A 70-year-old patient presented with weakness, tiredness and muscle cramps. The ECG showed Q-T prolongation, flattening of T wave and occasional A-V block. His serum K+ was low (2.8 mEq/L). He admitted taking a laxative every day for the past several months. Which laxative could be responsible for the above condition: A. Bisacodyl B. Liquid paraffin C. Methylcellulose D. Bran

A 70-year-old patient presented with weakness,
tiredness and muscle cramps. The ECG showed
Q-T prolongation, flattening of T wave and occasional
A-V block. His serum K+ was low (2.8 mEq/L). He
admitted taking a laxative every day for the past
several months. Which laxative could be responsible
for the above condition:
A. Bisacodyl
B. Liquid paraffin
C. Methylcellulose
D. Bran
by

1 Answer

Answer :

A. Bisacodyl
by

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Description : The most suitable laxative for a patient of irritable bowel disease with spastic constipation is: A. Dietary fibre B. Liquid paraffin C. Bisacodyl D. Senna

Last Answer : A. Dietary fibre

The following laxative lowers blood ammonia level in hepatic encephalopathy: A. Bisacodyl B. Liquid paraffin C. Lactulose D. Magnesium sulfate

Description : The following laxative lowers blood ammonia level in hepatic encephalopathy: A. Bisacodyl B. Liquid paraffin C. Lactulose D. Magnesium sulfate

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A 35 year old male presents with weakness and tiredness. He is noted to be hyertensive. Electrolytes show a hypokalaemia and a hypomagnesaemia. What investigation would you select for this patient? 1) Colonoscopy 2) Plasma renin toaldosterone ratio 3) Serum amylase 4) Serum calcium 5) Oral glucose tolerance test

Description : A 35 year old male presents with weakness and tiredness. He is noted to be hyertensive. Electrolytes show a hypokalaemia and a hypomagnesaemia. What investigation would you select for this patient? ... Plasma renin toaldosterone ratio 3) Serum amylase 4) Serum calcium 5) Oral glucose tolerance test

Last Answer : Answers-2 The hypokalaemic hypertension with hypomagnesaemia suggests primary hyperaldosteronism. The most reliable assessment for this would be renin to aldosterone ratio.

A patient presented with abdominal pain and frequent unsatisfactory bowel movement. For the last one year he has been using a purgative twice weekly to open his bowel. On colonoscopy the colon was found to be atonic with bluish pigmentation of the mucosa. Which is the most likely purgative that the patient has been using: A. Liquid paraffin B. Ispaghula C. Senna D. Lactulose

Description : A patient presented with abdominal pain and frequent unsatisfactory bowel movement. For the last one year he has been using a purgative twice weekly to open his bowel. On colonoscopy the colon was found to ... that the patient has been using: A. Liquid paraffin B. Ispaghula C. Senna D. Lactulose

Last Answer : C. Senna

A 60-year-old patient presented with anorexia, weakness, paresthesia and mental changes. His tongue was red, tendon reflexes were diminished, haemoglobin was 6 g% with large red cells and neutrophils had hypersegmented nuclei. Endoscopy revealed atrophic gastritis. Deficiency of which factor is likely to be responsible for his condition: A. Folic acid B. Vitamin B12 C. Pyridoxine D. Riboflavin

Description : A 60-year-old patient presented with anorexia, weakness, paresthesia and mental changes. His tongue was red, tendon reflexes were diminished, haemoglobin was 6 g% with large red cells and neutrophils had ... be responsible for his condition: A. Folic acid B. Vitamin B12 C. Pyridoxine D. Riboflavin

Last Answer : B. Vitamin B12

A child presented with polyuria, weakness and fever. On the basis of investigations he was labelled to be suffering from Fancony syndrome. A history of taking some old left over antibiotic capsules was obtained. What could have been the antibiotic: A. Tetracycline B. Chloramphenicol C. Ampicillin D. Cephalexi

Description : A child presented with polyuria, weakness and fever. On the basis of investigations he was labelled to be suffering from Fancony syndrome. A history of taking some old left over antibiotic ... What could have been the antibiotic: A. Tetracycline B. Chloramphenicol C. Ampicillin D. Cephalexi

Last Answer : A. Tetracycline

Used as a laxative, liquid paraffin has the following drawbacks except: A. It interferes with absorption of fat soluble vitamins B. It is unpleasant to swallow C. It causes griping D. It can produce foreign body granulomas

Description : Used as a laxative, liquid paraffin has the following drawbacks except: A. It interferes with absorption of fat soluble vitamins B. It is unpleasant to swallow C. It causes griping D. It can produce foreign body granulomas

Last Answer : C. It causes griping

For therapeutic effect in manic depressive illness, steady-state serum lithium concentration should be maintained between: A. 0.2–0.4 mEq/L B. 0.5–0.8 mEq/L C. 1.0–1.3 mEq/L D. 1.5–2.5 mEq/L

Description : For therapeutic effect in manic depressive illness, steady-state serum lithium concentration should be maintained between: A. 0.2–0.4 mEq/L B. 0.5–0.8 mEq/L C. 1.0–1.3 mEq/L D. 1.5–2.5 mEq/L

Last Answer : B. 0.5–0.8 mEq/L

Infusion of potassium chloride is indicated in digitalis toxicity when the manifestation(s) is/are: A. Vomiting, hyperapnoea and visual disturbance B. Pulsus bigeminus with heart rate 110/min in a patient on maintenance digoxin therapy C. Ventricular tachycardia in a child who has accidentally ingested 10 digoxin tablets D. 2:1 A-V block with occasional ventricular extrasystoles

Description : Infusion of potassium chloride is indicated in digitalis toxicity when the manifestation(s) is/are: A. Vomiting, hyperapnoea and visual disturbance B. Pulsus bigeminus with heart rate 110/min ... accidentally ingested 10 digoxin tablets D. 2:1 A-V block with occasional ventricular extrasystoles

Last Answer : B. Pulsus bigeminus with heart rate 110/min in a patient on maintenance digoxin therapy

A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of diabetic ketoacidosis: 1) Abdominal pain at onset 2) A serum bicarbonate of 10 mmol/l 3) A serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations

Description : A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of ... serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations

Last Answer : Answers-2 a-An unusual but recognised feature particularly in children. However does not support a diagnosis of DKA. b-Suggests metabolic acidosis. c-'Normoglycaemic DKA' can occur and a glucose ... anorexia. e-Respiratory compensation leads to rapid deep (Kussmaul's) breathing. (Dr Mike Mulcahy)

A patient has been taking digoxin for several years for chronic heart failure is about to receive atropine for another condition. A common effect of digoxin (at therapeutic blood levels) that can be almost entirely blocked by atropine is (a) Decreased appetite (b) Increased atrial contractility (c) Increased PR interval on the ECG (d) Headaches (e) Tachycardia

Description : A patient has been taking digoxin for several years for chronic heart failure is about to receive atropine for another condition. A common effect of digoxin (at therapeutic blood levels) that can ... Increased atrial contractility (c) Increased PR interval on the ECG (d) Headaches (e) Tachycardia

Last Answer : Ans: C

A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results confirms the suspected diagnosis of primary hyperparathyroidism? 1) High normal 1,25-dihydroxyvitamin D concentration 2) High normal 24 hour urinary calcium concentration 3) High normal plasma parathyroid hormone concentration 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Description : A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results ... 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Last Answer : Answers-3 Bit too easy really. A high or even normal PTH concentration in the presence of hypercalcaemia would support the diagnosis of hyperparathyroidism. A high urinary Calcium concentration may ... but neither confirm the diagnosis. Elevated 1,25 VitD suggests a diagnosis of hypervitaminosis D.

An 8-year-old child presented with brownish discoloured and deformed anterior teeth. History of having received an antibiotic about 4 years earlier was obtained. Which antibiotic could be responsible for the condition: A. Chloramphenicol B. Tetracycline C. Erythromycin D. Gentamicin

Description : An 8-year-old child presented with brownish discoloured and deformed anterior teeth. History of having received an antibiotic about 4 years earlier was obtained. Which antibiotic could be responsible for the condition: A. Chloramphenicol B. Tetracycline C. Erythromycin D. Gentamicin

Last Answer : Tetracycline

Normal range of serum chloride is (A) 24–27 mEq/L (B) 70–80 mEq/L (C) 100–106 mEq/L (D) 120–140 mEq/L

Description : Normal range of serum chloride is (A) 24–27 mEq/L (B) 70–80 mEq/L (C) 100–106 mEq/L (D) 120–140 mEq/L

Last Answer : Answer : C

Normal range of serum sodium is (A) 30–70 mEq/L (B) 70–110 mEq/L (C) 117–135 mEq/L (D) 136–145 mEq/L

Description : Normal range of serum sodium is (A) 30–70 mEq/L (B) 70–110 mEq/L (C) 117–135 mEq/L (D) 136–145 mEq/L

Last Answer : Answer : D

When the post-cardiac surgery patient demonstrates restlessness, nausea, weakness, and peaked T waves, the nurse reviews the patient’s serum electrolytes anticipating which abnormality? a) Hyperkalemia Hyperkalemia is indicated by mental confusion, restlessness, nausea, weakness, and dysrhythmias (tall, peaked T waves). b) Hypercalcemia Hypercalcemia would likely be demonstrated by asystole. c) Hypomagnesemia Hypomagenesemia would likely be demonstrated by hypotension, lethargy, and vasodilation. d) Hyponatremia Hyponatremia would likely be indicated by weakness, fatigue, and confusion without change in T wave formation

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Last Answer : a) Hyperkalemia Hyperkalemia is indicated by mental confusion, restlessness, nausea, weakness, and dysrhythmias (tall, peaked T waves).

Which of the following ECG characteristics is usually seen when a patient’s serum potassium level is low? a) U wave The U wave is an ECG waveform characteristic that may reflect Purkinje fiber repolarization. It is usually seen when a patient’s serum potassium level is low. b) T wave The T wave is an ECG characteristic reflecting repolarization of the ventricles. It may become tall or “peaked” if a patient’s serum potassium level is high. c) P wave The P wave is an ECG characteristic reflecting conduction of an electrical impulse through the atria. d) QT interval The QT interval is an ECG characteristic reflecting the time from ventricular depolarization to repolarization.

Description : Which of the following ECG characteristics is usually seen when a patient's serum potassium level is low? a) U wave The U wave is an ECG waveform characteristic that may ... interval The QT interval is an ECG characteristic reflecting the time from ventricular depolarization to repolarization.

Last Answer : a) U wave The U wave is an ECG waveform characteristic that may reflect Purkinje fiber repolarization. It is usually seen when a patient’s serum potassium level is low.

What is the normal level of K+ in the serum ? (A) 137–148 mEq/L (B) 120–160 mEq/L (C) 3.9–5.0 mEq/L (D) 0.3–0.59 mEq/L

Description : What is the normal level of K+ in the serum ? (A) 137–148 mEq/L (B) 120–160 mEq/L (C) 3.9–5.0 mEq/L (D) 0.3–0.59 mEq/L

Last Answer : Answer : C

A 75 year old man presents with a long history of shortness of breath and ankle oedema. His serum biochemistry shows sodium 122 mmols/l and potassium of 2.9 mmols/l. He now complains of weakness.Which of the following is likely to explain the above biochemical picture? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy

Description : A 75 year old man presents with a long history of shortness of breath and ankle oedema. His serum biochemistry shows sodium 122 mmols/l and potassium of 2.9 mmols/l. He now complains of ... ? 1) Addison's Disease 2) Nephrotic syndrome 3) Primary hyperaldosteronism 4) SIADH 5) Diuretic therapy

Last Answer : Answers-5 The long history of his symptoms and serum biochemistry suggests that his condition is due to treatment with frusemide for CCF.

A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks modest quantities of alcohol. He takes no prescribed medications. Examination reveals a BMI of 33.5 kg/2 but nil else. The following detail his investigations: Serum sodium 146 mmol/l (NR 133-145) Serum potassium 3.2 mmol/l (NR 3.5 - 5) Urinary potassium excretion 42 mmol/l (NR less than 30) What is the likely diagnosis? 1) Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Description : A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks ... Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Last Answer : Answers-1 This patient is most likely to have Conn's syndrome as reflected by the hypokalaemic hypertension. Liquorice ingestion or Liddle's syndrome are again possible causes of ... hypertension (often diastolic hypertension), muscular weakness, paresthesias, headache, polyuria, and polydipsia."

A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On examination, visual acuity was 6/6 in the right eye and 6/60 in the left eye. Fundus examination showed blurred edges of the left optic disc. The most probable diagnosis is: a. Raised intra cranial pressure b. Raised ocular tension c. Central retinal artery occlusion d. Optic neuritis

Description : A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On examination, visual acuity was 6/6 in the ... : a. Raised intra cranial pressure b. Raised ocular tension c. Central retinal artery occlusion d. Optic neuritis

Last Answer : ANSWER: D

The normal serum value for potassium is a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias. b) 135-145 mEq/L. Normal serum sodium is 135-145 mEq/L. c) 96-106 mEq/L. Normal serum chloride is 96-106 mEq/L. d) 8.5-10.5 mg/dL. Normal total serum calcium is 8.5-10.5mg/dL.

Description : The normal serum value for potassium is a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias. b) 135-145 mEq/L. Normal serum sodium is 135-145 mEq/L. c) 96-106 mEq/L. ... is 96-106 mEq/L. d) 8.5-10.5 mg/dL. Normal total serum calcium is 8.5-10.5mg/dL.

Last Answer : a) 3.5-5.5 mEq/L. Serum potassium must be within normal limits to prevent cardiac dysrhythmias.

A 19 year-old female is referred following a visit to the dentist where marked erosion of her teeth was noted. She was entirely asymptomatic and her only medication was the oral contraceptive pill. On examination her blood pressure was 110/70 mmHg and her body mass index was 21.5 kg/m2 (18 - 25). Investigations sodium 135 mmol/l potassium 2.1 mmol/l bicarbonate 42 mmol/l urea 2.6 mol/L corrected calcium 2.08 mmol/ alkaline phosphatase 201 iu/l (50-110) What is the most likely diagnosis? 1) Bulimia nervosa 2) Conn's syndrome 3) Laxative abuse 4) Pregnancy 5) Primary hypoparathyroidism

Description : A 19 year-old female is referred following a visit to the dentist where marked erosion of her teeth was noted. She was entirely asymptomatic and her only medication was the oral contraceptive pill ... ) Bulimia nervosa 2) Conn's syndrome 3) Laxative abuse 4) Pregnancy 5) Primary hypoparathyroidism

Last Answer : Answers-5 This patient has tooth erosion associated with hypokalaemic metabolic alkalosis and hypocalcaemia. This suggests a diagnosis of hypoparathyroidism. Conn's is unlikely in this age group, is ... raised alkaline phosphatase would not be expected. Early pregnancy would not fit this picture.

A 15-year-old girl was seen by her family physician because of increasing lethargy. She had a recent history of the "flu". Biochemistry tests show that she has renal impairement. serum sodium 140 mmol/L (137 - 144) serum potassium 4.2 mmol/L (3.5 - 4.9) serum urea 28 mol/L (2.5 - 7.5) serum creatinine 280 µmol/L (60 - 110) Her condition does not improve after several weeks on corticosteroid therapy, so a renal biopsy is performed. The biopsy demonstrates the presence of segmental sclerosis of 3 of 10 glomeruli identified in the biopsy specimen. Immunofluorescence studies and electron microscopy do not reveal evidence for immune deposits. What is the most appropriate advice to give regarding her condition? 1) She has an underlying malignancy 2) She may require a renal transplant in 10 years

Description : A 15-year-old girl was seen by her family physician because of increasing lethargy. She had a recent history of the "flu". Biochemistry tests show that she has renal impairement. ... will likely develop a restrictive lung disease 5) She will probably improve with additional corticosteroid therapy

Last Answer : Answers-2 The findings point to focal segmental glomerulosclerosis (FSGS), which leads to chronic renal failure in half of cases. The lack of resolution with corticosteroid therapy and the progression to chronic renal failure is what sets FSGS apart from minimal change disease.

The principal action common to all class I antiarrhythmic drugs is: A. Na+ channel blockade B. K+ channel opening C. Depression of impulse conduction D. Prolongation of effective refractory period

Description : The principal action common to all class I antiarrhythmic drugs is: A. Na+ channel blockade B. K+ channel opening C. Depression of impulse conduction D. Prolongation of effective refractory period

Last Answer : A. Na+ channel blockade

A suspected case of poisoning has been brought to the casualty with weakness, fainting, involuntary passage of urine and stools, profuse sweating, salivation, watering from nose and eyes. His pulse is 120/min, low volume, BP 90/60 mm Hg, respiration shallow, pupil constricted, muscles flabby with occasional fasciculations. Which is the most likely type of poisoning: A. Belladonna B. Barbiturate C. Anticholinesterase D. Dicophane (DDT

Description : A suspected case of poisoning has been brought to the casualty with weakness, fainting, involuntary passage of urine and stools, profuse sweating, salivation, watering from nose and eyes. His pulse ... likely type of poisoning: A. Belladonna B. Barbiturate C. Anticholinesterase D. Dicophane (DDT

Last Answer : C. Anticholinesterase

A suspected case of poisoning has been brought to the casualty with weakness, fainting, involuntary passage of urine and stools, profuse sweating, salivation, watering from nose and eyes. His pulse is 120/min, low volume, BP 90/60 mm Hg, respiration shallow, pupil constricted, muscles flabby with occasional fasciculations. Which is the most likely type of poisoning: A. Belladonna B. Barbiturate C. Anticholinesterase D. Dicophane (DDT)

Description : A suspected case of poisoning has been brought to the casualty with weakness, fainting, involuntary passage of urine and stools, profuse sweating, salivation, watering from nose and eyes. His pulse ... likely type of poisoning: A. Belladonna B. Barbiturate C. Anticholinesterase D. Dicophane (DDT)

Last Answer : C. Anticholinesterase

The normal serum CO2 content is (A) 18–20 meq/L (B) 24–29 meq/L (C) 30–34 meq/L (D) 35–38 meq/L

Description : The normal serum CO2 content is (A) 18–20 meq/L (B) 24–29 meq/L (C) 30–34 meq/L (D) 35–38 meq/L

Last Answer : Answer : B

Normal range of serum potassium is (A) 2.1-3.4 mEq/L (B) 3.5-5.3 mEq/L (C) 5.4–7.4 mEq/L (D) 7.5–9.5 mEq/L

Description : Normal range of serum potassium is (A) 2.1-3.4 mEq/L (B) 3.5-5.3 mEq/L (C) 5.4–7.4 mEq/L (D) 7.5–9.5 mEq/L

Last Answer : Answer : B

An 8-year-old child presented with brownish discoloured and deformed anterior teeth. History of having received an antibiotic about 4 years earlier was obtained. Which antibiotic could be responsible for the condition ? (a) Chloramphenicol (b) Tetracycline (c) Erythromycin (d) Genetamicin

Description : An 8-year-old child presented with brownish discoloured and deformed anterior teeth. History of having received an antibiotic about 4 years earlier was obtained. Which antibiotic could be responsible for the condition ? (a) Chloramphenicol (b) Tetracycline (c) Erythromycin (d) Genetamicin

Last Answer : Ans: B

One of the symptoms of low serum potassium concentration includes (A) Muscle weakness (B) Confusion (C) Numbness (D) Tingling of extremities WATER AND ELECTROLYTE BALANCE 283

Description : One of the symptoms of low serum potassium concentration includes (A) Muscle weakness (B) Confusion (C) Numbness (D) Tingling of extremities WATER AND ELECTROLYTE BALANCE 283

Last Answer : Answer : A

A 3-year-old child was given one tablet three times a day to control loose motions. The diarrhoea stopped but next day the child was brought in a toxic condition with abdominal distention and vomiting. He had paralytic ileus, mild dehydration, low blood pressure and sluggish reflexes. Which antidiarrhoeal drug could have caused this condition: A. Iodochlorhydroxyquinoline B. Furazolidone C. Loperamide D. Metronidazole

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Last Answer : C. Loperamide

Select the purgative that should not be taken at bed time: A. Magnesium sulfate B. Bisacodyl C. Senna D. Ispaghula

Description : Select the purgative that should not be taken at bed time: A. Magnesium sulfate B. Bisacodyl C. Senna D. Ispaghula

Last Answer : A. Magnesium sulfate

Occasional sensitivity in a shallow class I amalgam restoration after two days would be managed by: A. Replace old filing immediately B. Oxide Zinc and eugenol C. Using thicker mix of cements D. Tell patient the discomfort will disappear after 4 t o6 weeks E. Ledermix

Description : Occasional sensitivity in a shallow class I amalgam restoration after two days would be managed by: A. Replace old filing immediately B. Oxide Zinc and eugenol C. Using thicker mix of cements D. Tell patient the discomfort will disappear after 4 t o6 weeks E. Ledermix

Last Answer : D. Tell patient the discomfort will disappear after 4 t o6 weeks

A patient of CHF was treated with furosemide and digoxin. He became symptom-free and is stable for the last 3 months with resting heart rate 68/min in sinus rhythm but left ventricular ejection fraction is low. Which of the following lines of action is warranted: A. Stop above medication and start an ACE inhibitor B. Continue all medication as before C. Continue the diuretic but stop digoxin D. Continue digoxin but stop the diuretic

Description : A patient of CHF was treated with furosemide and digoxin. He became symptom-free and is stable for the last 3 months with resting heart rate 68/min in sinus rhythm but left ventricular ... medication as before C. Continue the diuretic but stop digoxin D. Continue digoxin but stop the diuretic

Last Answer : A. Stop above medication and start an ACE inhibitor

A 35-year-old male presented with an attack of acute gout. He was treated with a 10 day course of naproxen. His blood uric acid level is high. What future line of treatment is most appropriate: A. No regular medication. Treat attacks of acute gout when they occur with naproxen. B. Regular long-term treatment with naproxen C. Regular long-term treatment with allopurinol D. Start with allopurinol + naproxen for 2 months followed by long-term allopurinol treatment

Description : A 35-year-old male presented with an attack of acute gout. He was treated with a 10 day course of naproxen. His blood uric acid level is high. What future line of treatment is ... treatment with allopurinol D. Start with allopurinol + naproxen for 2 months followed by long-term allopurinol treatment

Last Answer : D. Start with allopurinol + naproxen for 2 months followed by long-term allopurinol treatment

Which of the following is the most suitable drug for a 6-year-old girl suffering from absence seizures with occasional generalized tonic-clonic seizures: A. Ethosuccimide B. Sodium valproate C. Carbamazepine D. Phenytoin

Description : Which of the following is the most suitable drug for a 6-year-old girl suffering from absence seizures with occasional generalized tonic-clonic seizures: A. Ethosuccimide B. Sodium valproate C. Carbamazepine D. Phenytoin

Last Answer : B. Sodium valproate

Rank the following laboratory tests and procedures in terms of their relative value to a 65-year-old woman who is to undergo elective resection of a sigmoid cancer. A. Carcinoembryonic antigen (CEA). B. Blood urea nitrogen (BUN). C. Electrocardiogram (ECG). D. Hemoglobin concentration (Hgb). E. Serum creatinine (Cr). F. Arterial blood oxygen tension (PaO 2) on room air. G. Serum sodium concentration (Na+).

Description : Rank the following laboratory tests and procedures in terms of their relative value to a 65-year-old woman who is to undergo elective resection of a sigmoid cancer. A. Carcinoembryonic antigen (CEA). B. ... Arterial blood oxygen tension (PaO 2) on room air. G. Serum sodium concentration (Na+).

Last Answer : Answer: CDFEBAG DISCUSSION: The most important test by far is the electrocardiogram, with its capacity to indicate signs of occult heart disease. The second most important evaluation is the hemoglobin ... for resection of the colon is always normal and would be of least value among these tests

A patient of pulmonary tuberculosis treated with rifampin + isoniazid + pyrazinamide developed parasthesias, weakness, dizziness, ataxia and depressed tendon reflexes. Which of the following measures would you recommend: A. Temporarily discontinue isoniazid and add pyridoxine B. Substitute isoniazid with thiacetazone C. Substitute pyrazinamide with ethambutol D. Substitute rifampin with streptomycin

Description : A patient of pulmonary tuberculosis treated with rifampin + isoniazid + pyrazinamide developed parasthesias, weakness, dizziness, ataxia and depressed tendon reflexes. Which of the following ... with thiacetazone C. Substitute pyrazinamide with ethambutol D. Substitute rifampin with streptomycin

Last Answer : A. Temporarily discontinue isoniazid and add pyridoxine

Pt. had chest pain and fainting , ECG shows st- elevation and significant Q wave in -v4 and st-depression in inferior leads : Ant. MI Inf. MI Pericarditis Post. MI

Description : Pt. had chest pain and fainting , ECG shows st- elevation and significant Q wave in -v4 and st-depression in inferior leads : Ant. MI Inf. MI Pericarditis Post. MI

Last Answer : Ant. MI

A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/dL ( normal 0.5-1.2) and serum gentamicin concentrations obtained just before the last dose were 9 mg/dL (normal < 2). Which of the following is the most likely adverse drug reaction the patient was suffering from? a) Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity

Description : A 75-year-old man had been receiving gentamicin (an aminoglycoside antibiotic) to treat an urinary tract infection. After three months of therapy patient's serum creatinine levels were 10 mg/ ... Type II allergic reaction b)Type III allergic reaction c) Pseudo allergic reaction d) Overdose toxicity

Last Answer : d) Overdose toxicity 

When the value of k increases, the effective result is ______ of the equivalent curvatures. A. downward curvatures B. flattening C. bulging D. sharp curvature

Description : When the value of k increases, the effective result is ______ of the equivalent curvatures. A. downward curvatures B. flattening C. bulging D. sharp curvature

Last Answer : B. flattening

The dihydropyridines block the following type of calcium channels: A. L-type voltage sensitive channels B. T-type voltage sensitive channels C. N-type voltage sensitive channels D. Receptor operated calcium channels

Description : The dihydropyridines block the following type of calcium channels: A. L-type voltage sensitive channels B. T-type voltage sensitive channels C. N-type voltage sensitive channels D. Receptor operated calcium channels

Last Answer : A. L-type voltage sensitive channels

A 39 years old women Para 6 has presented with complaint of post coital bleeding for the past three months. Your first investigation should be: a) Dilatation & Curettage. b) Cone biopsy of cervix. c) Pap smear. d) Colposcopy. e) Laparoscopy.

Description : A 39 years old women Para 6 has presented with complaint of post coital bleeding for the past three months. Your first investigation should be: a) Dilatation & Curettage. b) Cone biopsy of cervix. c) Pap smear. d) Colposcopy. e) Laparoscopy.

Last Answer : c) Pap smear.