54. Venous ulcer pic on the medial aspect of ankle –diagnosis ?

55. A patient with hypercholesterolemia,dm,htn...presents with rashes over the digits...pic

shown purpuric rash over the dorsum and lateral surface of a toe---- cholesterol embolism?
56. Man treated with tmp/smx ...develops rashes ---- its due to medication side effect.
57. Severe Headache, confusion and some visual problem in a htnsive man ..lp ma no
blood...diagnosis --- intracerebral hmgh
58. Man presents with chest pain , pain on leaning forward and has a rub on auscultation..what
do u do initially..1.cxr 2.ecg
59. Above vignette’s nxt question...on ecg – features of pericarditis ...diagnosis asked
60. AR –murmer..vignette provided some clues
61. asd- murmer; 1 week old child with no cyanosis,fixed wide split
62. Patient had psvt adenosine administered – what may be the complication of
treatment..1.wpw 2.torsades 3.vt 4.vf 5.af
63. What to do in a male patient with no risk factors with ldl levels 165 mg/dl?
64. A child from New Mexico brought to you by his mom ..she tells she removed a tic from her
child’s arm today and she’s sure that the tick wasn’t there yesterday..on examination no
rash ,no symptoms.....what do u do?
65. Osteogenesis imperfect- brittle bones ---collagen defect
66. Slipped capital femoral epiphysis – management- fix it with pins
67. Newborn – female,positive family history with ddh – greatest risk for developing ddh in this
baby?
68. Some invasive procedure performed in the medial thigh ..later develops pulseless
extremities ----most likely cause 1.thrombosis at aortic bifurcation 2. Compartment
syndrome 3.deep vein thrombosis 4. Expansion of hematoma
69. Pain over lower limbs that changes with position(lying supine and lateral) ..slrt –ve 1.lumbar
cord stenosis 2.ivd prolapsed 3. Berguer disease
70. Patient presents with non-productive cough,wheezes etc..cxray shown 1. Asthma 2. Chronic
bronchitis 3.emphysema 4.ild 5.mediastinal lymphoma 6. sarcoidosis
71. Child visited to an African continent few weeks back--- malaria
72. Acute diverticulitis in an elderly resolved after treatment ..then what do u do ?1.advise low
residue diet 2.colonoscopy
73. A bright red well demarcated lesion over the buttock in an infant that was static initially ,
now grows ..... physician tells to the parents it will subside later in life?what is it 1.vascular
overgrowth 2.hemangioma
74. Tension pneumothorax after an acute trauma- easy ..diagnosis asked
75. Marfan syndrome
76. Man with dysphagia to solids and later to liquids ..no improvement on ppi – what do u do-
endoscopy
77. Man with hx suggestive of ureteric stone 3 mm ,now asymptomatic..what is the best advice
for him to prevent recurrence- plenty of fluids
78. Man with epigastric pain especially after fatty meals , also steatorrhea..xray shown;
calcifications on the pancreas—diagnosis : chronic pancreatitis
79. Case of stiffness over sacroiliac joint area, fused vertebra etc---- ankylosing spondylitis
80. Case of female with ulnar deviation of both wrists—rheumatoid arthritis

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