shiny
Forum Newbie
Topics: 11
Posts: 17
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1 which of the following is true of the polycythemia vera
A can be associated with sleep apnea
B increased EPO
C clinical cyanosis is difficult to detect
D ESR is increased
E increased white blood cell mass
2 an alcoholic male with bruise on head presents with diplopia and ataxia. How to differentiate Wernicke’s encephalopathy or subdural haematoma without CT scan.
3 a student shows silent TB pattern on CXR, mantoux test is strongly positive. What will you do next
A INH for 6 months and repeated CXR
B do nothing and review 3 months late
C sputum culture
D start anti TB treatment
4 Why is not clubbing a clinical feature of emphysema?
5 Amyloid can occur in all of the following diseases except
A RA
B TB
C leprosy
D chronic active hepatitis
E renal failure
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| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
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1 D
2 bruise on head --traumappsybdural hematoma
3 A INH for 6 months and repeated CXR
5C leprosy
Clubbing is associated with:
heart ds and
Lung disease:
Lung cancer, mainly large-cell (35% of all cases), not seen frequently in small cell lung cancer[3]
Interstitial lung disease
Tuberculosis
Bronchiectasis
Suppurative lung disease: lung abscess, empyema
Cystic fibrosis
Pulmonary hypertension
Mesothelioma
It is worth noting that clubbing is not associated with chronic obstructive pulmonary disease (COPD). Indeed, the presence of clubbing in a patient with COPD should prompt a search for an underlying (lung) cancer.
Edited by neuroblastoma on 11/14/07 - 03:07 PM
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| brutus25
Forum Junior
Topics: 13
Posts: 62
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In Polycythemia Vera ESR should be decreased because all of the RBC`s with the same electric charge that repel each other
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| ahmad411
Forum Newbie
Topics: 3
Posts: 4
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i think the answer to the first question is the association with sleep apnea. I checked a few websites, and they say that esr is decreased to normal and it can be associated with hypoxia leading to increased epo etc etc......
by the way, where did u get these questions from...... just wondering
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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Sleep apnea is associated with polycythemia due to erythrocytosis secondary to hypoxemia--Not sure about PRV though!
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| dr19
Forum Senior
Topics: 11
Posts: 116
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4-clubbing may be seen in @1-antitrypsin deficiency.
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| alzheimer
Forum Newbie
Topics: 4
Posts: 41
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question 1 ..answer is E..In polyc vera, there is increase in WBC OR PLATELETS while in secondary Polyc, there is none...source UW
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| doyoudig
Forum Guru
Topics: 144
Posts: 613
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1. E -- it increases all blood cell lines
2. Wernicke -- Hx of Heavy Alcohol abuse, Ataxia, Conjugate Gaze Palsy, Megaloblastic Anemia
SDH - Hx of Trauma, Gradual decrease in Mental State
3. I would not try to remember all this to be honest with ya..just go by individual presentation for Dx
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