ck

Question 1

Ambulatory patient comes with

• hypercalcemia and hypophosphatemia

Answer 1

Primary Hyperparathyroidism

Question 2

Secondary Hyperparathyoidism

Answer 2

Has hypercalcemia and hypophosphatemia

along with elevated BUN and Creatinine

Question 3

Rash starts on face–>

Goes to body

Answer 3

Measles

Dusk sore = Bluish

Rash that blanches

Question 4

Measles

Diagnostic test

Answer 4

Disease specific

IgG

IgM

Question 5

Exposed to Hep A

Answer 5

Give Hep A vaccination

Question 6

NewBorn

large heart

Answer 6

Coxsackie

EchoVirus

Adenovirus

Can be transplacental transmission

Question 7

Positive symptoms in schizophrenia

Answer 7

good prognosis

Question 8

S100

Answer 8

Melanoma

Question 9

hcg

Answer 9

seminoma

Question 11

3 laws of ARDS

Answer 11

See bilateral opacities on CXR

the partial pressure of arterial oxygen is 200 out of a fraction of inspired oxygen

( Normal PAo2/Fio2 is more than 500 mm hg–> less than 300 mm Hg is sign of Lung Injury)

There is no evidence of left heart failure that’s causing the buildup of fluid in the lung

Question 12

Central venous pressure

Pressure of Vena Cavae

It can be increased due to RHF, ARDS

Question 13

Left atrial pressure

Answer 13

Measured By PCWP aka Pulmonary artery occlusion pressure

Question 14

Vague RUQ pain

weight loss

Not associated with meals. movement or positions

Answer 14

Hepatocellular cancer

Solitary nodule on CT Scan

CT scan of abdomen is done most commonly that shows the location and extent

AFP is the marker thats increased

Question 15

Carcinoembryonic marker

Answer 15

CEA is increased Colon cancer

Question 16

Dark Skinned and melanoma

Answer 16

Acral Lentiginous Melanoma = 5 percent

Most commonly comes on the sole of foot

Question 17

discolored patch on skin of elderly

skin that had been exposed to sun

Answer 17

Lentigo Maligna

Question 18

Superficial Radial Patch

Answer 18

Superficial Spreading Melanoma = 75 percent of melanoma’s

overtime Radial patch transitions to vertical nodular growth

Question 19

history of cancer

now back pain along with urinary incontinence

lower extremity weakness

Answer 19

Metastasis of cancer causes epidural compression

immediate IV dexamethason and then MRI or CT scan with myelography

Question 20

Epidural space investigation

Answer 20

Epidural space investigation is done by MRI scanning

paravertebral or hard stuff investigation is done by CT scan

Question 21

90 percent oxygen saturation means how much is it in the MM hg

Answer 21

60 mm hg

Question 22

Rovsing Sign

Answer 22

Rovsign sign is seen in Acute Appendicitis

When palpation of LLQ induces pain in the RLQ

Question 23

Testes Descension by what month

Answer 23

4th month

Question 24

Ulcerative colitis Enema

Answer 24

Enema of AminoSalicyate

Question 25

Toxoplasmosis post treatment management

Answer 25

chronic suppression by

Pyrimethamine and Sulfadiazine

Give folinic acid for Pyrimethamine

Question 26

Cobblestone papillae on upper tarsal Conjunctivae

+

Photophobia

+

with bilateral chemosis

+

history of Asthma

Answer 26

Allergic Conjuctivits

Mast cell stabilizer –> Ketotifen 0.0025%

H1 Receptor Antagonist –> Levocabastine, Emedastine

Question 27

Positive Anti Cardiolipin Antibodies

+

Lupus Anticoagulant

Tx

Answer 27

Lifelong –> Warfarin –> INR 2.0 to 3.0

During Pregnancy –> Shift to LMWH

Question 28

Sideroblastic Anemia

Answer 28

Isoniazid

Heme not incorporated into protoporphyrin–> haemoglobin not formed

Iron accumulates on side of the nucleus of RBC–> Encircles the nucleus–> Hence, Ringed