‘Scanned with CamScanner‘Scanned with CamScannerj ) “na Roe A, US yar old man patient te diaqnored twtth eonuntil f jensen ad Caw to Anke, A lnes-dakt deet and mq etre: | : kx be comes for BP check-up ond hie BP te still I4Ef 00 mem - previous drugs bictony he reveled that he is o kneun axthrate. vot" ye thle ain i hus calbuctomel inholes cagilarly Yihat woald be your P-drug for an Or aberatic postiest supfering from bypetuntos ? " . Cscemtiol hypertension in an curthmartic pectient: tie objective > Cortbrel hyparteanie by pracribing drug. hich get ppiagnos's |} Theope® hawt 00 eqyect 00 Sings 5 gucting the eppectie Group: Dag Y ae sT ernest Tesabinty_| cnt Tpiazides Ry cl ei és ccBe + ea + i | L a «The selected "eG of ‘dings = Thiaaidts 5 aay for an atharate paket auger am) hyprtiny = Toate daurctio Brice FActim cubetanee — Ffiazide diuretic 5 % Route af qdminietrostion : Oral i Satin ef atast © (Loy erative) or 2 ett (atu pe tf mudicection): Scanned with CamScannerScanned with CamScanner‘Scanmed with CamScanner‘Scanned with CamScannerme few antibiotics “thet produced Shi conhtae fqn Ceghatotporins Avineglycosiclus , Macidlidis and puorequinslenty frurner 1 ~ ieactions ef Adrenaline ; gait se frophylastic shock = 0°6mq (4\in, 1000). CSc Jem) aT prolong action of Lotal anaesthetic - 4 in, rooee (1.v) suring epictonte = cadreraline 4 jy 100000) compro: n fer Cardine tauscttetion - Grtracardiae Adrenaline (4 1 tov0d) Ln st year old man presents to the unugenty departroert due tp onttte dies — vo brathing. “The pactient te ajebitle and nerrnotanatse beck anit tochy! cousin, ard mortedly -taohy protic sAueuttation ef the chat roaals drffur abe tzur The physician prowittonallly rakes -the diagnos of buthial extra ond edminictect epinephrine by intramuscular injection, impoving -the patient’ < tu sora minudtta = Chest Xray te nermal ond -the mAteal bietony 1 market | only for wild hyperttnwion -theck It being “treated wth Propranolol “The pheystetan changed the asrtihiypertenaive rriediteadtion to Calefund Channel Aloeker Bo you support the physictarn'e dettion of changing -the assti- hypectanatve medicoction 7 Explain woth rmaacna: Ya, lig 1 TNon- Selective Beta blocleert Like propranolol can precipitedtt an attack of Bronchtad ousthrna What abternoctive treatment change mht the: phypleian consider? Calcium Chan Plockers @ Cardto-selectiv. beta t blockers tome other medications whieh are cootraindtescted in bronchial asthma. ®) topirin., other NSAIDS , cbolinergicr Cone Scenario I : y Me Nogainh 0 -forrner woh brought the ernergney, wing with convulsions, Chuine choker brthing, cies frothy ntivadion and vomiting: Atte ony! ‘nation vespirection exon dapruned and laborvous ;thonchi all overthe lungs, Pabst Bofein otnlar eonpstion and marked poioste. Scanned with CamScanner ate the indications of adrnatine and tention the dose tp tach todiesfy‘Scanmed with CamScannerdo you conn athe cone? ot wotth “beth ‘nutrients WH Bta /g Fle oud + pgp) NtEBY? Sari eebalamt6) 4/4 11M: forttlly deci cl ruwrolenjcal yr teams ct cubsicleal or | 2 Werk, + Fallecued yy tooerthly 4 es foltc acid = ding daily fou a ud notHe began tllone te patente wotth Vit BAD dagierincy as by | responae may occur, but oxttrolmtcal ayraptoym, ull worsen , dt te diverts I i Lofolie aogier ay euegre amount of Vit B12 te Bernppeteste - ¢o, vit 612 te te be gi? alg wth | re acid vif. pact ae “caye Scenanrto = 6: ae Te 4) Goyer old man prsente “fe the erperqincy dipartment wlth a 9monthy hictug 4 Lptique ought (ose (tot4),furr night sweats and a productive cough tte reperts. din jing da 6 buere!perday|: Sh Abe erage dipartent yacht x oo a | caght apreod ingittrate: Hie fiat fputum eeeor shout, mary acid fact basil y hat if qour probable aiaqnoste 7 ® Likely diagnosis = Fulrnenary Tubercutorie § What drugs chould be started for the-trustment of thie patient ? att (pots), 2months — Intensive phone Ayrponthy - ) Comtinucas pho: f Tab: Peoniazid ~ goomq « i Tab Ripornpicto — G0dm] I iP: y 1 Tab: ethambutol — today) ge “Tab: Pyrezinamide — Isvtng ; Gj - Streptomycin = thom 1M Yu the patient haw a baqhtenee rick ef developing mudtention tpxterty? a “which medicaction qpeutd be Ukely -p cause touterty ? 4 Deontazid — Prurétic | Rinmpicin tert E sieaeegd oaieue ol Shgilee | Gtarburtol - Optic be : Mra zinamide — ‘ae vn a Soyptemyan —~ Qketosietty » nepbrotewuctty, Scanned with CamScanner‘Scanmed with CamScanner‘Scared with CamScanner‘Scanned with CamScanner‘Scanned with CamScannerbiochemist fa iethel carbemazion and broad spectruro antibioticn Te function cf ATP Methotrexate fer cancer -trectrent NAL PLANTS « rosto. © own ov Madagascar Prcinkle plant 5 Susee of drat Vincrictine, NipBlanting usd to. Aretient cootre, Hodgkin's Lympberrm J ae 4 Hope talledona. FFecun ox dandy ight bind “Acti prtcciple Atropine -ted in OP geisonirg > Mujdriatie foe. * Gndadden tornentosum ; fet of onree poison exeran /Te juvant to quneral arausthaln‘Scanned with CamScanner4 Cortitont Jet ene adrenecorticold upfield _eeqenttal odreral Biplane cchial tena, aye derder pao gece - Cushing sypdrome , Hypergicsnie ee _vuseitlar atk, Peptic ular * 9, Morphine : opted analgynic & purr opled eqenitt Metso anolesic te de nliewt pain to ceart, | gincture of Leng ots utes: Gy oust LVF and Pulmonary etdtesa passe ques ~fup:deprunion,, eonrtipation/emetesraamy | | 3} pecyleelie : et ale eee -nuurctonsnttter of paras Fi “acts on muacaring: & ptcoti oshert t1f2 ond fox ve lini YAdnnolines | = sented from val gland» -uad in anaphylactic &, sacle bab on a & Marse yfecte: es toga Ralpitation . Traore + Dopamine + Retr of edacatoe i 4 ager Scanned with CamScanner‘Scanned with CamScannerNeercction Scanned with CamScanner‘Scanned with CamScanner