no medication not pregnant nohx of dvt her only problem and concern is infertility . she was pregnant five times but each time has miscarried . what is the dx of her DVT FACTOR V LEIDEN MUTATION FACTOR VI I DEFICIENCY ELEVATED HOMOCYSTEINE OCCULT MALIGNANCY PROLONGED IMMOBILIZATION SPONTANEOUS SHORTEST NORMAL CHILD OF CLASS AT 3RD PERSENTILE FOR HEIGHT AND WEIGHT . what is the next step in your evaluation growth hormone level cbc somatostatin bone age give growth hormone what is the difference b.w consitutional delay and precocious puberty? -- a child with barky cough with normal cxr dx -- a child with wheeging with hyperinflated lungs 1 yr old --- a drooling stooping child in respiratory distress rx --- a child with croup rx ---a child with cyanosis feeding increses it and crying relieves it ---1 yr old drooling and food return back 3rd day child is having respiratory distress syndrome what is your diagnosis ---19 women on ocp lmp was 20 days earlier mehs regular in past / on ibuprofen/on exam u find 6 cm mass what is the commonest diagnosis of this mass in this age? mcc malignancy of ovary most common presentation of ovary most common cause of death in cervical cancer adenocarcinoma of vagina in girl child what did mother take in pregnancy? what is the radosensitive ovarian tumour what is lynch syndrome? what is hair in syndrome and what is it a/w? what is more dangerous mature teratoma or immature teratoma what is the rx of endometrioma of ovary? child 6 month with eczema candidiasis hepatosplenomegaly. lymphadenopathy,diarrea eczema and low grade fever dx histiocytosis x gauchers disease igg deficiency toxoplasmosis late manifestation cmv late manifestation hiv infection 40 lady episodic facial pain dx 60 lady jaw pain headache what is the therpy of above two condition 32 yr old women vision loss as looking through plastic wrap one yr after she has diplopia she is nagging type when the pt is asked tto right the left eye do not move to past midline which of following sign is a common presentation of disease swallowing hearing changes in intelluctual function urinary incontinence decrease dtr 40 yr lady for detoxification for alcohol problem for the death of husband/ what is the best drug for detoxification? 0 - ArchivalUser - 03-18-2006 one yr OLD with rash in inguinal creases buttocks beefy red macerated satellite pustules, uncomfortable- candida diaper rash? 77 atheroscelerosis ccf, n digoxin co ectopic beat and ecg shows irregularly irregular pulse; tell me the rx- AF, rx with verapamil? preventable death in a child / mcc neding councelling- mva lead mva tb pneumoniainfluenza -- 2o yr women have pruritic lesion in the leg with linear strie what hx you like to take- animal(cat)/gardening --the progreesive pr interval is present in -mobitz II wolff parkinson ist degrre ht block 2nd degree wenke bache mobitz type 2 --worst side effect of amiodarone? - pulmonary fibrosis --a pt suspected of negative bllod culture name the HACEK(I dont understand this) H INFLUE STREP KLEBCIELLA ENTEROCOCCUS EIKENELLA CORRODENS ==24 AGITED in er , hEaring voices and defensive P osture yelling after 30 mt he was groggy stumbling an asking for water /whatt did the dr prescribe?- haloperidol? haloperidol /cholpromazine/risperidone/fluphenazine/ diphenhydramine ---peripheral tissue resistance in pregnancy is mediated by what hormone- beta-PL -- 18 month has a bad teeth -stop gicing bottle refer reassurance stop giving bottle stop pacifier brush teeth wait for prmanent teeth hcg is not increase i n- granulosa tumor ectopic choriocarcinoma hydatiform mole abruptioplacenta teenager mother granulosa cell tumor 24 yr male comes in er he is red like abeet and hot like a hare and dry like a bone he has a temporary short term memory loss and eating too much in a resturant but cannot shit what is your diag- atropine posoning ==pt stays allof in catonia and has flat affect alogia /what you prescribe doc- atypical antipsychotic --a womenhas pcos and infertility what medicine you prescribe her for fer tility after treating pcos-clomiphene ==since 8 yr she can not participate in a group perfomance and in spite of that risen to a post of clerk but can not give a sppeech or speak in ameeting her voice trble her leg become weak her hands tremble and heart racing she canot slleep before that day-specific phobia(stage fright) panic socoal phobia specific phobia scizoid avoidant personality discrder ---a ALCOHOLIC pt came to emergency and he is restlessness and says that he has taken methanol THERE IS NO DELIRIUM TREMENS.- give him fomipezole ' GIVE HIM ETHANOL FOMIPEZOLE DIAZEPAM DONT GIVE ANYTHING NOW CHECK URINE -- 20 YR male sexuall active with ingunial lympadenopathy with a painless ulcer in the penis . DX- lymphogranuloma venerium --BORDER LINE PERSONALITY DISODR LATER ON-abuser may have addd ptsd depressive disorder little risk of self harm social disorer abuser a 6 month with 3 day hx of fever has dramatic fall of fever and mother was so happy but child develop a generalised diffuse lacy rash dx- measles? --- sx of tremor emotional lability neureaesthesia. psychomotor disturbance. whih of the following subst-lsd lead mercury lsd malathion arsenic --30 stockbrocker your pt comes speaks rapidly and says that he has a formula for succees for stock marketing and he slept for only 3 hour and stiill feels so energetic and you want to say something he does not listen to you . which medicine is doc here- lithium(long term) --seven days following the resolution of a viral infection, a seven yr old boy come with ataxia abnormal finger to nose test and heel to shin test -?? name the culprit virus herpes vzv /cmv/hhv6/ parvo19/rbv/ -- a pregnant women thinks she is a virgin mary and has sleeping difficulty what is the treatment of choice of this condition in pregnancy-clonazepam lithium valproic acid clonnazepam fluoxetine ect 32 has spotting for 2 wks which began 3 weeks after her lmp no routine care in past a divorcr now having boy friend PE IS NORMAL wet mount show some dot cells in epithelial cell what is this cell called? and what treatment you give and do you treat the partner? and which of the test is most important to order-urine hCG rapid chlydimia screen urine hcg cbc hiv usg -- endometrisosis is defined as-endometrial gland in extrauterine sites an enlarged boggy atonic uterus an asymetrical uterus with endometrium in the myometrium endometrial gland in extrauterine sites ovarin tissue infiltration in endometrium an always painful condition always goive rise to infertility ,cramp, menorregia can occur after menopause common in multi parity progesterone will exacerbate the condition --a 42 married with increase freqency has protein dipstick positive she takes propranolol exedrin for headache- analgesic which of the folowing is most likely to contribute to dipstick result uti pregnacy propranolol dehydration high protein diet analgesic -- a pt has auditory hallucination for 2 yrs and yesterday he took marijuana for the first time and occasionally takes alcohol to meet the criteria for major depression with psychotic feature which of the following must be true delusion and hakllucination guilt + the pt has expericienced recurrent sucidal ideation the pt has experinced either depressed mood or anhedonia . sx of depression began at least 2 2 weeks before the onset of hallucination .. the pt has experinced loss of intrest in activies that he enjoyed for at least 6 weeks or longer a 25 hypotension lanugo hair bradycardia hypotension/ unmarried college girl DX-anorexia nervosa -- A 25 HYPERTENSION TREmor palpitation lossof weight inspite of good appetite/ what is the pathogenesis of thi hypertension/ what is this hypertension , systolic or diastolic/ what is the next step in diagnosiis -STimulation of beta receptors in heart, systolic ? --24 lady ask for combined contraceptive which of he folowing is a contraindication to OCP-smoker FIBROID WITH SEVERE BLEEDING hx OF dvt IN PEGNANCY SMOKER FX OF FIBROCYSTIC BREAST HEALTHY 15 yr girl has to go to TO THE BATHROOM several times and is late in the school and is having a bad time in school and cannot concentrate and comes to you for hellp / urology workup is normal/DX- blood sugar healthy 15 yr old boy can not stop speaking obscene sentences and got beaten by girls . what is the above condition a/w what is the doc a 4yr cannot concentrate no eye contact and keeps on playing alone but speaks clearly/dx-asperger pure autism delayed mile stone sparing language asperger syndrome ocd analretentive personality disorder a25 yr male is brought by his mother for for the habit of checking car lock several times and door lock several times and on querry he says you gotta be careful doctor / dx-OCPD paranoid pesonality disorder schizophrenia obscessive compulsive personality disorder obsecessive compulsive disorder you are having a party and now a beutiful girl is talking to you she has no pallor she is neither thin nor obese she is pretty but she is taking beer though she is 17/ while talking to her you noticed that she had abrasion on the dorsum her hand and on further seeing her you noticed erosion of her tooth too / which of the thing should be most concern in this pt-bulimia alcohol dependance underage drinking sports injury bulimia nervosa a pt of atrial fibllation c/o memory oss for last 4 month and lost the appetite too what is the most appropriate test you do and what drug could have caused it -- 14 yr girl having a toothlike thing in left lower quadrant DX???(X-ray?) teratoma? -- a 10 yr boy likes to play alone and keeps on aligning the block for hour keeps on running his vaccumcleaner for hours your dx-autism? --the commonest cause of gynaecological cancer is- breast - the commonest cause of mortality of gynae ca ncer is-ovarian -72 year women have bumps in her neck /oe multiplenontender en;arged most important next step in management?cbc ab cxr ct thyroid scan refer a 50 yr man had sudden chest pain with severe hypoxia after just returuning from long vacation from europe afebrile cardiaovascular exam is normal he is on proparanolol for first stage hypertensionand he had leg pain too. dx PE pneumonia mi pulmonary embolism propranolol side effect aortic rupture a 40 yr lady swollen rt calf ; she had norecent trips no medication not pregnant nohx of dvt her only problem and concern is infertility . she was pregnant five times but each time has miscarried . what is the dx of her DVT-occult malignancy FACTOR V LEIDEN MUTATION FACTOR VI I DEFICIENCY ELEVATED HOMOCYSTEINE OCCULT MALIGNANCY PROLONGED IMMOBILIZATION SPONTANEOUS SHORTEST NORMAL CHILD OF CLASS AT 3RD PERSENTILE FOR HEIGHT AND WEIGHT . what is the next step in your evaluation- bone age growth hormone level cbc somatostatin bone age give growth hormone what is the difference b.w consitutional delay and precocious puberty?-constitutional delay is just a delay in growth spurt -- a child with barky cough with normal cxr dx-Pertussis? -- a child with wheeging with hyperinflated lungs 1 yr old --- a drooling stooping child in respiratory distress rx- epiglottitis? --- a child with croup rx-supportive?( ---a child with cyanosis feeding increses it and crying relieves it-VSD? ---1 yr old drooling and food return back 3rd day child is having respiratory distress syndrome what is your diagnosis ---19 women on ocp lmp was 20 days earlier mehs regular in past / on ibuprofen/on exam u find 6 cm mass what is the commonest diagnosis of this mass in this age? mcc malignancy of ovary-serous cystadenoma most common presentation of ovary- ascites? most common cause of death in cervical cancer- adenocarcinoma of vagina in girl child what did mother take in pregnancy?DES what is the radosensitive ovarian tumour-dysgerminoma? what is lynch syndrome?Familial Non polyposis coli what is hair in syndrome and what is it a/w???? what is more dangerous mature teratoma or immature teratoma--immature what is the rx of endometrioma of ovary?- oophorectomy child 6 month with eczema candidiasis hepatosplenomegaly. lymphadenopathy,diarrea eczema and low grade fever dx- histiocytosis x gauchers disease igg deficiency toxoplasmosis late manifestation cmv late manifestation hiv infection 40 lady episodic facial pain dx-trigeminal neuralgis? carbamezipine 60 lady jaw pain headache-temporal arteritis- steroids what is the therpy of above two condition 32 yr old women vision loss as looking through plastic wrap one yr after she has diplopia she is nagging type when the pt is asked tto right the left eye do not move to past midline which of following sign is a common presentation of disease- urinary incontinence swallowing hearing changes in intelluctual function urinary incontinence decrease dtr 40 yr lady for detoxification for alcohol problem for the death of husband/ what is the best drug for detoxification?- 0 - ArchivalUser - 03-18-2006 hey amygdala so fast and so many correct responses you surprised me 0 - ArchivalUser - 03-18-2006 hey amygdala so fast and so many correct responses you surprised me 0 - ArchivalUser - 03-18-2006 so many wrong and blanks too ;-) 0 - ArchivalUser - 03-18-2006 those were because of format of questions 0 - ArchivalUser - 03-18-2006 no, I mean I left so many qs blank and with wrong answers :-) 0 - ArchivalUser - 04-18-2006 amygdala already gave the exam i suppose 0 - ArchivalUser - 04-18-2006 thanks 0 - ArchivalUser - 04-18-2006 one yr OLD with rash in inguinal creases buttocks beefy red macerated satellite pustules, uncomfortable 77 atheroscelerosis ccf, n digoxin co ectopic beat and ecg shows irregularly irregular pulse; tell me the rx..A,fib=if stable...presentation is not very clear. .if with CCF,then Ca blocker is contraindicated...DIGOXIN is better choice. preventable death in a child / mcc neding councelling lead mva.....correct tb pneumoniainfluenza -- 2o yr women have pruritic lesion in the leg with linear strie what hx you like to take --the progreesive pr interval is present in wolff parkinson ist degrre ht block 2nd degree wenke bache.....progessive until a beat drop. mobitz type 2 --worst side effect of amiodarone? pulm fibrosis??? --a pt suspected of negative bllod culture name the HACEK H INFLUE STREP KLEBCIELLA ENTEROCOCCUS EIKENELLA CORRODENS.............correct ==24 AGITED in er , hEaring voices and defensive P osture yelling after 30 mt he was groggy stumbling an asking for water /whatt did the dr prescribe? haloperidol /cholpromazine/risperidone/fluphenazine/ diphenhydramine ---peripheral tissue resistance in pregnancy is mediated by what hormone....hPL alos inc glucose level. -- 18 month has a bad teeth refer reassurance stop giving bottle,,,,,,,,,,,correct stop pacifier brush teeth wait for prmanent teeth hcg is not increase i n ectopic choriocarcinoma hydatiform mole abruptioplacenta teenager mother granulosa cell tumor..........correct 24 yr male comes in er he is red like abeet and hot like a hare and dry like a bone he has a temporary short term memory loss and eating too much in a resturant but cannot shit what is your diag,,,,,,,,,,,,,,antichiolnergic poisioning! ==pt stays allof in catonia and has flat affect alogia /what you prescribe doc......antiphycotics. --a womenhas pcos and infertility what medicine you prescribe her for fer tility after treating pcos.....clomiphen. ==since 8 yr she can not participate in a group perfomance and in spite of that risen to a post of clerk but can not give a sppeech or speak in ameeting her voice trble her leg become weak her hands tremble and heart racing she canot slleep before that day panic..........................correct socoal phobia specific phobia scizoid avoidant personality discrder ---a ALCOHOLIC pt came to emergency and he is restlessness and says that he has taken methanol THERE IS NO DELIRIUM TREMENS. ' GIVE HIM ETHANOL..................correct FOMIPEZOLE DIAZEPAM DONT GIVE ANYTHING NOW CHECK URINE -- 20 YR male sexuall active with ingunial lympadenopathy with a painless ulcer in the penis . DX.................syphilis --BORDER LINE PERSONALITY DISODR LATER ON.............depressive????? may have addd ptsd depressive disorder little risk of self harm social disorer abuser a 6 month with 3 day hx of fever has dramatic fall of fever and mother was so happy but child develop a generalised diffuse lacy rash dx --- sx of tremor emotional lability neureaesthesia. psychomotor disturbance. whih of the following subst............lead lead mercury lsd malathion arsenic --30 stockbrocker your pt comes speaks rapidly and says that he has a formula for succees for stock marketing and he slept for only 3 hour and stiill feels so energetic and you want to say something he does not listen to you . which medicine is doc here........manic....atypical antiphycotics --seven days following the resolution of a viral infection, a seven yr old boy come with ataxia abnormal finger to nose test and heel to shin test name the culprit virus......CMV? herpes vzv /cmv/hhv6/ parvo19/rbv/ -- a pregnant women thinks she is a virgin mary and has sleeping difficulty what is the treatment of choice of this condition in pregnancy lithium valproic acid clonnazepam fluoxetine ect................correct 32 has spotting for 2 wks which began 3 weeks after her lmp no routine care in past a divorcr now having boy friend PE IS NORMAL wet mount show some dot cells in epithelial cell what is this cell called? and what treatment you give and do you treat the partner? and which of the test is most important to order rapid chlydimia screen....metroniadzole......bacterila viginosis?? urine hcg...correct cbc hiv usg -- endometrisosis is defined as an enlarged boggy atonic uterus an asymetrical uterus with endometrium in the myometrium endometrial gland in extrauterine sites.............correct ovarin tissue infiltration in endometrium an always painful condition always goive rise to infertility ,cramp, menorregia can occur after menopause common in multi parity progesterone will exacerbate the condition --a 42 married with increase freqency has protein dipstick positive she takes propranolol exedrin for headache which of the folowing is most likely to contribute to dipstick result uti pregnacy propranolol dehydration.... high protein diet analgesic ................drug induce nephritis -- a pt has auditory hallucination for 2 yrs and yesterday he took marijuana for the first time and occasionally takes alcohol to meet the criteria for major depression with psychotic feature which of the following must be true delusion and hakllucination guilt + the pt has expericienced recurrent sucidal ideation the pt has experinced either depressed mood or anhedonia . sx of depression began at least 2 2 weeks before the onset of hallucination .. the pt has experinced loss of intrest in activies that he enjoyed for at least 6 weeks or longer a 25 hypotension lanugo hair bradycardia hypotension/ unmarried college girl DX -- A 25 HYPERTENSION TREmor palpitation lossof weight inspite of good appetite/ what is the pathogenesis of thi hypertension/ diastolic? check TSH? what is this hypertension , systolic or diastolic/ what is the next step in diagnosiis --24 lady ask for combined contraceptive which of he folowing is a contraindication to OCP FIBROID WITH SEVERE BLEEDING hx OF dvt IN PEGNANCY,,,,,,correct SMOKER FX OF FIBROCYSTIC BREAST HEALTHY 15 yr girl has to go to TO THE BATHROOM several times and is late in the school and is having a bad time in school and cannot concentrate and comes to you for hellp / urology workup is normal/DX.............type1 DM healthy 15 yr old boy can not stop speaking obscene sentences and got beaten by girls . what is the above condition a/w ..... what is the doc a 4yr cannot concentrate no eye contact and keeps on playing alone but speaks clearly/dx pure autism delayed mile stone sparing language asperger syndrome ocd analretentive personality disorder....correct a25 yr male is brought by his mother for for the habit of checking car lock several times and door lock several times and on querry he says you gotta be careful doctor / dx paranoid pesonality disorder schizophrenia obscessive compulsive personality disorder obsecessive compulsive disorder...........correct you are having a party and now a beutiful girl is talking to you she has no pallor she is neither thin nor obese she is pretty but she is taking beer though she is 17/ while talking to her you noticed that she had abrasion on the dorsum her hand and on further seeing her you noticed erosion of her tooth too / which of the thing should be most concern in this pt alcohol dependance underage drinking sports injury bulimia nervosa.................correct a pt of atrial fibllation c/o memory oss for last 4 month and lost the appetite too what is the most appropriate test you do and what drug could have caused it -- 14 yr girl having a toothlike thing in left lower quadrant DX....teratoma -- a 10 yr boy likes to play alone and keeps on aligning the block for hour keeps on running his vaccumcleaner for hours your dx............autistic --the commonest cause of gynaecological cancer is.........endometrial - the commonest cause of mortality of gynae ca ncer is...ovartian -72 year women have bumps in her neck /oe multiplenontender en;arged most important next step in management ab cxr ct thyroid scan.............correct refer a 50 yr man had sudden chest pain with severe hypoxia after just returuning from long vacation from europe afebrile cardiaovascular exam is normal he is on proparanolol for first stage hypertensionand he had leg pain too. dx pneumonia mi pulmonary embolism .correct propranolol side effect aortic rupture a 40 yr lady swollen rt calf ; she had norecent trips no medication not pregnant nohx of dvt her only problem and concern is infertility . she was pregnant five times but each time has miscarried . what is the dx of her DVT FACTOR V LEIDEN MUTATION.........correct FACTOR VI I DEFICIENCY ELEVATED HOMOCYSTEINE OCCULT MALIGNANCY PROLONGED IMMOBILIZATION SPONTANEOUS SHORTEST NORMAL CHILD OF CLASS AT 3RD PERSENTILE FOR HEIGHT AND WEIGHT . what is the next step in your evaluation growth hormone level cbc somatostatin bone age....???? give growth hormone what is the difference b.w consitutional delay and precocious puberty?constitunal delay curve will rise appropiately at certain age b4 that it will have low percentile than normal kids precocious puberty it will keep rising compare to normal level. -- a child with barky cough with normal cxr dx...croup -- a child with wheeging with hyperinflated lungs 1 yr old --- a drooling stooping child in respiratory distress rx...epinephrine --- a child with croup rx...humidified enviorment ---a child with cyanosis feeding increses it and crying relieves it.......... ---1 yr old drooling and food return back 3rd day child is having respiratory distress syndrome what is your diagnosis...oesophegeal fistula ---19 women on ocp lmp was 20 days earlier mehs regular in past / on ibuprofen/on exam u find 6 cm mass what is the commonest diagnosis of this mass in this age? mcc malignancy of ovary..serous most common presentation of ovary most common cause of death in cervical cancer...renal failure adenocarcinoma of vagina in girl child what did mother take in pregnancy?DES what is the radosensitive ovarian tumour......desgerminoma what is lynch syndrome?FPPS what is hair in syndrome and what is it a/w?teratoma what is more dangerous mature teratoma or immature teratoma...immature what is the rx of endometrioma of ovary?depend ,,young....conservative.......old ..surgery child 6 month with eczema candidiasis hepatosplenomegaly. lymphadenopathy,diarrea eczema and low grade fever dx histiocytosis x gauchers disease igg deficiency.............................................correct toxoplasmosis late manifestation cmv late manifestation hiv infection 40 lady episodic facial pain dx.......trigeminal neurolgia 60 lady jaw pain headache..temporal artritis what is the therpy of above two condition....steroid 32 yr old women vision loss as looking through plastic wrap one yr after she has diplopia she is nagging type when the pt is asked tto right the left eye do not move to past midline which of following sign is a common presentation of disease swallowing ............................correct....MS hearing changes in intelluctual function urinary incontinence decrease dtr 40 yr lady for detoxification for alcohol problem for the death of husband/ what is the best drug for detoxification?no idea! |