2021 Flashcards
progressive gait unsteadiness
electric shock in the cervical spine
has fibromyalgia and have shoulder and neck pain
Upper muscle extremity muscle strength is decreased
What is the cause?
Demyelinating polyneuropathy
Lhermitte’s sign or the barber chair is often associated with
Multiple Sclerosis
Most useful investigation for detecting gallstones and dilatation of common bile duct
Ultrasound
helping in finding out cause of obstructive jaundice
ERCP
PCOS trying from last 2 years not conceiving with high BMI took metformin, no USG finding given, asked next treatment?
Clomiphene
Women came with very foul smelling discharge from vagina
Garnerella
Swelling is irreducible, above the ligament
Indirect Inguinal hernia
Visual loss on the Left eye
left eye ischemia, pupillae edema
inv?
Carotid Ultrasound
3 wk history of intermittent pain to the hip
o/e shows limitation of movement
Diagnosis?
Slipped Femoral capital Epiphysis
multiple, small infarcts in the Right Parietal and temporal lobes and mass in the left atrium
Intracardiac Tumor
fever, weight loss, arthralgias and Raynaud Phenomenon
Atrial Myxoma
abdominal or flank pain, low back pain, hematuria, Urinary tract infection, hypertension
Polycystic Kidney Disease
cobblestone appearance
Intranasal decongestant
bloody diarrhea, recurrent attacks of loose stools
Ulcerative Colitis
Colicky abdominal pain
Crohn Disease
34 wks gestation of severe RUQ pain
BMKI 38 kg/m2
Total Bilirubin 4.8 mg/dl
Acute Cholangitis
She feels a lot of guilt
also fears being arrested by the police
Acute Stress Disorder
insomnia following the birth of her son
decreased appetite and no interest seeing friends, appears restless and tearful
Diagnosis?
Postpartum Depression
Man has burns 40% of her body, developed high gastric residual volumes and progressive abdominal distention. What is the next step?
Plain Xray Abdomen
6 day old boy, breastfed and is gaining weight approximately born at 40 weeks gestation at primigravida, medial deviation of the forefoot what is the next step?
Karyotype analysis
photophobia, history of flue like symptoms recently, On examination T 39, neck rigidity, Ct scan is normal, CSF reports glucose normal and cell count predominantly lymphocytes
What is the most appropriate management?
IV fluids and Observation
tense bulging fontanelles
head enlargement
Hydrocephalus
fecal leakage and hematocheiza
conjunctival pallor is present
Colonoscopy - reveals pallor with areas of mucosal hemorrhages and telangiectasia, symptom?
Radiation induced Proctitis
Contact wit5h her previous doctor about prescription
Aboriginal child came to you with greenish discharge from nostrils and from ear. What is the most suspected sequel?
Hearing loss
A 15 yo boy with h/o sudden outburst of anger who is currently in a special school is now at verge of expulsion WHat would be the drug of choice?
Risperidone
Sigmoid Volvulus scenario
Which will lead to definitive diagnosis?
CT scan
female complaining RUQ pain, took 10 tab of paracetamol 12 hrs ago when you examined her there is tenderness, showed increase LFT + fever. What is the cause?
Cholangitis
25 yo female brought to the ER by the police, for verbal abuse and aggression at shopping center. She is barefoot wearing multi-colored scarf and her speech was classic example of word salad with pressured speech
Diagnosis?
Illicit drugs
Child presents with multiple small and large bruises on abdomen and limbs with fine small petechiae as well. What will you do to investigate to confirm the diagnosis?
FBC
15 year old woman goes to your clinic worried about last night after drinking
had sex with an unknown man
She took the morning pill and now asking advice.
What is the most appropriate next step?
Reassure
A man with SOC, ph. 7.29, oxygen 60 mmHg and carbon dioxide 50 mmHg. Bicarbonate high.
Partially compensated respiratory acidosis
Patient on meds with RA causes tiredness - Which med is this
Ibupofren
Man complained of Allergic Rhinitis which interferes with his sleep. Pale turbinates and nasal congestion at night. What is the treatment?
Inhale Fluticasone Daily
- intranasal steroids are the treatment of choice for persistent moderate to severe allergic rhinitis.
Man MMSE 25 before trial. He live with his son (caregiver). During trial his MMSE was 15. You think it is due to drug from trial. Who do you ask to remove him from trial?
Patient himself
Patient with lump FNAC shows breast cancer estrogen reuptake negative progesterone reuptake negative BRCA positive. What is the most appro?
Mastectomy with Axilliary Clearance
if the lump is 3-4 cm
Breast Conversation Surgery
crackles on the base of the chest
Pulmonary Embolism
High grade fever
Foul smelling sputum is present
Aspiration Pneumonia
Patient with Hereditary Spherocytosis,lethargic anemic HB and decrease platelet what to do next?
RBC transfusion (because HB very low)
Tetanus dirty wound vaccinated before but booster dose given 7 years back
What is the next step?
ADT
Pic of a child that look like he has an impetigo
Topical Mupirocin
Patient presents with obsession. he counts 20 then repeats again had trauma 2 months ago now pressured speech and sleep more what is the diagnosis?
Adjustment Disorder
Female patient with LSIL what is your most approp step?
Repeat test after 12 months
A man with past psychiatric h/o is presented to court his lawyer comes to you as his GP for his Medical reports. What is the next step?
Consent of patient