Posted by faheem on August 01, 2001 at 09:32:23:
I DONT KNOW WHATS WRONG WITH THIS SITE,I HAVE SEND EMQS WHICH IS NOT SHOWN COMPLETLY ON MY PREVIOUS ATTEMPT.
HERE ARE MORE, I MEAN EMQS FROM JULY 2001 WHICH I REMEMBERED.
DRUGS MANAGEMENT AND CRONIC RENAL FAILURE
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OPTIONS
A-STREPTOMYCIN
B-FRUSEMIDE
C-CEFATOXIME
D-FLUCLOXACINE
E-SPIRALOLACTON
F-AZATHIOPRIN
G-CYCLOSPORIN
H-CYCLOPHOSPHAMIDE
1-A 40 YEAR OLD MAN WITH CRF WITH HIGH URE AND CREATININE AND EDEMA FEET
2-A 56 YEAR OLD DIABETIC MAN WITH CRF WHOSE NA 135 MMOL/L AND K IS 2.5 MMOL/L
3-A 20 YEAR OLD CHILD WITH PROGRESSIVE GN AND HAVING RECURRENT NEPHROTIC SYNDROME
4-A ANTIBIOTIC HAS BEEN GIVEN IN CRF WHICH HAS RAISED CREATININE LEVELS VERY HIGH
STATISTICS:
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OPTIONS
A-PROBABILITY
B-INCIDENCE
C-PREVELANCE
D-SENSETIVITY
E-SPECIFICITY
F-STANDARD DEVIATION
G-MEAN
H-MODE
5-THE TERM USED WHEN THE TEST IS POSITIVE AND DISESASE IS ACTUALLY PRESENT.
6-THE VALUE WHICH IS THE AGGREGATE OF ALL THE VALUES
AND REPRESENT THE RESULT
ACUTE MEDICINE AND MANAGEMENT
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OPTIONS:
A-GET I/V ACCESS AND START SALINE
B-GET I/V ACESS AND TRANSFUSE BLOOD
C-PUT THE PRESSURE ON THE BLEEDER
D-ADMIT THE PATIENT IN ADOLESENT WARD
E-ADMIT THE PT IN GENERAL WARD
7-A 40 YEAR MALE HAS DIARRHEA AND VOMMITING HIS PULSE IS 120 BPM AND B.P IS 100/60
8-A 20 YEAR FEMALE CUTS HER WRIST WITH KNIFE TO HARM HER SELF
9-A 35 YEAR OLD FEMALE HAS HEMOPTYSIS AND ON EXAMINATION B.P WAS 70/50 AND PULSE IS 115 SHE IS GETTING PALE.
JAUNDICE
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OPTIONS
A-ULTRASOUND ABDOMEN
B-HEMOLYSIS TEST
C-UREA AND ELECTROLYTE
D-X-RAY CHEST
10-A 7 YEAR OLD BOY HAS A BOSSING SKULL AND HEPATOSPLEENOMEGALLY.
THYROID DISORDERS:
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OPTIONS
A-TSH
B-TSH AND T4
C-T3 AND T4
D-ULTRASOUND
E-FNAB
F-REASURE
11-A 14 YEAR HEALTHY GIRL HAS GOT SLIGHTLY ENLARGED THYROID ON EXAMINATION.
12-A 34 YEAR FEAMLE LOSS 4 KGS IN THE LAST 2 MONTHS WITH PULSE 120 BPM AND HAVING DIARRHEA
POST OPERATIVE COMPLICATIONS:
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OPTIONS
A-GIVE BENZODIAZEPIN
B-I/V SALINE
C-STEROID
D-DO V/P SCAN
E-X-RAY CHEST
F-SPIRAL CT
G-I/V HERAPERIDOL
13- A 55 YEAR OLD ALCOHALIC AFTER 48 HOURS OF SURGERY SUDDUNLY BECAME RESTLESS AND AGRESSIVE IN THE WARD,NURSE IS WORRIED WHAT HAS HAPPENED TO THE PATIENT.
14-A THIN LIGHT WT PATIENT WHO IS ON STEROID HAD AN OPERATION AND IS IN SHOCK NOT RECOVERING DESPITE I/V FLUID REPLACEMENT.HIS PULSE IS 110 AND B.P IS 70/50.
15-THE PT WITH CALF PAIN AFTER 6TH POST OPERATIVE DAY SUDDENLY BECAME BREATHLESS IN THE TOILET.
POISON MANAGEMENT
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OPTIONS
A-CARBONMONOOXIDE
B-WARFARIN
C-HEPARIN
D-ETHYL ALCHOL
E-QUININE
F-PARACETAMOL
G-CARBAMAZAPIN
16- CONDITION IN WHICH PT WAS FOUND HIS NASAL INVOLMENT AND NASAL HAIRS SIGHING
17-CONDITION IN WHICH VIT K IS GIVEN TO IMPROVE PT.
18-A 7 YEAR OLD BOY ACCIDENTALLY SWALLOWED SOME UNKNOWN WHITE TABLETS AND NOW COMPLAINING OF RT HYPOCHONDRIAL PAIN AFTER 12 HRS.
19-THE SIDE EFFECT IS URINARY RETENTION,HEART BLOCK AND ..
MUSCLE DYSTROPHY
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OPTION
DUCHNE MUSCLE DYSTROPHY
20-A 8 YEAR BOY STARTED LIMPING ANDDIFFICULTY TO STAND FROM THE GROUND AFTER FALLING.
ASTHMA MANAGMENT
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OPTION
A-INCREASE THE INHALED STERION
B-GIVE ORAL STEROID
C-DECRESE INHALED STERIOD
D-NEBULISE SALBUTAMOL
E-NA CHROMOGLYCATE
F-IPRATROPIUM BROMIDE
21-A 25 YEAR OLD FEMALE CAME TO A&E WITH BREATHLESSNESS AND WAS WELL CONTROLLED ASTHMA PREVIOUSLY.
22-A 8 YEAR OLD BOY HAD A NASAL POLYPS ON EXAMINATION AND ON INHALED STERIODS AND IS WELL CONTROLLED ASTHMA.
ANATOMY OF NECK(BASIC SCIENCE)
------------------------------
A-PHARANGEAL POUCH
B-THYROGLOSSAL CYST
C-CAROTID BODY TUMOR
D-THROID NODULE
E-CERVICAL LYMPH NODE
F-CYSTIC HYGROMA
23-IT IS SITUATED BETWEEN SUPERIOR AND MIDDLE PHARANGEAL CONSTRICTOR MUSCLE
24-IT IS THE MASS FELT ON THE UPPER 1/3 OS THE STERNOCLEDOMASTOID MUSCLE AND BRUIT ON AUSCULTATION
25-IT IS PRESENT BETWEEN HYOID BONE AND CRICOID CARTILAGE AND MOVES WITH THE TONGUE PROTRUSION.
26-IT IS FELT AT THE ROOT OF THE NECK AND ATTACHED TO LOWER CERVICAL VERTEBRE ON X-RAY NECK.
BURN MANAGEMENT
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OPTION
A-DEROOFING
B-PUT COLD WATER ON THE WOUD
C-I/V SALINE
D-BLOOB TRANSFUSION
E-ADMIT
F-DONT ADMIT
G-ANTIBIOTCS
H-ECSROTOMY
I-ASPIRATE
27- PT WITH PARTIAL THICKNESS BURN ON THE CHEST AND FEWSCALDS ONTHE LOWER LIMBS
28-PT HAS GOT MULTIPLE BLISTERS ON THE BODY AND BIG TENSE BLISTER ON THE RT FOREARM
LEVEL OF FRACTURES
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OPTIONS
A-SCAPOID
B-BOTH ULNA AND RADIUS BONE INVOLEMENT
C-RADIUS
D-ULNA FRACTURE
E-FRACTURE OF THE NECK OF THE HUMERUS
F-SHAFT OF HUMROUS
G-SUPRA CONDYLAR FRACTURE
H-CLAVICLE
29-A 11 YEAR OLD BOY FALL ON OUT STRECHED HAND WITH RADIAL PULSE IS NOT PRESENT
30-A 24 YEAR OLD MAN FALL ON THE OUT STERCHED HAND FROM THE HIGHT DEVELOP CLAW HAND
MULTIPLE SCLEROSIS AND INVOLEMENT OF THE SITE
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OPTIONS:
A-OPTIC TRACT
B-OPTIC NERVE
C-OPTIC DISC
E-MIDBRAIN
F-CEREBELLUM
F-BASAL GANGLIA
31-PAPILLODEMA ON ONE SIDE
32-PAPILLODEMA ON BOTH SIDES
MODE OF INHERITANCE
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A-AUTOSAMAL RECESSIVE
B-AUTOSOMAL DOMINANT
C-X-LINK RECESIVE
D-X- LINK DOMINANT
E- POLYGENIC
F- MITOCHONDRIAL INHEERTANCE
33-HEMOPHILLIA
34-B-THALASEMIA MAJOR
35-DIABETES MELLITUS
36-DUCHENE MUSCLE DYSTROPHY
37-CEOLIAC DISEASE
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MODE OF TRANSMISSION OF INFECTIONS
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A-BODY TO BODY CONTACT
B-FOMITE
C-TOXINS RELEASED BY THE GRAVID FEMALE MITE
D-BODY SECRETIONS
E-TINEA
F-IMMUNOCOMPROMISE
38-ERYSYPLUS
39-SCABESE
40-HEPATITIS C
41-NAPPY CANDIDAL RASH
42-
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TYPES OF DEAFNESS IN VARIOUS CONDITIONS
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A-BILATERAL SENSORY LOSS
B-BILATERAL SENSORY AND CONDUCTIVE DEFNESS
C-UNILATERAL CONDUCTIVE DEAFNESS
D-NEURAL DEAFNESS
E-BILATERAL CONDUCTIVE DEAFNESS
F-UNILATERAL SENSORY DEAFNESS
43-PRESBYCOSIS
44-OTITIS MEDIA
45-ACOSTIC NEUROMA
46-NOISE
47-OTOSCLEROSIS
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INVESTIGATIONS IN VAGINAL BLEEDING
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OPTIONS
A-ENDOMETRIAL SAMPLING
B-CERVICAL SMEAR
C-COLPOSCOPY
D-LAPAROSCOPY
E-FULL BLOOD COUNT
F-ULTRASOUND
G-CT SCAN PELVIS
H-FSH LEVELS
I-ESTROGEN LEVELS
48-A 55 YR. OLD LADY C/O POSTMENOPOSAL BLEEDING P/V.USG
SHOWS ENDOMETRIAL THICKENING.
49- A 14 YROLD GIRAL WHO HAD FIRST MENSTURAL BLEED AT
AGE 11 C/O HEAVY MENSES & IS EXHAUSTED.HER MUM IS
WORRIED.
50- A 20 YEAR OLD LADY ON ORAL CONTRACEPTIVE PILLS C/O
POSTCOITAL BLEEDING.
51- A 36 YEAR OLD LADY WITH PREVIOS 3 C.S C/O HEAVY &
PAINFUL MENSES.
52-A 48 YEAR OLD LADY WHO HAD NOT MENSTURATED FOR THE
LAST 6 MONTHS HAS STARTED HEAVY MENSTURAL BLEED FOR
THE LAST 2 MONTHS.
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INVESTIGATIONS IN ABDOMINAL AORTIC ANYURYSM
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OPTIONS
A-ULTRASOUND ABDOMEN
B-CT ABDOMEN
C-SPIRAL CT
D-X-RAY ABDOMEN
E-CORONARY ANGIOGRAPHY
F-ECG
G-LAPROSCOPY
H-LAPROTOMY
I- IVU
53-A 30 YEAR OLD MAN WITH ASYMTOMATIC AORTIC ANYURYSM
ON ABDOMINAL EXAMINATION
54-A 70 YEAR OLD MAN WHO CAME TO A&E UNCONCIOUSLY WITH
PULSE 120 AND BP OF 70/40.
55-A 45 YEAR OLD MAN WHO HAS GOT INTERMITTANT
CLAUDICATIONS IN THE CALF IS UNDER GOING REPAIR FOR
HIS ABDOMINAL AORTIC ANUYRYSM.
56- A 55 YEAR OLD MAN HAS GOT ABDOMINAL AORTIC
ANURYSM
AND YOU WANT TO ASSES THE RENAL ARTERY INVOLMENT.
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PRESCRIBING FOR PAIN RELIEF
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OPTIONS
A- A BOLOUS I/V OPIATE
B- A S-C OPIATE INFUSION
C-CARBAMAZAPINE
D-ORAL OPIATE
E-NSAID
E-PROTON PUMP INHIBITORS
G-TRICYCLICS
H-HYPNOTHERAPY
I-TENS
57- A 65 YEAR OLD MAN WITH SEVERE CHECT PAIN AND
BREATHLESNESS.ECG SHOWS AN INFERO-LATERAL MYOCARDIAL
INFARCTION
58-A 70 YEAR OLD MAN WITH METASTASIS AT LIVER AND
INOPRABLE GASTRIC CARCINOMA IS ON HIGH DOSE OF NSAID
WITHOUT SUCCESS
59-A 45 YEAR OLD WOMAN HAS SEVER PAROXYSMS OF KNIFE
LIKE PAIN FOR SECONDS IN HER RIGHT SIDE OF THE FACE.
60-A 25 YEAR OLD MAN RECENTLY DIAGNOSED WITH RHUMATOID
ARTHRITIS AND HAS BEGUN WITH GOLD INJECTIONS BY
RHEUMATOLOGIST.HE CONTINUE TO HAVE A PAIN AND
STIFFNESS IN THE EARLY HOURS OF THE MORNING.
61-A OBESE MAN WITH HIATUS HERNIA PRESENTS WITH
RECURRENT RETROSTERNAL CHEST PAIN AND ACID
REGURGITATION AND INCREASING FLATULANCE.
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TAKE CARE
FAHEEM
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