NEW QUESTION 59
A patient presents with fever, dry cough and breathlessness. He is tachypneic but chest is clear Oxygen saturation is normal at rest but drops on exercise.
What is the single most likely diagnosis?

NEW QUESTION 60
A 45-year-old man has developed an annular rash with a scaly edge on his thigh. The rash has been spreading. He has some general aches and pains.
What is the single most useful investigation?

NEW QUESTION 61
A 50-year-old patient presents with muscle weakness of the girdle with an increased CPK and aldolase. Her anti-Jo-1 antibody is positive.
Which of the following is most likely to happen to her?

NEW QUESTION 62
Which of the following is not a degenerative corneal disease?

NEW QUESTION 63
A 74-year-old woman is referred to osteoporosis clinic for advice on management of osteoporosis. She has a history of hiatus hernia, hypertension, hypercholesterolemia, chronic kidney disease stage 4 and COPD. She has recently been found to have osteoporosis after a Colles’ fracture. She is taking calcitriol, and other medication for her comorbidities.
Based on the information above, which would be the most appropriate agent for treatment of her osteoporosis?

NEW QUESTION 64
A 61year man was found with K+=7.5 and ECG with prolong QRS complex.
What is the best possible treatment?

NEW QUESTION 65
An elderly man comes to the emergency department with fever, headache, a stiff neck, and photophobia. He is HIV positive with < 50 CD4 cells and a history of pneumocystis pneumonia. His head CT is normal. CSF shows 2,500 white cells that are all neutrophils; Gram stain is normal.
What is the best initial therapy?

NEW QUESTION 66
A 57-year-old man having hypertension on oral anti-HTN. However, he is finding it difficult to mobilize as he tries to get up.
What is the most appropriate investigation for him?

NEW QUESTION 67
A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.
What is the s appropriate injection?

NEW QUESTION 68
A young man comes up with a headache, which he describes that this headache is the most severe headache in his life.
Which of the following will be less useful?

NEW QUESTION 69
A 27-year-old man presents with abdominal pain. He says his urine is dark. Exam: BP=160/105mmHg.
What is investigation?

NEW QUESTION 70
The tumor, which may occur in the residual breast or overlying skin following wide local excision and radiotherapy for mammary carcinoma, is:

NEW QUESTION 71
Patient with severe depression and now he showed some improvement with therapy. The risk of suicide is now:

NEW QUESTION 72
1-month-boy has brought to emergency room, he is conscious with cool peripheries and He a of -230/min. He has been irritable and feeding poorly for last 24 hours. CXR showed borderline card enlargement with clear lung fields.
ECG-showed narrow complex tachycardia, with difficult finding what is the single most appropriate treatment?

NEW QUESTION 73
A 5-year-old boy suddenly begins coughing while eating peanuts. He is choking and gagging. When he is brought to the emergency department, but he is awake and is able to give his name. On physical examination, his vital signs are stable. On examination of the chest, inspiratory stridor and intercostal and suprasternal retractions are apparent.
Which of the following is the most appropriate initial step in management?

NEW QUESTION 74
A 32-year-old woman comes to the emergency department with lower abdominal pain and tenderness, fever leukocytosis, and cervical motion tenderness.
What is the next best step in the management of this patient?

NEW QUESTION 75
A 10-year-old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other is normal.
What is the most likely diagnosis?

NEW QUESTION 76
A 28-year-old man presents with a 2 hours’ history of rapid palpitations. He feels a little light headed but is other exam: pulse=170 bpm and regular, BP=100/68 mmHg. He has had 2 similar episodes in the past.
What is the most disturbance?

NEW QUESTION 77
A person with suspicion of neisseria gonorrhoeae infection.
Which test is necessary?

NEW QUESTION 78
29 year’s Old female has a breast lump in the upper outer quadrant of the left breast, firm, 2 cm. in size, no Lymphnodes enlargement diagnosed as fibroadenoma.
What is the management for the above patient?

NEW QUESTION 79
The most common side effect of streptokinase (Thrombolytic) is ______________.

NEW QUESTION 80
A patient who has recently undergone hip fracture repair develops the sudden onset of shortness of breath. His pulse is 110 per minute. The chest is clear to auscultation. Chest x-ray is normal, and the EKG shows sinus tachycardia. ABG shows pH 7.48, pCO2 28, pO2 75.
What is the next best step in management?

NEW QUESTION 81
A 78 year’s retired teacher was admitted for a hernioplasty procedure. After the operation he became agitate and confused.
What is the most appropriate management?

NEW QUESTION 82
Highest source/cause of increased ACTH in Cushing syndrome: