Case-based MCQ

🧩 Medical Mnemonics Opioid Side effects ‌🇲‌‌🇴‌‌🇷‌‌🇵‌‌🇭‌‌🇮‌‌🇳‌‌🇪‌‌🇸‌ 😵‍💫 ⚡𝗠iosis ⚡𝗢rthostatic hypotension ⚡𝗥espiratory depression ⚡𝗣ain Suppression ⚡𝗛istamine release/ 𝗛ormonal alterations ⚡𝗜CP increase, 𝗜nfrequent bowel movements ⚡𝗡ausea & Vomiting ⚡𝗘uphoria ⚡𝗦edation #pharmacology   〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

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A 65-year-old woman presents to a hospital with confusion.Her heart rate is 52 beats/min, SaO2 is 89% on room air, respiratory rate is 9/min, the temperature is 29°C and blood sugar level-7.0mmol/l. Pupils are equal in diameter and reactive to light. Past medical history included hypothyroidism diagnosed 10 years ago. ECG shows sinus bradycardia. Laboratory investigations confirm the presence of mild normocytic normochromic anaemia, mild hyponatremia, normal serum potassium and primary hypothyroidism. All of the followings are treatment options except? A. IV T4 given B. Give oral T4 when patient is stable C. IV steroids D. Nalaxone and glucose E. O2 inhalation

🧩 Medical Mnemonics Esophageal cancer; Etiologic Factors 🇮🇷PERSIAN GULF 🌊🌴 🥇Papillomavirus(HPV), Prior gastrectomy, Poor oral hygiene 🥇Epidermal growth factor polymorphisms 🥇Raised BMI(Obesity) 🥇Smoking, Socioeconomic factors and Demographic 🥇Intake(dietry factors), Infection with Helicobacter pylori, Inherited type of tylosis (Howell-Evans syndrome) 🥇Alcohol, Alendronate(oral bisphosphonates), Atrophic gastritis, Acid hypersecretory states(ZES) 🥇Nitrosative stress 🥇GERD 🥇Upper aerodigestive tract cancer, Underlying esophageal disease(achalasia, stricture) 🥇LES pressure decrease 🥇Familial(Hereditary factors; PJS) #surgery #gastroenterology 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

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A 72-year-old male with past medical history of pulmonary embolism presented with fever 5-days post-chemotherapy for Hodgkin’s lymphoma. His neutrophil count is zero. He is given on intravenous antibiotics and isolation maintained to prevent any infection. His current medications include warfarin, cefepime, candesartan and omeprazole. After a few days of admission, platelets count decreased to 22000/microlitre (150,000-450,000 platelets per microliter). What will you do next? A. Cease omeprazole B. Cease warfarin C. Cease candesartan D. Cease cefepime E. No action needed

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