Posted by Sandeep on August 03, 2001 at 07:49:18:
Theme-Diagnosis of arthritis
a]Gout
b]Pseudogout
c]SLE
d]rheumatoid arthritis
e]ankylosing spondylitis
f]enteropathic arthritis
g]reiter's disease
h]osteoarthritis
i]inflammatory osteoarthritis
j]sjogren's syndrome
k]systemic sclerosis
l]septic arthritis
1]40 year old man who is hypertensive,on treatment develops pain in knee joints.Synovial fluid is cloudy.
2]15 year old boy with recurrent episodes of diarrhoea and joint pain.
3]35 year old female with joint pain and purple papules over lower limbs.Schirmer's test is positive.
4]28 year old male with recent h/o travel to India,presents with painful knee joints
5]70 year old man with painful knee joints associated with fever.
Theme-side effects of drugs.
a]captopril
b]spironolactone
c]atenolol
d]bendrofluthiazine
e]gentamicin
f]prednisolone
g]ampicillin
h]cyclosporine
i]azathioprine
j]cyclophosphamide
k]penicillin
1]50 year old diabetic with hypertension,on treatment,develops progressively increasing urea and creatinine in urine.
2]10 year old child with nephrotic syndrome develops haematuria
3]50 year old man with oedema,and on treatment his K+ level is 2.5mmol/l
4]15 year old boy on treatment with antibiotic,develops deafness and renal failure.
Theme-Developmental delay
a]Reassure
b]refer to ENT surgeon.
c]refer to neurosurgeon
d]MRI of pituitary
e]hearing tests
1]mother comes with her 18 month old child and says that it does not speak in sentences
2]2 year old child is unable to speak
3]5 year old child with fever,sorethroat and recurrent pharyngitis c/o deafness.
Theme-emergencies
a]delirium tremens
b]anxiety
c]drug toxicity
1]40 year old female,3 days after a surgical procedure becomes agitated ,confused and has tremors.Lab exam shows that she has no anaemia but MCV is raised.
2]18 year old female,resident of a hostel,presents to A and E with agitation and confusion.
Theme-diagnosis of shock
a]rupture spleen
b]rupture bladder
c]staphylococcal sepsis
d]anaphylaxis
1]40 year old man after RTA presents to a and e with pulse of 80/min and BP of 110/70.He has
LUQ pain.
2]25 year old woman who uses tampons presents to a and e with high fever and shock
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