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Chapter: 12 / Q: 22
A 58 year old man complains of nose disfigurement. He has a history of facial erythema particularly of the cheeks and nose. Papules and pustules have been erupting at intervals over the last 10 years. He admits to a moderate regular consumption of alcohol. Examination: noted have rhinophyma. The
Chapter: 12 / Q: 23
A patient has fine nail pitting, small yellow-brown areas of discoloration in the nailbed involving the nails on both hands. These findings are commonly associated with?
Chapter: 13 / Q: 1
A 34 year old alcoholic is found passed out in front of a local pub. The ambulance crew informs you that he was sweating when they found him and there were cans of cider lying empty around him. What is the initial stage of investigation?
Chapter: 13 / Q: 2
A 33 year old drug addict wants to quit. She says she is ready to stop the drug abuse. She is supported by her friends and family. What drug treatment would you give her?
Chapter: 13 / Q: 3
A young college student is found in his dorm unconscious. He has tachyarrhythmia and high fever. He also seems to be bleeding from his nose, which on examination shows a perforated nasal septum. What is the most likely diagnosis?
Chapter: 13 / Q: 4
An 18 year old man is rushed into the ER (emergency room) by his friends who left him immediately before they could be interviewed by staff. He is semiconscious, RR=8/min, BP=120/70mmHg, pulse=60bpm. He is noted to have needle track marks on his arms and his pupils small. What is the single best
Chapter: 13 / Q: 5
An 18 year old female just received her A-Level results and she didn’t get into the university of her choice. She was brought into the ED after iconfused and tired. Initial management has been done. Investigations after 24h: normal CBC, ABG pH7.1, PT 17s, Bilirubin 4umol/L, creatinine 83umol/L
Chapter: 13 / Q: 6
Patient with history of alcoholism, ataxic gait, hallucinations and loss of memory. He is given acamprosate. What other drug can you give with this?
Chapter: 13 / Q: 7
A 16 year old girl is admitted after taking a paracetamol over dose 4 hour ago. She has consumed large amounts of alcohol. Her plasma paracetamol concentration is just below the concentration that would suggest treatment. What should be the treatment option for her?
Chapter: 13 / Q: 8
In a man who is neglected and alcohol dependent, whith high suicidal risk, which factor can increase this risk further?
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