AAS Medical Notes
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19 839
المشتركون
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أرشيف المشاركات
19 839
A 11 year old girl presents to the clinic with hoarseness of voice. She is a known case of bronchial asthma and has been on oral steroids for half a year.
What is the SINGLE most likely cause of her hoarseness of voice?
19 839
A 10 year old boy presents to his GP with a nose bleed. The bleeding started 1 hour ago and has not stopped. He is haemodynamically stable.
What is the SINGLE most appropriate next course of action?
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Correct choice: C. Acoustic neuroma
The symptoms here describe a facial nerve and vestibulocochlear nerve involvement. This can occur from a space-occupying lesion like an acoustic neuroma.
19 839
Anti-centromeric antibodies are associated with which rheumatologic disease?
a. CREST
b. Mixed connective tissue disease c. SLE d. Dermatomyositis/polymyositis e. Progressive systemic sclerosis
19 839
Q-
A 12 year old boy presents with right sided hearing loss and facial drooping on the right side. He has a headache and feels dizzy. On examination, both ears appear normal with an intact eardrum. Rinne’s test was found to be normal. Weber test lateralized to the left.
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Correct choice: B. Oesophageal atresia
Diagnosis of oesophageal atresia may be suspected antenatally because of polyhydramnios and an absent fetal stomach bubble detected on ultrasound.
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A 28 year old pregnant woman with polyhydramnios comes for an anomaly scan at 31 weeks. On ultrasound scan, there was no gastric bubble seen.
What is the SINGLE most likely diagnosis?
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Correct choice: B. Unilateral recurrent laryngeal nerve
There is a risk of recurrent laryngeal nerve injury post thyroidectomy.
If it is unilateral, it results in hoarseness.
If it is bilateral, it results in aphonia and airway obstruction.
Unilateral damage is more common than bilateral laryngeal nerve injury.
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30 yo man presented to you due to opthalmoparesis (inability to move the eye easily) in ———————— side, he had acute suppurative otitis media, which cranial nerve is most likely to be affected
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Hypothenar hammer syndrome: The hypothenar hammer syndrome results from occlusion of the ulnar artery as a consequence of repeated trauma to the palms and may be misdiagnosed as Raynaud phenomenon.
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A 52 year old man has hoarseness of voice following a thyroid surgery a week ago. There has been no signs of improvement.
What is the SINGLE most likely anatomical structure(s) involved?
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Correct choice: D. Administer 0.9% saline
Dehydration can increase your risk of contrast induced nephropathy. Thus, drink fluids to prevent dehydration. IV normal saline can help prevent dehydration as well. The evidence supporting their use is strong. In practice, 0.9% NaCl 1mL/kg/h for 12h pre- and 12h post-procedure is given to patients.
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Correct choice: B. Perianal haematoma
Perianal haematoma
it is actually a clotted venous saccule. It appears as a 2-4mm ‘dark blueberry’ (purple colour) under the skin at the anal margin. It is seen as swollen and acutely tender perianal lumps.
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A 50 year old man has severe pain on defecation. On examination, a tender, reddish blue swelling is seen near the anal verge.
What is the SINGLE most likely diagnosis?
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A 65 year old diabetic woman is undergoing a coronary angiography.
What is the SINGLE most appropriate measure to prevent contrast induced nephropathy?
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Correct choice: D. Methotrexate
Methotrexate is a folate antagonist. It causes folate deficiency which is shown as a macrocytic anaemia like in the case above.
Anaemia of chronic disease would be considered as a cause if the MCV was normal or low. Rheumatoid arthritis leading to anaemia of chronic disease has red cells that are usually hypochromic, microcytic or normochromic, normocytic
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A 45 year old woman who is taking medication for the treatment of rheumatoid arthritis presents with dizziness, fatigability and lack of energy. Blood results show:
Hb = 80 g/L
MCV = 106 fL What is the SINGLE most likely cause of her anaemia?
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Which of the following is associated with hepatitis C infection?
a. Essential mixed cryoglobulinemia
b. Rheumatoid arthritis c. Relapsing polychondritis d. Wegener’s granulomatosis e. Dermatomyositis
