MEDICINEnotes

تخفيض قناة الباطنة الـ MCQs and Cases 10 ليبيانا للتواصل @Ducktor47

Recurrent chest infection Chronic diarrhea Infertility Guess the diagnosis?

نبي شخص واحد نضيفه بـ 10 ليبيانا شخص واحد فقط قناة اسئلة الباطنة @Ducktor47

أول أشخاص يدزولي حنضيفهم لقناة الاسئلة الخاصة بـالباطنة او الجراحة او الاطفال بالتخفيض الجديد @Ducktor47

A 55-year-old woman comes to the emergency department because of epigastric pain, sweating, and breathlessness for 45 minutes. She has hypertension treated with hydrochlorothiazide. She has smoked 1 pack of cigarettes daily for the past 30 years and drinks 1 glass of wine daily. Her pulse is 105/min and blood pressure is 100/70 mm Hg. Arterial blood gas analysis on room air shows: pH 7.49 pCO2 32 mm Hg pO2 57 mm Hg Which of the following is the most likely cause of hypoxemia in this patient?

A 68-year-old man with a history of hypertension and type 2 diabetes presents to the emergency department with 2 hours of crushing substernal chest pain radiating to his left arm, diaphoresis, and nausea. BP is 88/60 mmHg, HR is 112 bpm, RR is 22/min, and SpO₂ is 94% on room air. The ECG shows ST elevations in leads II, III, and aVF with reciprocal ST depressions in leads I and aVL, consistent with an acute inferior STEMI. Crackles are heard at both lung bases. The nearest cardiac catheterization laboratory is 3 hours away by transport.

#Cardiology@MediNote47

DDx??

Secondary hyperaldosteronism is associated with all except: A. Congestive cardiac failure B. Nephrotic syndrome C. SIADH D. Cirrhosis of liver E. Renal artery stenosis

A 30 year. old female complains of palpitation, breathlessness, significant weight loss, increased perspiration, and heat intolerance. On examination her pulse is 125/min, her skin warn and moist and there is mild tremor in both hands, she has bilateral exophthalmos, thyroid is non tender, diffusely enlarged. Which of the following is true? A. Bacterial infection is the most likely underlying cause. B. Wide pulse pressure is expected. C. Low output heart failure is well recognized complication. D. Thyriodectomy is the first line therapy to this patient. E. TFT usually reveal high TSH & FT4 levels.

Useful therapy for improving fertility' in Polycystic ovarian syndrome include: A. Cyprotcrone acetate B. Ethinyl oestradiol C. Metformin D. Glibenclamide E. Spironolactone M iscellaneous

A 35-year-old woman has fatigue, constipation, weight gain, dry skin, bradycardia, and delayed relaxation of the ankle jerk. Which investigation is recommended to diagnose the condition? A. Free T3 and TSH. B. Free T4 and TSH. C. Total T4 and total T3. D. TSH-receptor antibodies. E. Free T4 index alone.

اطفال باطنة جراحة جلدية للاستفسار التواصل خاص @Ducktor47

Which of the following is the most likely diagnosis? A. Emphysema B. Interstitial lung disease C. Bronchial asthma D. Pulmonary hypertension E. Obesity-related restriction

A 46-year-old patient presents with intermittent cough and exertional shortness of breath for several months. Physical examination is unremarkable between episodes. Pulmonary function testing shows: FEV1 = 67% predicted FVC = 88% predicted FEV1/FVC = 0.61 TLC = 104% predicted DLCO = 105% predicted After bronchodilator administration, FEV1 increases by 16% and 320 mL.

#Lung_function_test