Q&A Only - AIM4PG

A 25-year-old woman presents with nausea and vomiting of 2 days duration. She is not on any medications and was previously well until now. Her physical examination is normal except for a postural drop in her blood pressure from 110/80 mm Hg supine to 90/80 mm Hg standing. Her serum electrolytes are sodium130 mEq/L, potassium 3 mEq/L, chloride 90mEq/L, bicarbonate 30 mEq/L, urea 50 mg/dL, and creatinine 0.8 mg/dL. Which of the following electrolytes is most likely to be filtered through the glomerulus but unaffected by tubular secretion? A) Sodium B) Potassium C) Urea D) Bicarbonate What's your answer? Correct answer with explanation will be posted in Instagram Story & Facebook @8pm instagram.com/aim4pgmed facebook.com/aim4pg Facebook.com/groups/aim4pgcom

Today's Quiz Posted In @AIM4PGPHYSIOLOGY Next quiz on 31 August 2022 - Biochemistry Quiz will be in @AIM4PGBIOCHEMISTRY Group Regards www.AIM4PG.com

A 35-year-old man is hospitalized with third-degree burns after being rescued from a house fire. Initially, he suffers from shock and oliguria, but his renal function returns to normal within a few days. Which of the following would be the most likely cause of death if complications were to arise? A. Sepsis B. Curling ulcers with hemorrhage C. Cushing ulcers D. Pseudomembranous colitis instagram.com/aim4pgmed EXPLANATION fb.me/aim4pg facebook.com/groups/aim4pgcom Diagnosis: Sepsis, thermal injury The most common cause of death in seriously burned patients is sepsis after infection of the burned skin. Gastric ulcers (stress or Curling ulcers, choice B) are occasionally encountered in burn patients, but they do not represent a common cause of death. Cushing ulcers of the stomach (choice C) are associated with trauma to the central nervous system. Daily Notes aim4pg.com/study-group Daily lecture YouTube.com/aim4pgmed

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Today's Quiz Posted In @AIM4PGANESTHESIA Next quiz on 29 August 2022 - Physiology Quiz will be in @AIM4PGPHYSIOLOGY Group Regards www.AIM4PG.com

Today's Quiz Posted In @AIM4PGRADIOLOGY Next quiz on 26 August 2022 - Anesthesia Quiz will be in @AIM4PGANESTHESIA Group Regards www.AIM4PG.com

Today's Quiz Posted In @AIM4PGMEDICINE Next quiz on 24 August 2022 - Radiology Quiz will be in @AIM4PGRADIOLOGY Group

A child presents with brown colored urine and oliguria for last 3 days. He has mild facial and pedal edema. His blood pressure is 126/90. He has +3 proteinuria with 100 red cell and a few granular casts. His creatinine is 0.9, urea is 56. Diagnosis? www.AIM4PG.com A. PSGN B. Nephrolithiasis C. FSGN D. Infection associated glomerulonephritis www.instagram.com/aim4pgmed EXPLANATION www.FB.me/aim4pg Ans.(a) PSGN PSGN is a kidney disease that can develop after infections caused by bacteria called group A Streptococcus. These infections include throat and skin infections like strep throat, scarlet fever, and impetigo. PSGN usually does not follow strep infection of the kidneys. Instead PSGN results from the body's immune system fighting off the group A strep throat or skin infection. The disorder is common in children between 5-12 years of age. Hematuria usually occurs 1-4 weeks after streptococcal throat infection. Daily Notes www.aim4pg.com/study-group Daily lecture www.youtube.com/aim4pgmed

Today's Quiz Posted In @AIM4PGPEDIATRICS Next quiz on 22 August 2022 - Medicine Quiz will be in @AIM4PGMEDICINE Group

Today's Quiz Posted In @AIM4PGDERMATOLOGY Next quiz on 19 August 2022 - Pediatrics Quiz will be in @AIM4PGPEDIATRICS Group

Today's Quiz Posted In @AIM4PGENT Next quiz on 17 August 2022 - Dermatology Quiz will be in @AIM4PGDERMATOLOGY Group 🇮🇳 Happy Independence Day 🇮🇳

Today's Quiz Posted In @AIM4PGENT Next quiz on 17 August 2022 - Dermatology Quiz will be in @AIM4PGDERMATOLOGY Group

Today's Quiz posted in @AIM4PGORTHOPEDIC Next quiz on 15 August 2022 - ENT Quiz will be in @AIM4PGENT Group

Hi AIM4PG Team We will be conducting subject wise quiz in respective subject group. Quiz will be 3 days in a week. So that other days you can revise. DATE - SUBJECT -GROUP 08-Aug-22 MICROBIOLOGY @AIM4PGMICROBIOLOGY 10-Aug-22 PHARMACOLOGY @AIM4PGPHARMACOLOGY 12-Aug-22 ORTHOPAEDIC @AIM4PGORTHOPEDIC 15-Aug-22 ENT @AIM4PGENT 17-Aug-22 DERMATOLOGY @AIM4PGDERMATOLOGY 19-Aug-22 PEDIATRICS @AIM4PGPEDIATRICS 22-Aug-22 MEDICINE @AIM4PGMEDICINE 24-Aug-22 RADIOLOGY @AIM4PGRADIOLOGY 26-Aug-22 ANESTHESIA @AIM4PGANESTHESIA 29-Aug-22 PHYSIOLOGY @AIM4PGPHYSIOLOGY 31-Aug-22 BIOCHEMISTRY @AIM4PGBIOCHEMISTRY 02-Sep-22 PATHOLOGY @AIM4PFPATHOLOGY 05-Sep-22 SURGERY @AIM4PGSURGERY 07-Sep-22 OBG @AIM4PGOBG 09-Sep-22 ANATOMY @AIM4PGANATOMY 12-Sep-22 OPHTHALMOLOGY @AIM4PGOPHTHALMOLOGY 14-Sep-22 PSYCHIATRY @AIM4PGPSYCHIATRY 16-Sep-22 FMT @AIM4PGFMT 19-Sep-22 PSM @AIM4PGPSM We are not posting all quiz in @AIM4PG Group, as it will be haphazard. Subject wise group www.aim4pg.com/study-group Daily lecture www.youtube.com/aim4pgmed

An adolescent boy was brought with c/o stiff neck with pain on the lateral side ng with tingling sensations over the upper extremity. PE revealed tenderness with palpable bony prominence on the lateral aspect. X-ray revealed features shown in the image. What is the most probable diagnosis? A. Rib fracture B. Costochondritis C. Spondylolisthesis D. Cervical rib www.instagram.com/aim4pgmed EXPLANATION www.fb.me/aim4pg ANSWER: D The given clinical scenario and X-ray is suggestive of Cervical rib. Patients with cervical rib usually show a lump and tenderness in the supraclavicular fossa. The pallor and paresthesias are due to vascular and neural compressions each respectively. Radiograph of the neck - useful in detecting a cervical rib. However CT and MRI are more sensitive. Daily notes www.aim4pg.com/study-group Daily lecture www.youtube.com/aim4pgmed

Hi AIM4PG Team We will be conducting subject wise quiz in respective subject group. Quiz will be 3 days in a week. So that other days you can revise. DATE - SUBJECT -GROUP 08-Aug-22 MICROBIOLOGY @AIM4PGMICROBIOLOGY 10-Aug-22 PHARMACOLOGY @AIM4PGPHARMACOLOGY 12-Aug-22 ORTHOPAEDIC @AIM4PGORTHOPEDIC 15-Aug-22 ENT @AIM4PGENT 17-Aug-22 DERMATOLOGY @AIM4PGDERMATOLOGY 19-Aug-22 PEDIATRICS @AIM4PGPEDIATRICS 22-Aug-22 MEDICINE @AIM4PGMEDICINE 24-Aug-22 RADIOLOGY @AIM4PGRADIOLOGY 26-Aug-22 ANESTHESIA @AIM4PGANESTHESIA 29-Aug-22 PHYSIOLOGY @AIM4PGPHYSIOLOGY 31-Aug-22 BIOCHEMISTRY @AIM4PGBIOCHEMISTRY 02-Sep-22 PATHOLOGY @AIM4PFPATHOLOGY 05-Sep-22 SURGERY @AIM4PGSURGERY 07-Sep-22 OBG @AIM4PGOBG 09-Sep-22 ANATOMY @AIM4PGANATOMY 12-Sep-22 OPHTHALMOLOGY @AIM4PGOPHTHALMOLOGY 14-Sep-22 PSYCHIATRY @AIM4PGPSYCHIATRY 16-Sep-22 FMT @AIM4PGFMT 19-Sep-22 PSM @AIM4PGPSM We are not posting all quiz in @AIM4PG Group, as it will be haphazard. Subject wise group www.aim4pg.com/study-group Daily lecture www.youtube.com/aim4pgmed

A 55 year old woman was found collapsed at home, paramedics revived her but in the ambulance she had a cardiac arrest and couldn't be saved. The paramedic's report tells that the woman was immobile lately due to hip pain and that they found ulcers on the medial side of ankle. She had DM and was on anti-diabetics. What is the cause of her death? A. Acute MI B. DKA C. Pulmonary embolism D. Acute pericarditis www.facebook.com/aim4pg EXPLANATION www.instagram.com/aim4pgmed ANSWER C. Pulmonary embolism. Immobilization due to hip pain may resulted in DVT and later pulmonary embolism. Please note ulcer in medial side indicate undiagnosed DVT and its presence favour the presence of DVT and followed by pulmonary embolism. Daily notes www.aim4pg.com/study-group Daily lectures www.youtube.com/aim4pgmed

Scabies is caused by a small mite that burrows into the skin. The disease is best described by which one of the following statements? A. It is caused by a species of Sarcoptes B. Secondary bacterial infection is rare C. It is synonymous with Kawasaki's syndrome. D. It is best diagnosed by biopsy of the inflammatory region around the mite bite E. Allergic (asthma-like) reactions to mites are rare EXPLANATION instagram.com/aim4pgmed Answer- "A" Sarcoptes scabiei is a small mite that burrows into human skin. Itching is significant, and a vesicular eruption. which often becomes secondarily infected with bacteria, develops. Diagnosis is made by microscopic detection of the mites. Gamma benzene hexachloride (Kwell), a topical insecticide, is an effective treatment for scabies. A number of etiologic agents have been proposed for Kawasaki's disease (KD), among them mites, but there is no evidence that mites either cause or are vectors of KD. Notes www.aim4pg.com/study-group Lectures www.youtube.com/aim4pgmed