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Chapter: 20 / Q: 4
A 29 year old man presents with history of cough, weight loss and night sweats. Exam: pansystolic murmur. What is the most appropriate diagnosis of underlying cause?
Chapter: 20 / Q: 5
A 32 year old homosexual comes with history of weight loss. Fundoscopy reveals retinal hemorrhages. What is the single most appropriate option?
Chapter: 20 / Q: 6
A 30 year old patient came to the OPD (out patient department) with complaints of breathlessness and dry cough. He has lost 5 kgs in 2 months. He is an IV drug abuser. Investigation: CXR=bilateral interstitial shadowing. What is the single most likely causative organism?
Chapter: 20 / Q: 7
A 34 year old IVDA (intravenous drug addict) presents with a 4 months history of productive cough. He has lost 10kgs. What is the single most appropriate investigation?
Chapter: 20 / Q: 8
A HIV +ve 55 year old man presents with painless lymphadenopathy, fever, night sweats and weight loss. What is the most probable diagnosis?
Chapter: 20 / Q: 9
A 38 year old woman with hemophilia who received several blood transfusions a few years ago presents with irritability and increasing memory deficit. She is unable to speak properly. He is on anti-TB treatment. What is the single most likely diagnosis?
Chapter: 21 / Q: 1
An elderly man who used to work in the shipyard industry presented with cough and SOB (shortness of breath) few weeks to months. He was given salbutamol nebulization and antibiotics and admitted to the ward. He died 3d later. CT thorax: patchy infiltrates, pleural thickening pleural effusion. Wh
Chapter: 21 / Q: 2
A man with dementia has an ulcerative lesion on his forehead. He wants it removed so ‘it can help improve his memory’. Wife says he is not fit to give consent. What will you do?
Chapter: 21 / Q: 3
A 78 year old patient is diagnosed with metastatic lung cancer; there is no cure for his condition. His son tells the physician that in the case of a diagnosis of cancer, the physician must not tell his father. He wishes that his father does not suffer any psychological distress caused the knowle
Chapter: 22 / Q: 1
A 53 year old female presents with an acute painful hot knee joint. She is a known case of RA (rheumatoid arthritis). On examination, the knee is red, tender and swollen. The hamstring muscles are in spasm. Her temp is 38.5C and BP is 120/80mmHg. What is the SINGLE best next investigation?
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