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Repost from Evolution for revolution
A 67yr old patient with a history of chronic obstructive pulmonary disease presents with respiratory insufficiency. A decision is made to perform a procedure using instrument shown. Which of the following is not a function of this procedure?
Repost from Evolution for revolution
A patient diagnosed with hereditary hyperlipoproteinemia is being treated with fenofibrate. What is the mechanics of action of this drug?
Repost from Evolution for revolution
A 27year old woman presents with headache, fatigue, malar rash and arthralgia. Her blood pressure is 180|100mm of Hg. Urinalysis revealed hematuria, proteinuria (4g/dl) and RBC casts. She has high titres of anti-ds DNA antibodies. A renal biopsy was and light microscopy showed sub-endothelial deposit is, resembling wire loop lesions. Findings of immunofluorescence staining are shown. Which of the following is the most appropriate next step in the management of this patient?
Repost from Evolution for revolution
A 24yr old woman has a history of lump in her breast for the past 1 month. Examination shows a 2×2cm firm lump that moves easily under the finger. Which of the following is the best initial investigation for the assessment of her breast lump?
Repost from Evolution for revolution
A man who had ulcerative colitis for the past years came with jaundice and pruritis.There is elevated serum ALP and MRCP shows beading in the bile ducts.Biopsy show fibrosis in bile ducts as shown.Identify true about the disorder that caused jaundice?
Repost from Evolution for revolution
A patient on heparin develops heparin induced thrombocytopenia. Heparin is stopped immediately. Which of the following drugs should be avoided as an alternative anticoagulant?
Repost from Evolution for revolution
A patient newly diagnosed with chronic lymphocytic leukemia is started on fludarabine. A few days later, he develops vomiting, abdominal pain and hematuria. His laboratory results reveal new-onset impaired kidney function, hyperkalemia, hyperphosphatemia, hypocalcemia, hyperuricemia and elevated lactate dehydrogenase levels. Which of the following conditions has he developed?
Repost from Evolution for revolution
A 30yr old lady presents with fever, oral ulcers, photosensitivity and a rash on her face as shown. Anti-dsDNA and anti-Smith antibodies are positive. Which of the following is deficient in this patient?
Repost from Evolution for revolution
A primigravida came to the labor room at 40weeks of gestation with lower abdominal pain.Her cervical dilation is 6cm and uterine contractions are regular at an interval of 3-5 minutes and lasting for 45 seconds each. Which stage of labor is she in?
Repost from Evolution for revolution
A woman from rural South America came with fever, shortness of breath and swelling of eyelids. Echo reveals biventricular dilatation with massive cardiac enlargement. The image of vector responsible for transmitting the disease Is shown. Name the vector?
Repost from Evolution for revolution
After hitting your elbow against a wall, rubbing the affected area seems to relieve the pain. The stimulation of which of the following fibres is responsible for this?
Repost from Evolution for revolution
A 16yr old boy came with a large,rapidly progressing abdominal mass and ascites.He complains of night sweats and fatigue for 2months.CT scared of abdomen shoes mesentric enlargement of abdomen.Lymph node biosy is shown.Identify the false statement;
