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A 53-year-old man is brought to the Emergency Department with repetitive vomiting for four hours, despite his efforts to hold it back, followed by sudden pain in the upper abdomen and left lower chest. He has a history of prolonged heavy alcohol intake. On examination he is...
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A 4-year-old girl is brought by her mother to the pediatrician because of a rash. She had a fever and headache yesterday, and this morning broke out in a rash on her torso. The lesions are erythematous macules and vesicles in different stages, distributed diffusely over her...
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A 32-year-old woman is evaluated for a gradual increase in migraine frequency and severity over the past 6 months. Migraine attacks, which formerly occurred two or three times each month, are now occurring approximately three times each week, with each attack lasting at least...
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Wernicke encephalopathy is CHARACTERISED by
(A) neck stiffness
(B) ophthalmoplegia
(C) Grand mal epilepsy
(D) extensor plantar responses
(E) all of the above features
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A 65-year-old woman with renal failure presents for hemodialysis. She is found to be anemic and is given a dose of erythropoietin along with her usual vitamin and mineral supplements. Erythropoietin stimulates which of the following intermediates in hematopoiesis?
(A)...
System:
Hematology & Oncology, Renal, Urinary Systems & Electrolytes
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A 2-year-old child is very naughty. His teacher complains that he is easily distracted. His parents say that he can’t do a particular task for a long time. He sometimes hurts himself and breaks many things. This causes many troubles at home. What is the most likely diagnosis...
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A 35-year-old woman has developed marked thickening of the skin of her hands, particularly her fingers. This thickening is accompanied by hyperpigmentation and is so marked as to limit the range of motion of her fingers. If this patient goes on to develop gastrointestinal...
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This illustration is of a plain abdominal radiograph of a 74-year-old woman with a 12-hour history of colicky abdominal pain, distension and absolute constipation. Her past medical history is unremarkable, apart from chronic constipation for which she takes senna. She had an...
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Which one of the following is the most common cause of death in people with schizophrenia?
(A) Coronary heart disease
(B) Tobacco-related respiratory disease
(C) Cancer
(D) Suicide
(E) Dementia praecox
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A child falls and bumps her head on the floor. Tissue factor is exposed beneath the endothelium of traumatized blood vessels. Which of the following procoagulant proteins binds to tissue factor and initiates the clotting cascade?
(A) Factor V
(B) Factor VII
(C) Factor X
(D)...
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The skin lesions shown in the accompanying photograph were found on the hands of a 73-year-old nursing home patient. She has been noted to be constantly scratching the lesions and appears poorly cared for. Which of the following is the most appropriate treatment?
(A) topical...
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A 40-year-old man presents to his physician with numbness and tingling on the dorsal surface of his right hand and forearm and raised “varicose veins” that are firm to the touch along the same distribution. He also complains of weight loss. His serum creatinine level is 2.0...
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A 46-year-old man, known case of chronic GN(Glomerulonephritis) presents to OPD. He feels well. His blood pressure is 140/90mmHg. Urine dipstick: protein ++, blood ++ and serum creatinine is 106mmol/L. Which of the following medications can prevent the progression of this...
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A 45-year-old man is evaluated at the insistence of his wife because of his loud snoring. On questioning, the patient admits to morning headaches, nasal congestion, and falling asleep once while driving. He does not smoke cigarettes. He has no other medical problems and takes...
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A 25-year-old man presents with a painless, left-sided scrotal swelling which has been present for three weeks. Examination shows a tense hydrocele. The underlying testis is impalpable. Which one of the following is the most appropriate next investigation?
(A) Hydrocele...
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A seriously ill AIDS patient is admitted to a hospital. He has multiple infections, including Pneumocystis carinii pneumonia, pulmonary cytomegalovirus infection, and candidiasis of the esophagus and possibly other sites. Screening chemistry studies are drawn, including...
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An 8-year-old boy is brought to his pediatrician by his parents because of a fever and a sore throat. On examination, he has tonsillar exudates and swollen, tender anterior cervical nodes. His parents report no history of cough. Gram stain of the tonsillar exudate reveals...
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Which one of the following potential risk factors results in the highest risk for ischaemic stroke?
(A) Hypercholesterolaemia
(B) Obesity
(C) Smoking
(D) Non-insulin-dependent (Type 2) diabetes
(E) Hypertension
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A 45-year-old man has a blood pressure reading of 160/100 mm Hg on three separate visits. He refuses to take antihypertensive medication but is willing to modify his lifestyle in an effort to lower his blood pressure. He quits smoking, joins a health club, and greatly reduces...
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A 35-year-old man is seen in general practice. He has fever, a rash all over his body, and headaches. His 7-year-old son had chickenpox two weeks ago. You diagnose that he has chickenpox (varicella/varicella-zoster virus infection). He is concerned about his wife who is 12...