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Chapter: 2 / Q: 3
A 35 year old man presents with progressive breathlessness. He gave a history of polyarthralgia with painful lesions on the shin. CXR: bilateral hilar lymphadenopathy. What’s the most likely diagnosis?
Chapter: 2 / Q: 4
A 10 year old girl presents with hoarseness of the voice. She is a known case of bronchial asthma and has been on oral steroids for a while. What is the most likely cause of hoarseness?
Chapter: 2 / Q: 5
A 20 year old student attends the OPD with complaint of breathlessness on and off, cough and sputum. His sleep is disturbed and skin is very dry in flexural areas of the body. Exam: tachypnea, hyperresonant percussion and wheezing on auscultation. What is the most likely diagnosis?
Chapter: 2 / Q: 6
An old alcoholic presents with cough, fever, bilateral cavitating consolidation. What is the most probable cause?
Chapter: 2 / Q: 7
A 20 year old man has a head on collision in a car. On presentation he is breathless, has chest pain and fracture of 5-7th rib. CXR confirms this. What is the most appropriate initial action in this patient?
Chapter: 2 / Q: 8
A 50 year old chronic smoker came to OPD with complaint of chronic productive cough, SOB (shortness of breath) and wheeze. Labs: CBC=increase in PCV. CXR >6ribs seen above the diaphragm in midclavicular line. ABG=pO2 decreased. What is the most likely diagnosis?
Chapter: 2 / Q: 9
A 32 year old previously healthy woman has developed pain and swelling of both knees and ankles with nodular rash over her shins. As part of the investigation a chest X-ray has been performed. What is the single most likely chestXray appearance?
Chapter: 2 / Q: 10
A patient complains of SOB (shortness of breath), wheeze, cough and nocturnal waking. He has dry scaly shin with rashes that are itchy. What is the single most likely diagnosis?
Chapter: 2 / Q: 11
A child suffering from asthma presents with Temp 39C, drooling saliva on to the mother’s lap, and taking oxygen by mask. What sign will indicate that he is deteriorating?
Chapter: 2 / Q: 12
A 48 year old farmer presented with fever, malaise, cough and SOB. Examination: tachypnea, coarse endinspiratory crackles and wheeze throughout, cyanosis. Also complaint severe weight loss. His CXR shows fluffy nodular shadowing and there is PMN leukocytosis. What is the single most appropriate diag
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