Un livre dont vous êtes le héros, série Sorcellerie 1983/1985 Venez voir les autres livres sur mon blog: https://bdvelh.blogspot.comDescription complète
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Presentasi SOAP Oleh Farmasi KARS Sept 2015
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9/13/2015
(2) mrcp4all
Alex Andra 5 hrs
1. Reactive Arthiritis asscociated b 27 2. Latex allergy type of Hypersensitivity type 4 3. Hyperacute Rejection Of Graft Type of antibody involved – IgG 4. Structure if ImmnoglobulinBinding sites Fc binds to Phagocytes 5. Wegners Granulomatosis – cANCA – against Proteinase 3 6. patient with UC and feature of sclerosing cholangitis…most diagnostic test→MRCP 7. C1q, C2, C4, associated with Classical Pathway 8. Most common vessel involved in Mesentric infarction Of ileum – Superior Mesentric Artery 9. Hyponatremia Detailed Pathophysiology Changes in Intravascular and Extravascular Compartment….gain of water + salt / gain of water 10. S4 Corresponds to Pwave on ECG 11. Digitalis Toxicity PPt by Hypomagnesemia 12. Action Of Parathyroid Hormone on Metabolism of Phosphate and Calcium in CKD decrease alpha 1hydroxylation??? 13. Cause of Hyperuricemia in Tumor Lysis Syndrome—increase nucleic acid release 14. AntiCCP in Rheumatoid Arthiritis 15. Eternacept Binds with TNF 16. IL2 inhibited by Cyclosporin 17. Cystic Fibrosis – Clinical scenario mentioned – AR 18. Familial HOCM – AD 19. Insulin Receptors – Membrane Receptors 20. 0 Phase of Depolarisation associated with Sodium 21. Calculate Negative Predictive value 22. Study Design – What phase represents effectiveness of a drugphase 3 23. MOA of Doezolamide – Carbonic anhydrase inhibitor 24. Porphyria Cutanea Tarda – Clinical scenario mentioned – Photosensitive rash with bullaes + Hypertrichosis – Defect in Uroporphyrin Decarboxylase 25. Menniere s Disease – Triad Of Dizziness + Tinnitus + SNHL 26. Pneumothorax after Trumpet Usage Cant do scuba diving for life 27. Wernickes Aphasia Fluent but Word Neologism Comprehension Impaired Location ON superior Temporal gyras 28. Site Of Lesion In central Scotomasoptic nerve….(occipital lobe will cause vision loss with macula sparing) 29. Hayflick Theory of ageing of cell – Involves Telomeres 30. PICA – Ipsilateral Ataxia, CN palsy Contralateral limb sensory involvement 31. Syringomyelia (loss of vibration doesn’t support this)–/ cervical myelopathy ?? Diagnose from Clinical Picture 32. Phenytoin not effective – appropriate blood levels not achieved – next action ??? increase dose/reload with 1 g? 33. Hemiballism – characteristics mentioned – Subthalmic Nucleus in volved 34. Headache + Loss Of Smell→ meningioma? 35. Cause of Hematuria in Which anticytotoxi – Cyclophosphomide 36. Hereditary Spherocytosis Dx by Osmotic fragility test 37. Dignosis fro clinical picture – PO2 is N, SPO2 is decreased – Methaemglobinemia 38. PRV – Rx by Hydroxy carbamide 39. Clinical Picture of Bloods indicating Neutropenia in Middle Eastern Person <1.5 – Racial Variation 40. Von willibrands disease – Clinical picture APTT prolonged data:text/html;charset=utf8,%3Cdiv%20class%3D%22clearfix%20_5x46%22%20style%3D%22marginbottom%3A%2011px%3B%20zoom%3A…
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41. ITP 42. Sick euthyroid Syndrome 43. Diffuse Goitre Rx 44. Exanetide GLP1 analogue 45. Production Of Ketones in DKA Lipolysis 46. Pheochromocytoma – associated with MEN 2 47. Carcinoid Syndrome – Dx by HIAA 48. Travellor coming from India – Bloody Diarhoea Amoebiasis 49. Terlipressin – Before doing Endoscopy and banding in UGI Bleed 50. Achalasia dx by Esophageal Manometry 51. Hypori causing MALToma – Rx by Hpylori eradication therapy 52. H. Pylori tests Urea Breath Test 53. Diabetes Long duration pain after meals Chronic Pancreatitis 54. Ulcerative Colitis Treatmentmaslazine enema.. (masalazine topical is superior to topical steroid) 55. Fulminant Hepatitis in Pregnant lady – Ex is Hepatitis E 56. Streptococus Sanguinis ?? 57. C3b nephritic Factor seen in MCGN Auto antibody 58. FSGN seen in HIV, IVdrug abuser 59. Clinical features given – Dx Lateral Epicondylitis 60. Carpal Tunnel Syndrome features seen in amyloidosis… scenario of multiple myeloma patient 61. Mixed Cryoglobulenimia ? 62. Psoriatic Arthropathy 63. Anti Centromere abs seen in CREST syndrome 64. HTN in pt. < 55yrs – DOC ACE Inhibitor 65. Clinical picture indicating Dx of Cardiac Tamponade 66. PET Scan Uses Fluoeodeoxyglucose 67. Mouth Ulcers seen in Nicorandil Usage 68. Long QT syndrome associated with KCNE1 gene involvement 69. Pt. age >70yrs + severe Aortic Stenosis – Rx by balloon valvuloplasty..(patient had iHD and duedoanl ulcers.. prosthetic valve wud require anticoagulation for 3 months..not possible due to duodenal ulcers) 70. PAH – Dx by Cardiac catheterization 71. Clinical Picture of TOF indicating Ejection Systolic murmur – Pulmonary Stenosis 72. Low O2 delivery – Low PCO2 73. Bronchial asthma severe – Rx by IV MgSO4 74. COPD Rx→ decrease o2/ cpap?? 75. Pulmonary Embolism Dx by CTPA 76. Pneumonia + clinical Picture Of Erythema Multiformes – Mycolplasma Pneumonia 77. PCP most Common Complication – Pneumothorax 78. Bronchiectasis – reason for hempotysis?? 79. Immunocompromised Pt. C.I vaccine – Yellow Fever 80. Reason for Resistance to anti – Retroviral Drugs→ reverse transcriptase gene 81. Pan Valintino Leucocidin Gene involved in MRSA – Rx ??? 82. Lyme Disease – Clinical Scenario Given Pn Allergic – Rx by Doxycline 83. Non Falciparum Malaria Rxchloroquine 84. Rx of Gonorrhoeaceftriaxone 85. Painful Genital Ulcers with Painful Inguinal Lymhadenopathyhemophilus ducreyi 86. Atypical Lymphocytes seen in IMebv 87. AntiHTN in Pregnancy – MethylDopa 88. Venous ulceration – no antimicrobial required 89. Impetigo scenario(golden crusted lesions)– Clinical Picture given – staph aureus 90. Acnae Rosacea – Rx by Topical Metronidazole data:text/html;charset=utf8,%3Cdiv%20class%3D%22clearfix%20_5x46%22%20style%3D%22marginbottom%3A%2011px%3B%20zoom%3A…
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91. Bullous Phemphigoid – Dx from Clinical Picture 92. Somatisation Disorder – Dx from Clinical Picture 93. OCD 94. Suicide Risk Factor→ age/ alcohol 95. Catract? 96. Scleritis – Painful – RA 97. Inhibition Of P450 by ERythroycin 98. Supraventriculat tachycardia in Asthmatics – Rx by Verapamil 99. Emollient usage – don’t smoke 100. Post Flu Pneumonia – Staph Aureus probably 101. Drug that decreases Wound healing Prednisolone 102. Wilson disease AR mother heterozygous general population risk is 1:100 in UK.. In this case if father is not a carrier then risk is 1:200 103. beakers muscular dystrophy..father had the disease.. No investigation required in boy child coz x linked recessive...father to son transmission is not seen 104. Costochondritis ?... no investigation required 105. dermatitis herpetiformis : IgA 106. Bed ridden pt. presents with hypothermia due to loss of which reflex? Shivering 107. AF + IHD add digoxin (people suggest spironolactone too) 108. Diabetic pt. modifiable risk factor for CVS ? Lowering TG levels 109. short term memory loss: ? Hippocampal lesions/frontal (hipocampus consolidates the memory ) nt sure which one is correct 110. herpes simples encephalitis : clinical presentations + CT findings given 111. cell membrane around the daughter chromosome . Which phase of cell cycle ..telophase 112. MOA of ACE inhibitors decrease the efferent pressure 113. Pt with increase prolactin level !! Investigation →MR scan 114. Pt on CAPD..infection due to Staph epidermatides 115. Antigen presenting cells > dendritic cell 116. facial pigmentation in pregnancy ... Melasma 117. cryoprecipitate contents : fibrinogen 118. buprenorphine : partial miu agonist 119. central respiration centre is controlled byH+ ( co2 enter blood brain barrier… h20+co2→ h+ Hco3 → and H+ stimulates the receptos 120. action of SO muscle : depression & adduction 121. elderly post stroke in house care..has a problem usingcooker and microwave. .who can help him.occupational therapist /neurophysicist 122. One question what chart should be used to show combined result of diffrent studies ? pie chart or whatever no idea tongue emoticon 123. group of people who were suppose to check the result of a topical drug on face.. the result was to be graded on the scale of 5. Man whitney u test?? 124. Patient had bilateral eryhtma nodosum ...next investigation (CXR to rule out 2 major causes..(TB or Sarcpidosis) 125. Large ulcer on shin .. With purple edge .. Treatment ...steroid 126. One question : delta wave . Short PR !Aoociated condition that present Ebstein anomaly ?( I didn’t find secundum ASD in the option ..) if it was there then that was the answer 127. One question :Pt with rheumatoid arthritis ... Low iron raised ferritin Anemia of chronic disease ? 128. patient with feature of myasthenia gravis with mass in the mediastinum thymoma 129. alytic error in ABG Answer ? D …. Every thing was inappropriately raised.. 130. with SLE comes with DVT.. Investigation ? anti cardiolipin /lupus…since patient was anticoagulated anti cardiolipin wud have been much better option… data:text/html;charset=utf8,%3Cdiv%20class%3D%22clearfix%20_5x46%22%20style%3D%22marginbottom%3A%2011px%3B%20zoom%3A…
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131. narrow complex tachycardia arise from which part of the conducting system... AV node 132. Patient in Indonesia with fever, chills rigors, tender hapatomegally, conjunctivitis...leptospirosis 133. MOA Thrombocytopenia in Heparin use→ antibodies against heparin attached to plasma fibrin 134. Orogenial ulcers →behcets 135. Detrosor activity → increase excitability and decrease tone 136. A diagnosed case of HIV lost to follow up came with a cell count of 450 ( not exactly remember) but question was by what mechanism virus replicate ? lymphoma ?? 137. alport or igA (sensorineual hearing loss suggested alport but history was acute and patient age of 38 were pointer toward IgA nephro 138. juvenile myoclonas child with seizure and early morning clumsiness 139. celiacpatient with abdominal signs and iron deficiency anemia 140. intermittent diarrhea +joint pains enteropathic arthropathy / whipples? 141. apo e2 142. patient returning from an island had malarial prophylaxis mefloquine psychosis?? 143. parkinson patient seeing object and recognizing later on that it wasn’t there actually→ visua hallucination/illusion 144. pancytopenia and rasied LDH → PNH or paroxysmal cold hemoglobinuria ?? 145. patient with aortic dissection surgery→ smoking cessation 146. stroke prevention → aspirin 147. risk of increase rhabdomyolisis → amiodarone 148. pt with the features ofmultiple myeloma… investigation → serum elctrophoresis 149. raised cortisol plus obesity but htn → cushing’s 150. obese pt with acne and hisutism slightly raised testosterone but normal usg and normal lh fsh … PCOS(don’t remember the other options) 151. postural hypotension…decreased thyrid profilehypopituitarism 152. female with rasied testosterone… lack of secondary sexual characteristics..(androgen insensitivity syndrome) 153. female with hirsutism …masculine feature…and inc hydroxyprogesteroe and raised testosterone.. →CAH 154. mesangial IgA deposits on biopsyIgA nephropathy 155. raised ALP ..normal calcium nd phosphate pain on thighs—pagets…systoms faovur oesteomalacia but labs favour pagets 156. oldie with oesteopenia→ do dexa scan 157. asbestosis exposure→ stop smoking..( it multiply the risk) 158. denovo adpkd→ further transmission( no idea) tongue emoticon 159. 60 %penetrance→ 60% chance of developing sysmptoms 160. hemurus fracture..loss of wrist extension → radial nerve injury 161. non bloody diarrhea..abdominal pain …and raised CRP→ crohn’s /celia( raised CRP is a pointer towards crohns) 162. diabetic nephrathy/ contrast nephropathy → photocoagulation scars was a pointer toward diabetic nephropathy but recent contrast was pointer toward contrast nephropathy 163. oldie with blurred central vision… macular degeneration 164. opaque corna and hypopion→ ?? 165. patient with head injury and had lucid interval→ extra dural hematoma 166. obstructive picture on spirometry of an obese patient→ emphysema… 167. occupational asthma→reduced fev1/fvc 168. rasied calcium nd phosphate in upper rangesi a patient taking muti vitamins..→ vit D intxication 169. parvo virus/ IDA/ hemoglobin E ..(cant recall the question exactly) 170. pt having ona dn off seizures blah blah → AV malformation / sclerosis of the temporal region 171. post angioplasty reduced BP→ iv fluids/ dobutamine data:text/html;charset=utf8,%3Cdiv%20class%3D%22clearfix%20_5x46%22%20style%3D%22marginbottom%3A%2011px%3B%20zoom%3A…
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172. patient already taking mesalazinestarted azathioprine and started to have muscle pains→ stop mesalazine/ stop azathipine/give steroid?? 173. unilateral exophthalmos 174. urge icontinenece in multiple sclerosis 175. patietn takig paroxitene and stops it..come with headaches… paroxitene withdrawl 176. somatic hallucination/ over valued idea?? 177. A stat question abt relationship of two variables/outputs →correlation 178. another stat question abt the analysis → meta analysis 179. lymphoma pateitn having tonic clonic seizure…drug ? 180. mother with colon cancer…child with iron deficency anemia > colonoscopy/ fecal occult / ion replacement 181. Difference in the action of Immunoglobulins and t cell receptos→ epitope recognition ?? 182. small cell cancer pt with stridor 183. polymyalgia rheumatica…stiffness plus raised esr 184. common bile duct→ jaundice plus raised amylase 185. intrinsic factor antibody in patient with pancytopenia 186. vit b12 used in → red cell nucleic acid sysntheses in the start 187. folic acid defiency in a patient whose slide showed hypersegmened neutrophis 188. bleeding and rasied INR → give prothrombin complex concentrate