MEDICAL QUIZ (Birdem Med J 2013; 3(1): 59) Medical Quiz : Images Registrar, Internal Medicine & Pulmonology, BIRDEM
A 60 years old diabetic male was admitted under Internal
5 days and dyspnea for 1 day. On examination he had –
Medicine & Pulmonology of BIRDEM General Hospital
anemia, dehydration, a cystic mass in epigastrium and
with gradual onset of dull aching epigastric pain that
evidence of left sided pleural effusion. The images of
radiates to back for last 2 months, persistent hiccup for
What is the diagnosis? MEDICAL QUIZ (Birdem Med J 2013; 3(1): 60) Medical quitz:SBA: Question 1 Question 4. (www.acphospitalist.org. september The following treatment has NOT been shown to improve mortality in heart failure (HF):
A 23 year old woman is admitted to the hospital for
(www.medicinecpd.co.uk)
plasma exchange.She was recently diagnosed with
myasthenia gravis and remains symptomatic despite
intravenous immunoglobine and pyridostigmine.
Medical history is otherwise noncontributory and she
has no previous reaction to blood products.
Her respiratory function begins to worsen andtherapeutic plasma exchange is begun. Albumin is used
Question 2
as the replacement fluid and citrate is used as the
Regarding laboratory markers in the diagnosis of acute
anticoagulant. One hour into the procedure, the patient
pancreatitis it is TRUE that: (www.medicinecpd.co.uk)
becomes light-headed, vomits, develops extreme anxiety
when presentation is delayed by five days or
and experiences perioral numdness and tingling.
more the serum amylase is more likely to still beraised than the serum lipase
On physical examination, temperature is 37.0c, bloodpressure is 121/48 mm Hg, pulse rate is 103/min and
in severe acute pancreatitis CRP <81mg/l
respiration rate is 16/min. She has labored breathing,
together with WBC <13 predict little risk ofinfection of the necrosed pancreas
appears agitated and has lid lag. She also has proximalmuscles weakness and muscle twitching. Jugular
the urinary trypsinogen-2 dipstick test has poor
venous distension and peripheral edema are absent.
raised serum alanine amino transferase (ALT)
Preplasmapharesis exchange laboratory studies show
is helpful in confirming alcohol as the likely
complete blood count normal,calcium 9.0mg/dl(2.25
mmol/l),creatinine 0.8 mg/dl(70.7 umol/L),magnesium 2.1
Question 3
mg/dl (0.87 mmol/L),potassium 4.6 meq/L(4.6mmol/L) and
The blood film of a 29-year-old woman suffering from
anaemia has remained microcytic and hyperchromic
In addition to temporary cessation of plasma
despite taking ferrous sulphate for 6 months. Her
exchange,which of the following is the most appropriate
transferrin saturation is 35%. The MOST appropriate
treatment? (www.acphospitalist.org. september 2012 )
investigation to elucidate the cause of the persistentmorphological abnormalities is: (www.medicinecpd.co.uk)
See Answer Page No. 68
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2012 FlexScripts Administrators Preferred Formulary List The following is a list of the most commonly prescribed FORMULARY drugs only. It represents an abbreviated version of the drug list (formulary) that is at the core of your pharmacy benefit program. The list is not all-inclusive, does not guarantee coverage and is subject to change. In addition to using this list, you are encoura
MEDICAL QUIZ