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Chapter: 2 / Q: 62
A 20 year old previously healthy woman presents with general malaise, severe cough and breathlessness which has not improved with a seven day course of amoxycillin. There is nothing significant to find on examination. The x-ray shows patchy shadowing throughout the lung fields. The blood film shows
Chapter: 2 / Q: 63
A patient with chronic neutropenia develops a chronic cough. A CXR reveals a cavitating intrapulmonary lesion containing a movable rounded ball lesion. A likely diagnosis is?
Chapter: 2 / Q: 64
A 29 year old Afro-Caribbean man presents with a non-productive cough mild aches in the ankles. The symptoms have been present for 2 months. His ESR is elevated. Ca: 2.69 mmol/l; PO4 -: 1.20 mmol/l; ALP: 80 iu/L. Serum 25(OH) D: 180 nmol/l Normal values for Calcium: 2.12-2.65mmol/l; Phosphate: 0.8-1
Chapter: 2 / Q: 65
A 7 year old boy with frequent episodic asthma is on treatment with sodium cromoglycate. His physician wants to add a non-steroid preventer. The mother of the boy, a teacher, has just read about a nonsteroidal medication which acts on the mast cells, stopping them from releasing harmful chemicals. H
Chapter: 3 / Q: 1
A 60 year old man presents with dysphagia and pain on swallowing both solids and liquids. A barium meal shows gross dilatation of the esophagus with a smooth narrowing at the lower end of the esophagus. What is the SINGLE most likely cause of dysphagia?
Chapter: 3 / Q: 2
A 64 year old patient has been having frequent episodes of secretory diarrhea, which is extremely watery, with large amounts of mucus. A diagnosis of villous adenoma was made after endoscopy. What electrolyte abnormality is most likely in this patient?
Chapter: 3 / Q: 3
A 32 year old man presented with slow progressive dysphagia. There is past history of retro- sternal discomfort and he has been treated with prokinetics and H2 blockers. What is the probably diagnosis?
Chapter: 3 / Q: 4
A woman who returned from abroad after 3 weeks of holiday complains of severe diarrhea of 3 weeks. She also developed IDA (Iron Deficiency Anaemia) and folic acid deficiency. What condition best describes her situation?
Chapter: 3 / Q: 5
A 55 year old man has had severe pain in the right hypochondrium for 24h. The pain comes in waves and is accompanied by nausea. Nothing seems to relieve the pain. He feels hot and sweaty but has normal temp. What is the most appropriate next investigation?
Chapter: 3 / Q: 6
A 48 year old woman is admitted to ED with a productive cough and moderate fever. She has often central chest pain and regurgitation of undigested food most times but doesn’t suffer food and drink. A CXR shows an air-fluid level behind a normal sized heart. What is the most likely diagnosis?
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