كل يوم case 🫀🩻🩺

A 110-kg 57 year old man presents with 1-month history of lethargy, urinary frequency and increased thirst. He has been dieting for years but only recently has managed to lose 10 kg with little effort. What would be the simplest test that could make the diagnosis? A. Autoantibodies to glutamic acid decarboxylase (GAD), protein tyrosine phosphatase islet antigen-2 (IA-2) and zinc transporter 8 (ZnT8) B. Capillary blood glucose C. Fasting venous blood glucose D. Oral glucose tolerance test (OGTT) E. Random venous blood glucose

البيبر ون راح تجي اكثر شي رسبارتري وال EMQ حتكون اغلبها كارديو 😣 #CR

May be hypopituitarism with mass effect but with hyperprolactaemia......???

A 35-year-old woman has recently undergone radioactive iodine therapy for an overactive thyroid. Her condition deteriorates and she becomes notably restless and delirious. On examination she has a pulse rate of 120 beats/min and a temperature of 40°C. She is severely dehydrated. What is the first most appropriate step in her management? a. Dexamethasone b. Potassium iodide c. Propranolol d. Carbimazole e. IV fluids

A 55-year-old man with treated hypothyroidism presents with confusion. His hypothyroidism is due to an underactive pituitary gland. Blood tests reveal a sodium of 128 mmol/L and a glucose of 2.8mmol/L. Routine observations reveal a temperature of 35°C. What is the most appropriate step in management? a. Sodium replacement b. Glucose replacement c. Intravenous (IV) T3 replacement d. IV hydrocortisone e. Warmed IV fluids

A middle-aged woman is admitted to the medical admissions unit with severe abdominal pain and weakness. On examination she has a pulse rate of 120beats/min, a blood pressure of 95/65mmHg and a urine output of less than 30 mL/h. Routine blood tests reveal a random plasma glucose of 3.0 mmol/L. You note deep pigmentation of her buccal mucosa and skin creases. Her GP referral letter comments that she has been feeling tired, low in mood and suffering weight loss for the past 1 month. What is the first most appropriate step in her management? a. Intramuscular hydrocortisone b. IV glucose c. IV hydrocortisone d. IV dextrose e. IV fludrocortisone

التليكرام ليش دا يلغي التعليقات 🐸

A middle-aged woman is diagnosed with hyperthyroidism. Her GP commences carbimazole. Which of the following is the most likely side effect of this medication? a. Rash b. Nausea and vomiting c. Arthralgia d. Jaundice e. Agranulocytosis جايبيه باحد السنوات هم رايد الكومبلكيشن بس الكيس يختلف

A 43-year-old man is diagnosed with Cushing syndrome. Which one of the following is most likely to be decreased or inhibited in this condition? a. Protein catabolism b. Free water clearance c. Circulating neutrophils d. Uric acid production e. Circulating lymphocytes 23. A 35-year-old woman complains of lethargy, low mood and loss of weight. On examination you note increased pigmentation of her buccal mucosa and skin creases. Her blood pressure drops to 85/60mmHg from 122/63mmHg on standing. Which of the following investigations is most likely to confirm her diagnosis? a. Serum urea and electrolytes b. Adrenal antibodies c. Abdominal X-ray d. Tetracosactide (synacthen) short test e. Tetracosactide (synacthen) long test. A middle-aged man is diagnosed with adrenal gland insufficiency. What is the most likely aetiological cause for this condition? a. Autoimmune b. Adrenal gland tuberculosis c. Haemorrhage d. Pituitary disease e. Adrenal gland tumour

A 36-year-old woman presents with a significantly enlarged goitre. She complains of a discomfort in her neck as well as breathing difficulties. On examination you note a solitary nodule. She is worried about the possibility of cancer. Which of the following investigations is most likely to reveal such a diagnosis? a. TSH b. T4 and T3 levels c. Chest radiography d. Fine-needle aspiration for cytology e. Thyroid scan (125I)

A 40-year-old woman complains of weight loss and heat intolerance. Routine blood investigations confirm a diagnosis of Graves disease. Which of the following features are specific to this disease? a. Lid lag b. Tremor c. Proximal myopathy d. Atrial fibrillation e. Ophthalmoplegia خوش بي لوفه

A 35-year-old man complains of weight gain and feeling cold. Thyroid function tests demonstrate a low T4 and a raised TSH. He is also notably anaemic with a haemoglobin of 10.2 g/dL. What is the most likely type of anaemia he will demonstrate? a. Aplastic anaemia b. Macrocytic c. Microcytic d. Autoimmune haemolytic anaemia e. Nonautoimmune haemolytic anaemia الجواب b ماعتقد عدنه هيج شي بس حفضوها تفيد مستقبلا

A 42-year-old man complains of visual disturbances and headaches. He remarks his wedding ring feels tighter than usual. On examination you note a protruding jaw, interdental separation and spade like hands. Which investigation is most likely to confirm the diagnosis? a. Serum growth hormone b. Serum insulin-like growth factor 1 (IGF-1) c. Serum prolactin d. Fasting glucose e. Visual field assessment by perimetry

هذا كلام الدكتور باللهجة العاميه نصا 🤣 طبعا مارفان نستثنيها لان البنيه شورت مكتوبه بالسؤال فبقه بس البركنسي

هذا شرحها الدكتور النه ف مرشح وبشدة

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