Anything Under The Sun In IM

Question 1

a tingling or electric sensation down
the back and upper and lower limbs
upon flexing or extending the neck
– an early sign of cord compression

Answer 1

Lhermitte’s sign

Question 2

DOC for Advanced pancreatic cancer

Answer 2

Gemtacibine

Question 3

Level of bilirubin when jaundice is evident ?

Pruritus?

Answer 3

2.5-3 mg/do

6-8mg/do

Question 4

Cauda equina syndrome

Answer 4

– Low back pain
– Diminished sensation over the buttocks, 
posterior-superior thighs, and perineal 
area in a saddle distribution
– Rectal and bladder dysfunction 
– Sexual impotence
– Absent bulbocavernous, patellar, and 
Achilles’ reflexes 
– Variable amount of lower-extremity 
weakness

Question 5

Erosion of the Pedicles - spinal cord compression

Answer 5

Winking owl sign

Question 6

Caused by the destruction of a 
large number of rapidly proliferating 
neoplastic cells
• Characterized by: 
– Hyperuricemia
– Hyperkalemia
– Hyperphosphatemia
– Hypocalcemia
– Acidosis
• Acute renal failure occurs frequently

Answer 6

Tumor lysis syndrome

Question 7

To for TLS

Answer 7

Allopurinol
– Urinary alkalinization
– Aggressive hydration
• Use of rasburicase in cases of 
elevated uric acid levels refractory 
to standard preventive approach 
– Contraindicated among patients with 
glucose-6-phosphate dehydrogenase 
deficiency
• Hemodialysis

Question 8

Chemo side effects

Chronic glucocorticoid use
– Radiation therapy to the head
– Tamoxifen

Answer 8

Cataracts

Question 9

Gloves and stockings distribution

Answer 9

Dengue

Question 10

CHEMO SIDE EFFECTS

sensorimotor neuropathy?

permanent numbness
and tingling in the fingers and toes?

Answer 10

Cisplatin

Vincristine

Question 11

Given to control hot flushes

Answer 11

Paroxetine

Question 12

Raynaud’s Phenomenon

Answer 12

bleomycin

Question 13

Tamoxifen causes?

Answer 13

endometrial cancer

Question 14

Aromatose inhibitors

Answer 14

osteoporosis

Question 15

Trastuzumab

Answer 15

heart failure