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Aucklander · Credits: 2216 My Scrapbook

A 68 year old male present for routine phycal examination. In addition to obtaining a complete history and exam, which of the following wohld you routinely recommended ?

A. Chest X-ray.
B. Hepatitis B vaccine.
C.DEXA Scan.
D.Pneumococcal vaccine.
E.ECG.

drlouis · Credits: 5374 My Scrapbook

Chest X-ray.
E.ECG.

chest x ray is a must...every adult atleast one point of time eg during job application and recruitment -should be done.....other inveastigations depend on the symptamotalogy....

blood sugar-- for tiredness and lethargy and poly uria apart from aurine exam

Aucklander · Credits: 2216 My Scrapbook

You could be right, but the book is answering different, looking for more openion.

Thank you.

ratnakar_potla · Credits: 5703 My Scrapbook My Reading List 2 Books

AUCKLANDER A VERY VAGUE QUESTION I FEEL....... PLZZ THEN MENTION WHICH EXAM WAS THIS A QUESTION FOR......IF ITS INDIA..... X-RAY IF ITS ELSE WHERE ECG FIRST......ONLY LOGIC X-RAY TALKS OF ENTIRE CHEST AND IF SOMETHING IS ANOMALOUS WE CAN GO IN FOR ECG PARTICULARLY......STILL THIS IS NOT A COMPLETE QUESTION OR ITS A DUMMY ONE

Aucklander · Credits: 2216 My Scrapbook

Dear doctor Potla, i am sorry to say you may be wrong to say "VERY" vague question. Though Medicine has no boundery and it was a question based on the management process in Australia and New Zealand .

Every question got its own value, though the question sounds like very eassy , basically it was not , and i still have not got the right answer.

I have a great respect to your openion but Medicine is not always 2+2=4! Some time it is different.
I am sorry if i heart you. Keep the good works Up! I believe if you dont criticise your fellow doctor you are not helping him.
Thank you and good luck.

sea_corel · Credits: 11961 My Scrapbook My Reading List 7 Books

ECG and DEXA scan ?

drlouis · Credits: 5374 My Scrapbook

Pneumococcal vaccine.

probably they are expecting this in their country (Australia and New Zealand or america) for routine management for a healthy elderly man above 65 yrs. to prevent pnemococcal sepsis/pnemonia which they think will be more useful still further esp if the pt has copd/DM /crf

BUT IN INDIA WHERE WE DON`T EVEN HAVE BREAD FORGET THE BUTTER!-- SO THE CHOICE IN INDIA WILL BE CHEST X RAY AND ECG AND BLOOD SUGAR.....ANY THING MORE THAN THIS IS A PRIEVIELAGE....

READ THE QUESTION CAREFULLY- '''wohld you routinely recommended ? ''
PNEMOCOCCAL VACCINE DEFINETLY ACCORDING TO THEM.( WHERE CHEST X RAY AND ECG AND OTHER LAB PARAMETERS ARE TAKEN FOR GRANTED WHETHER ITS INDICATED OR NOT!

ROBERT.

ratnakar_potla · Credits: 5703 My Scrapbook My Reading List 2 Books

ohh thanks for criticising aucklander......... but ill there be a conclusive answer for that???? I was definetly over looking such questions......thanks for clearing me that they have to be treated seriously as everything else.......awiting a conclusion......

drada · Credits: 45712 My Scrapbook My Reading List 2 Books

am in india,seeing patients in this age group daily,there is no point in thinking in terms anything otherthan chest x ray.

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