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comy/forms/d/¢/1 FAlpQISe1r-GMbh2bYanVU37VInEACaSk MYVREVRchcLsnNXCFd1A/formResponse Inanormal mechanism of labour which is the most appropriate sequence 1 point of movement of fetal head © Descent internal rotation,engagement,expulsion, exter sion, descent, © Engagement extemal rotation, descent extension, internal rotation © Engagement extension, flexion, internal rotation, External rotation © [Haagement, Descent, lesion, internal rotation, exten sion, Restitution, External rotation A 36 years old male, no known co-morbids, presented in ER with severe epigastric pain radiating straight to back, reliev pulse= 120, BP= 90/60, T=100°F, RR 4 by leanii jorwards. O/E 2, distended abdomen with eneralized tenderness more in epigastrium. CXR shows obliteration of R {20 year male diagnosed case of CRF presented with and peaked T waves on ECG. Whats the Severe hyperkalemia 1 point first step in treatment? © Calcium gluconate O Sodium bicarbonate O insulin + glucose © Oral resins Fourteen year old boy brought by parents in OPD with complain that he is. shortest student in his class. On examination there were no s oe Puberty and his height was at centile with normal upper seg! tand lower segment ratio. X-ra| delayed bone age. F th Patient in emergency has low blood pressure and hypoglycemia. His serum 1 point sodium is 112 mmol. What is the diagnosis? Addison disease O Hyperthyroidism © Cushing syndrome © conn syndrome The common cause of acute interstitial nephritis i Non-steroidal anti-inflamm

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