Recalls From The Group

Question 1

Sep recalls 2023

Indications of urgent surgery
A- Traumatic spleen rupture at lower pole
B- upper pole of kidney rupture
C- free fluid in the peritoneum

Answer 1

C- free fluid in the peritoneum

Question 2

endo

A lady with thyroid nodule, symptoms of hyperthyroidism TSH 0.4. What’s the next investigation?
a. Thyroid peroxidase antibody
b. Free t4
c. Free t3

Answer 2

b. Free t4

Question 3

card

A 55-year-old male presented with sudden onset of right sided leg pain and paresthesias. On examination distal pulses are absent and the limb is cold.Neurological examination is normal. CTangiogram shows femoral artery embolism. Patient is given heparin and an emergency embolectomy is done. What will you do next?
a. Give aspirin lifelong
b. Give heparin for one week
c. Give warfarin lifelong
d. Give a combination of aspirin and warfarin for 6 months
e. Refer patient to hematologist

Answer 3

c. Give warfarin lifelong

Question 4

What is most appropriate test to diagnose hemochromatosis?
1)liver biopsy
2) serum ferritin level and transferrin
3)saturation HFC genotype
4)ultrasound of liver and testis
5) full blood count

Answer 4

2) serum ferritin level and transferrin

Question 5

Young patient, urethral discharge, rash on pals, sausage digits, rF negative. What is the diagnosis?
A. REITERS
b. PSORIATIC ARTHRITIS

Answer 5

A. Reiters
The most likely diagnosis for a young patient with urethral discharge, rash on palms, and sausage digits, is Reiter’s syndrome (A). This is a rare autoimmune disorder that typically affects males in their 20s to 40s, and is characterized by inflammation of the joints, urethra, and eyes. The presence of a rash on the palms, known as keratoderma blennorrhagica, is a classic finding in Reiter’s syndrome. While psoriatic arthritis (B) can also cause joint in flammation and skin rashes, it typically does not involve the urethra, and instead affects the skin and nails. Rheumatoid factor (RF) is typically negative in both Reiter’s syndrome and psoriatic arthritis. It is important to consult a healthcare provider for an accurate diagnosis and appropriate treatment.

Question 6

Q. A case of myasthenia gravis with diplopia and muscle weakness. What is
the initial investigation to do?
a) Tensilon test
b) Nerve conduction study
c) EMG
#neurology

Answer 6

a) Tensilon test