03-18-2006, 11:24 AM
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?
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?