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Repost from Evolution for revolution
Lab values from a routine workup done for a hypertensive man are given below. Further investigations revealed hepatosplenomegaly with a 5.5cm tumor arising from the right kidney. No signs of metastasis were noted. What is the most likely diagnosis in this patient?
Total bilirubin - 3.1 mg/dl
ALP - 230 U/L
Albumin - 2.8 mg/dl
Prothrombin time - 16.2 sec
Hypergammaglobulinemia
Repost from Evolution for revolution
A morbidly obese diabetic woman did not respond well to metformin therapy.She has a family history of pancreatitis and bladder cancer. The patient does not want to take infections. Which of the following would be suitable to reduce hr glucose levels?
Repost from Evolution for revolution
A young male patient presents to the clinic with the following condition. After taking a detailed past medical and drug history of this patient, your senior asks you about the drugs implicated in this condition. Which of the following drugs is most likely to be your answer?
1. Digoxin
2. Risperidone
3. Ketoconazole
4. Spironolactone
5. Alpha methyl dopa
6. Eplerenone
Repost from Evolution for revolution
A microbiologist was studying fungal cell wall polysaccharide 'glucan' which is used for diagnosis of certain invasive fungi.Which of these fungus can be detected by this assay?
1. Aspergillosis
2. Candidiasis 3. Cryptococcosis 4. Pneumocystis jiroveci
Repost from Evolution for revolution
A 4yr old girl was brought with signs and symptoms suggestive of a bleeding disorder. Laboratory tests revealed normal platelet count, prolonged bleeding time and defects in platelet aggregation. The Ristocetin aggregation test was normal. Further studies revealed defects in GP IIb/IIIa receptors. Which of the following drugs acts on the same receptor?
Repost from Evolution for revolution
A young female with recent travel history came with history of prolonged abdominal pain,diarrhea and fever in step ladder pattern.On examination faint salmon colored macules are seen on trunk.A serological test is used to confirm it.This is example of:
Repost from Evolution for revolution
A 20yr old male presented to the emergency department with difficulty in breathing, facial swelling and palpitations following bee sting. He is given 1:1000 dilution of IM injection. The drug acts on which receptor to improve his breathing?
Repost from Evolution for revolution
400mg of a drug was administered to a patient, of which 40mg is excreted in 60 minutes. Assuming the drug follows first order kinetics, how much drug would remain after 2 hours?
Repost from Evolution for revolution
A 45year old man presented with hyperpigmented lesions on his face. He is a farmer by occupation and word for long hours with sun exposure. He is at increased risk for all of the following except:
Repost from Evolution for revolution
A 35 year old female patient diagnosed with migraine visited her doctor and noticed a new drug, rimegepant, on one of the migraine pamphlets. Which of the following information would have been correctly mentioned in the pamphlet?
1. Orally administered
2. CGRP receptor agonist
3. Used for the treatment of an acute attack of migraine
4. Can also be used for migraine prophylaxis
5. Major side effect associated is nausea
Repost from Evolution for revolution
A patient came with finding to the OPD.He works at an acquarium and handles fish without protective equipment.He gives history of sustaining an injury in same hand 2weeks back.Which of these best describes the causative organisms growth characteristics?
Repost from Evolution for revolution
A 68 year old woman presented with acute severe chest pain and shortness of breath. An emergency cardiac catheterization showed occlusion of the anterior descending branch of left coronary artery. Laboratory report and ECG support the diagnosis of acute myocardial infarction. Which of the following is the most likely pathological change in the heart muscle after 6weeks?
