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Chapter: 15 / Q: 51
A 78 year old woman is brought to the hospital complaining back pain and is referred to the surgeon. She has been saying that her mother is due to visit her today and that somebody must have broken her lower back as she is in agony. Labs: creatinine 295mmol/l, calcium 3.03mmol/l. Which investigat
Chapter: 15 / Q: 52
A 64 year old man with multiple myeloma has been vomiting since the past 2days. Laboratory investigations: Ca2+=3.2mmol/l, K+=5mmol/l, Na+=149mmol/l and PCV=55%. What is the most appropriate next step?
Chapter: 15 / Q: 53
A 15 year old male noticed swelling on the left knee following a fall while playing. The swelling has not subsided in spite of rest and analgesia. Examination: full knee movement with slight tenderness. He has painless palpable mass in left inguinal region. What is the most probable diagnosis?
Chapter: 15 / Q: 54
A woman has widespread metastasis from a carcinoma. She presented with severe back pain. Where do you expect the cancer to be?
Chapter: 15 / Q: 55
A 64 year old man who was exposed to asbestos for 40 years presents with weight loss and chest pain. The diagnosis of mesothelioma has been made. He develops SOB (shortness of breath) and X-ray shows pleural effusion. What is the most appropriate management?
Chapter: 15 / Q: 56
A 75 year old man presents with back pain. Investigation: plasma cells are found. What is the most probable diagnosis?
Chapter: 15 / Q: 57
A terminally ill patient with metastatic carcinoma presents with dysphagia and difficulty in swallowing. What is the best possible treatment?
Chapter: 15 / Q: 58
A patient is on cancer treatment with dexamethasone. According to her biochemical results her K+=normal and her Na+=low. What is the diagnosis?
Chapter: 15 / Q: 59
A male patient presented with blood and mucus in stool. He has also noticed weight loss but has no history of altered bowel habits. What is the diagnosis?
Chapter: 15 / Q: 60
A 62 year old previous shipyard worker complains of breathlessness and chest pain for 6 nomths. He has now developed a large pleural effusion. Which is the single best diagnostic investigation?
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