zianab
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6A) Caudate nucleus
huntingtons disease in caudate and the disease shows anticipation ,appearing earlier in next generation
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| zianab
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7G) Normal aging
8A) Cyclosporine
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E) Spontaneous healing without treatment
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| zianab
Forum Elite
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10B) Haloperidol
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| goodyear
Forum Guru
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I agree w/ all of zianab's answers...
11. E
12D (?)
13B
14F
15.C
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| dr.pumpkin
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Topics: 4
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agree with you zianab...
dear mazinger , zianab can you please explain the cause of recurrent UTI`S the patient in question 4 ?
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| dr.pumpkin
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11. E weight
12 C left pontine lesion ( patirnt has ipsilateral paralysis of facial and the abducens nerve with involvement of the pyramidal tract causing contalateral ie right sided weakness n babinski sign )
13 B fistula in ano ( patient passing blood stained purulent fluid , has a h/o surgical drainage being done, also no history of straining while passing stool which rule out fissure, thombosed internal hemorrhoids cause pain )
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| dr.pumpkin
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14 F Arthrocentesis
15 D Oral contraceptives have a beneficial effect in preventing endometrial and ovarian cancers..
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| anne06
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14.a?mayb its ca and came 2 her attention bcoz of injury?
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| mazinger
Forum Guru
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1st question thiazide diuretics can decrease Ca urinary excretion.. Furosemide can increase urinary Ca excretion.. High yield!
2nd Supine CXrays, with bowel perforation you can see air under the diaphragm...
3rd this one is scabies no constitutional symptoms and isolated itching all points toward scabies..
4th TMPSM is indicated for UTI prophyllaxis in patients woth chronic infectious prostatitis, patients with chronic prostatitis may develope recurrent UTIS because of urinary tract obstruction and because bacteria may ascend from the prostate to the urethra and then to the rest of urinary tract..
5th Intraductal adenoma
6th Huntington's chorea has a lesion at the caudate nucleus..
7th Toughy, normal aging produces poor sleep... Ta da!!!!
8th Cyclosporine
9th E
10th Haloperidol
11th Overweight is associated with higher estrogen levels, remember adipose tissue has some sort of aromatase activity which may produce increased amounts of estrogen levels..
12th From my perspective left pontine.. I found something useful in UW, I will post this later..
13th fistula in ano
14th Arthrocentesis is always the best next step in the management in any patient with an acutely inflamed joint, first thing you need to rule out is an infectious arthritis, why? because this pathology produces a rapid destruction of the joint so this is a medical emergency.. Note that previous joint trauma/destruction is an important risk factor for developing infectious arthritis.. Thats why patients with rheumatoid arthritis which have joint destruction are at increased risk of IA..
15th Oral contraceptives decrease the risk of developing ovarian cancer.. Why? there has been shown that anything that increases the number of total ovulations increases the risk of ovarian cancer and (also the opposite is true) anything that decreases the number of total ovulations decreases the risk of ovarian cancer.. So according to this simple rule of thumb multiple pregnancies decrease the risk, oral contraceptives decrease the risk.. And the opposite nulliparity increases the risk and ovulation inducers such as clomifene increases the risk..
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original mazinger z
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| mazinger
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Dr P! good to see you....
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original mazinger z
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| zianab
Forum Elite
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MAZINGER EXCELLENT EXPLANATION FOR EVERYTHING
KEEP UP THE GOOD WORK!!!!!!!!!!
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| mazinger
Forum Guru
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Thank u zianab, I really made final conclusions about two questions thanks to your posts... I was not sure about the scabies thing, but after you picked this one I knew I was on the right track.. The second I had my doubts on was the sleeping thing the fact that the pt quited his job made me think something associated with depression or even worse I started fantazising again.. At this moment of my life my only job is to perform surgery to my books, and my sleep wake cycle is all messed up.. So my own conclussions of my life, NOT HAVING A FORMAL JOB CAN SCREW UP YOUR SLEEP PATTERN... hahaha anyways we all agree its normal aging...
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original mazinger z
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| mazinger
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14. A 7-week-old boy is brought to the physician because of fever,
irritability, and lethargy for 3 days. He has had no vomiting, diarrhea, or symptoms of an upper respiratory tract infection. He always seems hungry to his mother despite being fed 3 ounces of formula every 3 hours. His mother also notes that he has many wet diapers throughout the day and night. He currently appears irritable. His
temperature is 37.8 C (100 F), blood pressure is 80/50 mm Hg, pulse is
150/min, and respirations are 25/min. Examination shows a sunken
anterior fontanelle. Mucous membranes are dry. There is tenting of the
skin. Examination shows no other abnormalities. Urinalysis is negative for glucose and
protein.
Edited by mazinger on 12/12/06 - 11:39 AM
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original mazinger z
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| anne06
Forum Elite
Topics: 11
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and d uw qt says that pt is recevn 60% by o2 mask and pao2 is 55...from this how do we calculate fio2?i wud really appreciate it if sm1 can clear these doubts 4 me//
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| npas
Forum Senior
Topics: 8
Posts: 198
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Long time I posted..let me try the qs..
1)D]Captopril..upto 139 systolic is very well managed by diet and exercise alone..more than that requires medical intervention..ACE inhibitors to start with.
2)c]Neurogenic bladder..30 yr history of Diabetis..ruling out other options..
3)B]Fasting blood glucose and insulin..hyperinsulenemia
4)A]Evaluation at 14years required when breast development not present..can be delayed to 16 yeras if breast development is present..
5)Don't know
6)B]Abdominal ultrasonography
7)D]Slipped capitel femoral epiphysis..'examine the hip of an obese child presenting with knee pain'...internal rotation producing pain.
8)D]Postural reflex impairment..most disabling is bradykinesia..but making the parkinsonian patient prone to injury is postural reflex impairment.
regs..npas
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| npas
Forum Senior
Topics: 8
Posts: 198
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I missed the last discussion..reading ur explanations I think it was real good..but Mazinger..u took off the qs..real good to see u guys so regular..
take care all.. ..npas
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| zianab
Forum Elite
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answers to qs
1E) Hydrochlorothiazide therapy
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| zianab
Forum Elite
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no 2 C) Neurogenic bladder .
associated with this condition are elevated residual urine, decreased bladder sensation, impaired detrusor contractility, detrusor areflexia
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| zianab
Forum Elite
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3bB) Fasting insulin and glucose levels
insulinoma might be the cause
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| zianab
Forum Elite
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4A) Reexamination in 1 year if the patient has not
had menarche
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| zianab
Forum Elite
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5A) Decreased gluconeogenesis
NOT SURE
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| zianab
Forum Elite
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6B) Abdominal ultrasonography
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| zianab
Forum Elite
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7D) Slipped capital femoral epiphysis
LOOK AT OBESE MALE,NO INJURY .
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| zianab
Forum Elite
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8D) Postural reflex impairment
Parkinson'd disease
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| zianab
Forum Elite
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9B) Serum lipid studies
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