CASE BASED STUDY: post #124 — TG.ME

Medicine Q

Q) pt has level of leison at umbilicus, what is the vertebral leison

- T7- T9

Q) one from onco, CKD 20 + CDK 7-, not seen on PET scan

- ovarian
- breast
- lung
- colon

Q) mean>median >
mode( values were given)

- positively skewed
- negatively skewed
- no change
-
Q) pt with steatorrhoea schillings positive, d xylose normal, duodenal biopsy normal

- ileal disease
- intestinal lymphangectasia
- UC
- celiac disease

Q) elderly patient with MI 6 months back require add on therapy to metformin,

- SGLT2
- voglibose
-
-

Q) In CLD pt Not useful in MRSA

Meropenam
Linezolid
Daptomycin
Teicoplanin


Q) One hyponatremia correction,
S Na 110
Body weight 75
How much ml of 3percent saline will increase sodium by 8 meq:
800ml
400ml
200ml
100ml

Q) clinically homocyteinuria, which one will u add in diet

- pyridoxine
- carbo
- protein
- lipid

Q) something on body packing/cocaine/heroin

Q) which is used in Hairy cell leukemia recently treated with Fludaribine, requires blood transfusion
- leukoreduced RBCS
- irradiated RBCS
- whole blood
-

Q) patient with 2 spon abortions in past, travelled for 8 hrs,
Now has DVT,
Aptt 3 time ULN
Treatment

- warf then aspirain
- LMWH f/b warf with inr target 2.5-3.5 for life long
- LMWH f/b warf with INr target 2-3 for 12 months
-

Q) which is not a/ with hep C

- FSGS
-PAN
- MN
-MPGN

Q) which is not seen in amyloid
- stroke
- sensory neuropathy
- lumbisacral radiculopathy
- autonomic neuropathy

Q) which one is not used in fluid resuscitation
- IVC collapsiblity
- SV with passive SLR
- USG of lung
-

Q) which is not used as initial inv for secondary ammenorrhea

-FSH/LH
- USG abdo
- testosterone
- prolactin

Q) which is not included in clinical pulmonary infection score

- BP
- fever
- CXR
-

Q) which is not a feature of seronegative spA

- strongly associated with HLA B27
- Rf negative
- uveitis
- symmetrical polyarthritis

Q) Elderly male with hyponatremia ,which of the test is not useful as first line investigation:
-ONDST
-ACTH stimulation
-TSH
-Urine sodium

Q) diff SIADH vs CSW

- extravasc volume status
- serun uric acid levels
- high urine Na
- high urine osm

Q) On routine examination patient found to have LVH, systolic ejection murmur, ( sounded like HOCM)
Performs valsalva, what will happen to his murmur

- increase
- decrease
- no change
-

Q) one patient sudden collapses while playing basketball, found to have VT, which electrolytes will u ask

- ca, k, Mg
-na, k, ca
- na, ca, mg
-

Q) In relation to SACD which is false

- always corealtes with anemia
- inv of lateral and dorsal colums
- cu def has similar manifestation
-

Q) patient of DM on triple drugs- Metformin, dapagliflozim and ?
Has acidosis . What is the cause

- metformin induced lactic acidosis
- euglycemia ketoacidosis
-
-

Q) which is not useful in ICH scoring

- age
- volume kf bleed
- location of bleed
- delay in presentation

Q)regarding covid vaccine which is incorrect

- VITT is an indiosyncratic reaction
- chadox is adenovirus vector
- mrna vaccines rarely causes myocarditis in males
-

Q) which is false about tocilizumab
In a patient who has presented with ARDS and is planed to get intubated
- subcut is inferior to iv
- used when CRP>60
- given as single dose
-

Q) patient on treatment of depression, one ECG was given ( looked like TCA toxicity)
Which is false statement

- this ia a case of BZD poisoning
- QRS> 100 increases risk of seizures
- ? Gastric decontamination

Q) patient with oligouria, u output of 10ml/hr is started on furosemide infusion of 0.3mg/hr
Which is false

- furosemide increases risk of ATn in sepsis
- Furosemide delays Need of dialysis
-at this dose it wont cause ototoxicity
-

@superspeciality
July 24, 2025 294