CASE BASED STUDY: post #87 — TG.ME

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CASE BASED STUDY

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November 21, 2023 235 1

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Guess the Disease 💡For Explanation:- CLICK HERE 1.8KAug 2 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 294Jul 24 [media post] 1.3KFeb 21 Case No. 13 A 75-year-old man presents with gradually worsening pruritus, jaundice, and vague right upper quadrant abdominal ache. He has a 30-year history of ulcerative colitis. On exam, he has normal vital signs, scleral icterus, and hepatomegaly. His abdominal ultrasound shows dilated intrahepatic and extrahepatic ducts but no evidence of stones. His bilirubin level is 10, alkaline phosphatase level is 400, and amylase level is normal. An abdominal CT scan finds no pancreatic masses or adenopathy. The differential diagnosis for this patient should include which of the following? 1.2KFeb 21 [media post] 1KJan 12