Professional Documents
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2013-2018 Meq
2013-2018 Meq
Q3:
68 y/o smoker for 40 yrs, chest pain, SOB, initially dry cough, then blood stained mucopurulent sputum,
1. 4 Ddx
Chest x-ray
2. 4 findings
3.Pe finding
a) chest movement
b) percussion
c) vocal resonance
d) auscultation
4.Provisional dx
5. Blood urea >7.8, how to predict severity and prognosis based on parameter
Q5 puffiness of Face, Hematuria3+, proteinuria 1+, no other symptoms, active, no previous infectiin
2) 3 causes of hematuria
3) investigation.
4) outline management
1) condition
3) 2 other complication
Q6 Dengue
4. Diagnosis
5. Outline management
6. Criteria to discharge
Q7 TIA
80 years old male with u/l diabetes mellitus and hypertension p/w right UL and LL weakness. Now
complain dizziness
On PE, patient hypertensive, irregularly irregular pulse, weakness resolved within 10 hours
1. 4 differential diagnosis
2. Provisional diagnosis
3. Risk factors
4. Preventive measures
1. Give 3 differentials
4. Pt then develops manic episode (with hosp admission). Give most likely diagnosis.
Q10
6. 4 advantageous of Dots
Surgical based MEQ
1. 35yo man pw with epigastric pain and vomiting for 5 days. Had similar attack last year. Normal bowel
habit and appetite.
a. 4 differential dx
No passing tarry stool. Frequent meals and worse at morning. No pallor and jaundice. Vital normal.
Epigastric tenderness but no mass.
b. Provisional diagnosis
c. 2 investigations
e. Complication above?
f. How to confirm?
g. 2 surgical options
57 y/o woman, right groin lump-5days, skin is erythematous, irreducible, below and later pubic tubercle,
ultrasound dilated bowel, reduced motility.
4 ddx
Provisional diagnosis
4 supportive points
Pathophysiology
4 possible complications
3 surgical approach
4 complications of surgery
3. Obstructive jaundice
1. 4 ddx
4. 2 investigation
5. Complication
6. Surgical intervention
5. Placenta praevia
1. Risk factors
4. Investigations
5. Treatment
6. 29y/o, G4P0+3, amenorrhea 15 weeks, per vaginal bleeding with tissue. S/E: os open with tissue
seen, blood seen in vaginal
- 4 investigations (4m)
-Multiple pregnancy
1)extract the risk factor for multiple pregnancy from the trigger given.
3)outline intrapartum mx
1)dx
3)2 immediate mx
-- no improvement noted
4)definitive mx
SEPTIC ARTHRITIS
9ish year old boy p/w knee swelling , erythematous , painful on touch etc
1)ddx
2)ix