PKG Forum Senior
Topics: 25 Posts: 62
| | 04/09/06 - 02:22 PM  
 
   
 
|   #1 |
1) 18 year old boy complains of dull ache in the scrotum. he hit in that area during a basket ball game.on exam it is 2 cm hard, does not transilluminate. there is no change in the size of the mass in the supine position. whats the diagnosis germinal cell tumour vascular trauma 2) 82 year old female is accompanied by her grand daughter who says that she her grandmother has become forget ful over the past 6 months. the old lady lives independently. the granddaughter says that on several occasions the old lady has left the stove on and went to bed. she has some memory lapses. the old lady says that she has trouble sleeping at night and has lost 10 pound weight loss over 1 month. she had similar episodes 2 and 5 years back which was successfully treated with medications her vitals are normal. what is the diagnosis? alzheimers dementia major depression multiinfarct dementia 2) whats the treatment of acute renal graft rejection? increasing the dos eof steroids transplant nephrectomy renal dialysis for 1 to 2 wee 3) 4 hours after lscs plus tubal ligation, a gravida para 2 complainsof dizziness , confusio. her operation was uncomplicated and the blood loss was 800 ml.bp is 80 /40 p=152/min.abdomen is distended and tenderbowel sounds are absent. hct before surgery is 35, now it is 23. whats the cos of her hemodynamic status? post op intra abdominal hemorrhage supine hypotension syndrome decreased intraoperative blood loss insufficient intraoperative fluid replacement epidural related hypotension 3) 62 year old female presents with bloating and cramping abdominal pain, intermittent diarrhoea for 5 years. her symptoms have increased over the past monthsince she started having yogurt and cottage cheeseas a low fat source of calcium and protein. abdominal examination shows increase bowel sounds. diffuse tenderness. no rebound. stool for occult blood is negative. what is the cos of her symprtoms malabsorption inflammatory process secretory process 4)62 year old patient presents with abdominal pain and persistent vomitting for 24 hours. 2 weeks ago, he was treated for atrial fibrillation which was converted to sius rhythm...then was started on warfarin. becos the INr was 6, his warfarin was stopped 2 days back.now, on examination....stool for occult blood is negative. Hb is 7, ECG shows normal sinus rhythm what is the cos of his symptoms intramural hematoma of the small bowel mesenteric ischemia causng small bowel infarction 5) a program for the primary prevention of coronary heart disease is implemented int he community . if the diagnostic procedure and the detection remain the same, which of the following measures involving the disease is most effecive in moitoring the program? icidence prevalence hospitalization mortality case fatality
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| Rasul Forum Guru
Topics: 56 Posts: 485
| | 04/09/06 - 05:10 PM  
 
   
 
|   #2 |
for #4-intramural hematoma. Clue low Ht-bleeding somewhere.
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| srf Forum Guru

Topics: 73 Posts: 405
| | 04/09/06 - 05:14 PM  
 
   
 
|   #3 |
1]erminal cell tumor 2] multi infarct dementia 2] high dose steroid 3] pst op intra abdominal hemorrhage 3] mal absorption 4] mesentric ischemia 5] incidence i think this are NMBE 1Qs
___________________ life is reality without an eraser
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| msyamp Forum Fanatic
Topics: 60 Posts: 1,462
| | 04/09/06 - 05:19 PM  
 
   
 
|   #4 |
1. germinal cell tumor. 2.alzeimers 2. increase steroids 3.post op intraabdominal heamorrhage 3.malabsorbtion lactose intolrance 4.intramural hematoma. it takes 10 days to loose action 5 incedance plz tell ansers gud Qs
___________________ If you think you can You can! If you think you cant you are right again!!
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| Rasul Forum Guru
Topics: 56 Posts: 485
| | 04/09/06 - 05:26 PM  
 
   
 
|   #5 |
#2-multiinfarct dementia vs major depression. My answer-major depression
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| srf Forum Guru

Topics: 73 Posts: 405
| | 04/10/06 - 08:38 AM  
 
   
 
|   #6 |
RASUL I overlooked weight loss so I think you are correct but for q 4 it seems that msyamp is right.
___________________ life is reality without an eraser
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| PKG Forum Senior
Topics: 25 Posts: 62
| | 04/10/06 - 10:40 PM  
 
   
 
|   #7 |
thanks folks ........about question number 2, i think that the old lady has major depression....inview of her weight loss, memory loss,and past history of being treated successfully for similar episodes
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| msyamp Forum Fanatic
Topics: 60 Posts: 1,462
| | 04/11/06 - 12:01 AM  
 
   
 
|   #8 |
hmm ya it shud be depression. thank you
___________________ If you think you can You can! If you think you cant you are right again!!
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