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drg8 · Credits: 2655 My Scrapbook

Amniocentesis is used in the diagnosis of all of the following conditions EXCEPT
4. genitourinary anomalies.
5. trisomy 18.
2. metabolic errors.
3. neural tube defects.
1. trisomy 21 (Down syndrom

A 22-year-old patient, who had a splenectomy 2 years ago for trauma, presents to the Emergency Department with confusion, cough and fever which have developed over the past 12 hours. On arrival, his vital signs are:
· Temperature 41°C
· Respiratory rate 28/minute
· Blood pressure 90/70 mm Hg
· Pulse 130/minute
2. Which one of the following investigations would best confirm the diagnosis?
5. Blood culture
1. Chest x-ray
4. Sputum culture
2. Electrocardiogram
3. Urine culture

3. A 56-year-old woman presents with sudden onset of aphasia. Considering the possibility of conversion disorder, which aspect of her history is LEAST likely to be helpful in confirming the diagnosis?
5. Childhood history of stammering
1. History of previous episodes of conversion disorder
4. History of recent stress
2. History of recent onset of sexual dysfunction
3. Family history of conversion disorder

4. Which one of the following measures is the most appropriate in the initial management of neonatal seizures?
3. Phenobarbital
1. Pyridoxine hydrochloride
5. Diazepam
2. Magnesium sulfate
4. 20% glucose

In taking the history from a patient with pruritus vulvae, all of the following diagnoses should be considered EXCEPT
3. localized carcinoma.
4. tuberculosis.==
5. diabetes mellitus.
1. Crohn disease.
2. lichen sclerosis.

A 30-year-old menstruating woman presents at the Emergency Department with a high fever, vomiting and diarrhea of 24 hours' duration. Her blood pressure is 90/50 mm Hg and there is a diffuse erythematous rash. All of the following laboratory results are in keeping with a diagnosis of toxic shock syndrome EXCEPT

3. white blood cell count 18 x 109/L.
1. creatine kinase 290 U/L.
5. glucose 2.2 mmol/L.
2. calcium (total) 1.66 mmol/L.
4. aspartate aminotransferase 100 U/L.
289. A 75-year-old male is admitted to hospital with left lower quadrant abdominal pain, nausea, a low-grade fever, and left lower quadrant tenderness. Your diagnosis is acute diverticulitis. Treatment should include all of the following EXCEPT
5. nasogastric suction.
1. broad spectrum antibiotics.
4. meperidine.
2. immediate laparotomy.
3. intravenous fluids.

junejo · Credits: 3915 My Scrapbook

Amniocentesis is used in the diagnosis of all of the following conditions EXCEPT
4. genitourinary anomalies.
5. trisomy 18.
2. metabolic errors.
3. neural tube defects.
1. trisomy 21 (Down syndrom

A 22-year-old patient, who had a splenectomy 2 years ago for trauma, presents to the Emergency Department with confusion, cough and fever which have developed over the past 12 hours. On arrival, his vital signs are:
· Temperature 41°C
· Respiratory rate 28/minute
· Blood pressure 90/70 mm Hg
· Pulse 130/minute
2. Which one of the following investigations would best confirm the diagnosis?
5. Blood culture
1. Chest x-ray
4. Sputum culture
2. Electrocardiogram
3. Urine culture

3. A 56-year-old woman presents with sudden onset of aphasia. Considering the possibility of conversion disorder, which aspect of her history is LEAST likely to be helpful in confirming the diagnosis?
5. Childhood history of stammering
1. History of previous episodes of conversion disorder
4. History of recent stress
2. History of recent onset of sexual dysfunction
3. Family history of conversion disorder

4. Which one of the following measures is the most appropriate in the initial management of neonatal seizures?
3. Phenobarbital
1. Pyridoxine hydrochloride
5. Diazepam
2. Magnesium sulfate
4. 20% glucose

In taking the history from a patient with pruritus vulvae, all of the following diagnoses should be considered EXCEPT
3. localized carcinoma.
4. tuberculosis.==
5. diabetes mellitus.
1. Crohn disease.
2. lichen sclerosis.

A 30-year-old menstruating woman presents at the Emergency Department with a high fever, vomiting and diarrhea of 24 hours' duration. Her blood pressure is 90/50 mm Hg and there is a diffuse erythematous rash. All of the following laboratory results are in keeping with a diagnosis of toxic shock syndrome EXCEPT

3. white blood cell count 18 x 109/L.
1. creatine kinase 290 U/L.
5. glucose 2.2 mmol/L.
2. calcium (total) 1.66 mmol/L.
4. aspartate aminotransferase 100 U/L.
289. A 75-year-old male is admitted to hospital with left lower quadrant abdominal pain, nausea, a low-grade fever, and left lower quadrant tenderness. Your diagnosis is acute diverticulitis. Treatment should include all of the following EXCEPT
5. nasogastric suction.
1. broad spectrum antibiotics.
4. meperidine.
2. immediate laparotomy.
3. intravenous fluids.

asooma · Credits: 6422 My Scrapbook

4. genitourinary anomalies
1. Chest x-ray
5. Childhood history of stammering
5. Diazepam
4. tuberculosis.==
2. immediate laparotomy

amc-mcc · Credits: 9616 My Scrapbook

my answers are different for these qs. Please participate in answering as it would help all of us.

4. Which one of the following measures is the most appropriate in the initial management of neonatal seizures?
3. Phenobarbital
1. Pyridoxine hydrochloride
5. Diazepam
2. Magnesium sulfate
4. **20% glucose

A 30-year-old menstruating woman presents at the Emergency Department with a high fever, vomiting and diarrhea of 24 hours' duration. Her blood pressure is 90/50 mm Hg and there is a diffuse erythematous rash. All of the following laboratory results are in keeping with a diagnosis of toxic shock syndrome EXCEPT

3. white blood cell count 18 x 109/L.
1. creatine kinase 290 U/L.
5. **glucose 2.2 mmol/L.
2. calcium (total) 1.66 mmol/L.
4. aspartate aminotransferase 100 U/L.

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