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Arrythmias
by akanksha - 11814 reads, based on 57 votes
A 18 yr old girl comes with sudden onset palpitations and light headedness. She describes the palpitations as a very fast heart rate and denies any chest pain or shortness of breath. Her ECG shows the following tracing. Most likely diagnosis is:
A. Atrial fibrillation
B. Ventricular Tachycardia
C. Supraventricular Tachycardia
D. Wolf-Parkinson-White Syndrome
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Local Complications of Lung Cancer
by akanksha - 9464 reads, based on 54 votes
A 58-year-old smoker with a chronic cough attends out-patient with a history of severe pain in his left shoulder and radiating down his left arm. There is some weakness in the intrinsic muscles of the left hand. Sputum cytology reveals malignant keratinised cells. Most likely diagnosis is:
A. Horner's Syndrome
B. Pancoast's Syndrome
C. Peripheral Neuropathy
D. Hypertrophic pulmonary osteoarthropathy...
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Paraneoplastic Syndromes
by akanksha - 8900 reads, based on 36 votes
A 67-year-old man with lung cancer is seen by the palliative-care team after complaining of severe fatigue and weakness. He is now unable to stand from sitting, has problems chewing and gets occasional double vision. Examination shows normal power in the hands and feet, but weakness of the girdle muscles and an oculomotor nerve palsy on the right with ptosis. The doctor is surprised that the weakness improves after repeated demonstrations to colleagues. Most likely diagnosis is:
A. Isaac’s syndrome
B. Horner’s syndrome
C. Lambert–Eaton syndrome
D. Myaesthenia Gravis
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Causes of Collapse and Confusion
by akanksha - 8804 reads, based on 22 votes
A 75-year-old lady is brought in by ambulance after being found collapsed by neighbours. She is a chronic smoker and is recently under investigation for Ca Lung. On examination she is drowsy and becomes agitated when attempts are made to rouse her. Routine observations show that her blood pressure is 170/95 mmHg and heart rate is 72 bpm. Her biochemistry results come back as urea & electrolytes: Na+ 116 mmol/litre, K+ 3.0 mmol/litre, urea 6.5 mmol/litre, creatinine 92 µmol/litre; plasma osmolality: 251 mosmol/kg. The most probable diagnosis is:
a. Ectopic adrenocorticotropic hormone secretion
b. Ectopic antidiuretic hormone secretion
c. Ectopic parathyroid hormone secretion
d. Lambert–...
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Pigmented lesions of the skin-2
by akanksha - 7616 reads, based on 25 votes
A 3-month-old baby is brought in by concerned parents who have noticed that a red lesion over his forehead, present from birth, has begun to reduce in size but has developed a black area centrally. There is no other lymphadenopathy and the child is otherwise developing normally. Most probable diagnosis is:
a. Blue naevus
b. Campbell de Morgan spot
c. Strawberry naevus
d. Deep capillary naevus
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Pigmented Lesions of the Skin
by akanksha - 6548 reads, based on 19 votes
A 6-year-old boy is brought in to clinic by his parents with a deep purple
lesion over his right zygoma. It has been present since birth and he is
otherwise well. On examination it extends over the entire cheek and is lumpy and
thickened on palpation. There is no associated lymphadenopathy. Most probable
diagnosis is:
a. Strawberry naevus
b. Deep capillary naevus
c. Lentigo
d. Superficial spreading melanoma...
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