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Chapter: 4 / Q: 36
A 29 year old woman presents with lid lag, lid retraction and diplopia. What is the most appropriate next step?
Chapter: 4 / Q: 37
A 72 year old presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l. BP=130/80mmHg and the level of cholesterol 5.7mmol/l. There is microalbuminuria. What is the single most appropriate next management?
Chapter: 4 / Q: 38
A 49 year old woman presents to the OPD. Her oral glucose test after 2hours of glucose intake vs plasma level in 2 different tests are 6mmol/l and 10mmol/l. This situation can be categorized as:
Chapter: 4 / Q: 39
A 54 year old male patient of diabetes mellitus with BMI 33 who has been treated using dietary control up till now presents to his GP with a fasting blood sugar of 14mmol/l and creatinine=90mmol/l. Urine shows glycosuria. No other abnormalities are found. What is the best next step in management?
Chapter: 4 / Q: 40
A diabetic has been prescribed a long acting hypoglycemic in the morning and short acting in the evening. He takes a regular lunch, but has been having hypoglycemic attacks at around 4pm each day. What is the most appropriate intervention?
Chapter: 4 / Q: 41
A 34 year old woman presents with truncal obesity, easy bruising, hyperglycemia, high BP and depression. Which of the following investigation will be most helpful in localizing the cause for Cushing’s syndrome?
Chapter: 4 / Q: 42
A 38 year old female presents with difficult in looking upward and on examination she was found to have lid lag as well. She also complains of her heart racing at times. Which test will help in diagnosis?
Chapter: 4 / Q: 43
A patient was admitted with abdominal pain, diarrhea, pigmented palmar creases and buccal mucosa. What is the most probable diagnosis?
Chapter: 4 / Q: 44
A 45 year old man presented to his GP with vague symptoms of headache, proximal muscle weakness and nocturia. Test results show him to be severely hypertensive (230/130mmHg) and hypokalemic. What is the most probable diagnosis?
Chapter: 4 / Q: 45
A 35 year old man with type 1 DM is dehydrated with BP 90/50mmHg. What is the single most appropriate initial investigation?
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