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Chapter: 3 / Q: 47
A 40 year old woman on chemotherapy for metastatic breast carcinoma now presents with painful swallowing. Examination: she has white plaques on top of friable mucosa in her mouth and more seen on esophagoscopy. What is the most effective treatment for this patient?
Chapter: 3 / Q: 48
A 50 year old man complains of dysphagia after eating bread. Barium swallow reveals a lower esophageal ring. What is the most appropriate treatment?
Chapter: 3 / Q: 49
A patient presents with increasing retrosternal pain and dysphagia for both solids and liquids over 18 months but denies weight loss. Chest is clear. What is the most likely diagnosis?
Chapter: 3 / Q: 50
A 46 year old woman presents with sudden episode of abdominal pain which started about the most appropriate investigation for the cause of the patient’s pain?
Chapter: 3 / Q: 51
An elderly male patient with prior history of hematemesis is having history of long term use of aspirin and other drugs, now presents with severe epigastric pain, dysphagia and vomiting. He was connected to vital monitors which were not reassuring. What is the management?
Chapter: 4 / Q: 1
A 44 year old woman has lost weight over 12 months. She has also noticed episodes where her heart beats rapidly and strongly. She has a regular pulse rate of 90bpm. Her ECG shows sinus rhythm. What is the most appropriate investigation to be done?
Chapter: 4 / Q: 2
A 45 year old type1 diabetes mellitus patient had an annual checkup. Ophthalmoscopy showed dot and blot hemorrhage + hard exudate and multiple cotton wool spots. What is the next step in management?
Chapter: 4 / Q: 3
A 38 year old patient presented with tingling, numbness, paraesthesia, respiratory stridor and involuntary spasm of the upper extremities. She has undergone surgery for thyroid carcinoma a week ago. What is the most likely diagnosis?
Chapter: 4 / Q: 4
A 44 year old patient has sudden onset of breathlessness and stridor few minutes after extubation for thyroidectomy. The patient had longstanding goiter for which he had the surgery. What is the most likely diagnosis?
Chapter: 4 / Q: 5
A 54 year old woman has presented with episodes of abdominal ache, vomiting and postural hypotension. She also has a dark pigmentation of her skin. A diagnosis of Addison’s disease was made. What is the most likely electrolyte abnormality expected in this patient?
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