Levothyroxine Is Used For

Question 1

Surgical intervention for aortic aneurism is required if_____________

Answer 1

5.5cm or size increase 1 cm per year

Question 2

Polys cystic kidney disease managent_____________

Answer 2

Ace inhibitors
Agressve control of cv and ckd
Hemodialysis
Renal transplantation

Question 3

Poly static ovarian disease s/sx—————————

Answer 3

Abdominal mass
Hemturia
Flank pain
Ckd
Palpable abdominal mass
Cerebral aneurism
Hepatic and pancreatic cyst
Ventral and inguinal hernia

Question 4

U/s finding of PCOD——————

Answer 4

Multiple renal cyst

Question 5

Warfarin effect increasing drugs

Answer 5

Metronidazole
Macrolades
Azole antifungals
Amiodarone
Cimetidine
Grape juice

Question 6

Drugs which decrease warfarin effect

Answer 6

Carbamazepine
Phenytoin
Phenobarbitone
Rifampin
St.jons wart

Question 7

Most common cause of mitral regurgitation in developing world

Answer 7

Mitral valve prolapse

Question 8

Effect of hemodialysis in uremic pericarditis patient

Answer 8

Decreases chest pain and pericardial effusion

Question 9

Gold standard test for typhus

Answer 9

Indirect immunoflorecence

Question 10

Typhus mgt

Answer 10

Doxy 200mgpo per day
TTC 250mgpo qid for 10 days
Chloramphenicol 500 mg po qid for 7 days

Question 11

In Relasing fever patients may collapse if they stand in __________phase

Answer 11

Flush

Question 12

Jerish heximer reaction is found in________________

Answer 12

Treating relapsing fever and syphillis

Question 13

Mgt of relapsing fever

Answer 13

Procain penicillin 400000to 6000000 then if blood film is -ve continue TTC 250 mg Po tid for 3days if not continue the penicillin and then ttc

Question 14

Diagnosis of RF is made by

Answer 14

Thick and thin blood film

Question 15

If evidence of heart failure present in RF

Answer 15

Digoxin 1mg IM stat could be given

Question 16

Pfalsiparum managent

Answer 16

Quarten for 3days with primaquine single dose

If pregnant quinine

Question 17

P vivax mgt

Answer 17

Chloroquine phosphate 25 mg/kg given in divided doses over three days

Primaquine phosphate 15mg base, PO, daily for 14 days for all patients after completing the three days of chloroquine.

Question 18

Mixed infections (P. falciparum and P. vivax) management

Answer 18

o Artemisinin based combination therapies (like AL for 3 days) should be used for
mixed (falciparum and vivax) infections, followed by 14 day primaquine phosphate

Question 19

Treatment failure in malaria is defined as

Answer 19

Consider treatment failure in a patient with malaria who was treated for malaria in the past 28 days

Question 20

Antibody sensitive to lupus is

Answer 20

Antinuclear antibody

Question 21

Anti body in sle for kidney involvement is

Answer 21

Anti DNAse

Question 22

Antibody in sle which is specific to sle

Answer 22

Anti smith
Anti DNAse

Question 23

Less specific antibody for sle

Answer 23

Anti phospholipid antibody

Question 24

Pneumonic for SLE

Answer 24

Rash or pain

Rash (malar or discoid)
Arthritis
Serositis
Hematologic Disorder

Oral or nasopharyngeal ulcer
Renal disease

Photosensitivity
Ana
Immunologic disorder
Neurological disorder

Question 25

Drugs contraindicated in Sle are

Answer 25

Isoniazid Hydralazine Procainamide

Question 26

Gonococcal septic arthritis

Answer 26

Polyarthicular Skin lesion Tendon involvement

Question 27

Non gonococcal septi arthritis

Answer 27

Single Joint Invovemnt Complete Joint destruction S.aureus the commonest

Question 28

Diagnosis of septic arthritis

Answer 28

Synovial fluid analysis Imaging

Question 29

Management of septic arthritis

Answer 29

Arthrotomy Arthrocenthesis Antibiotics

Question 30

Osteoarthritis mainly affects

Answer 30

Weight bearing joints

Question 31

Risk factor for osteoarthritis

Answer 31

Old Age Trauma over the Joint

Question 32

Osteoarthritis and Rheumatoid arthritis difference

Answer 32

OA Pain >1hr During morning and end of the day Sharp pain Worsen with activity No joint swelling RA Painful Joint Swelling Pain <1 hr

Question 33

Mgt of OA

Answer 33

Weight loss Physical Activity Nsaid Joint replacement therapy Myloumic acid injection

Question 34

Prophylaxis for malaria________________

Answer 34

Mefloquine Avoid doxycycline

Question 35

Children less than 5kg for pfalciparum uncomplicated mgt_____________

Answer 35

Quartem as for children equal to 5kg

Question 36

Pregnant woman with vivax in all trimester of pregnancy

Answer 36

Chloroquine instead of Primaquine: provide chloroquine 2tabs weekly (300mg base/500mg salt), continue during for 6 months of lactation. A full course of Primaquine for 14 days at a dose of 0.25 mg/kg will be given after 6 months of lactation.

Question 37

Uncomplicated P. falciparum malaria in the first trimester of pregnancy

Answer 37

ncomplicated P. falciparum malaria or mixed infection in the second and third trimester of pregnancy: treat similarly to non-pregnant patients. o Complicated malaria in all trimester of pregnancy: treat similarly as non-pregnant patients

Question 38

o Uncomplicated P. falciparum malaria in the first trimester of pregnancy

Answer 38

 Avoid: Arthemete Lumfantrene with uncomplicated malaria.  Use: Oral quinine is preferred for patients with first trimester pregnancy