CXR 1

Q. 55 years old male heavey Smoker presented with progressive dyspnea , intermittent cough and fever on and off for last 1 month. What is the possibility?

CAG 1

Q. 30 year old male admitted with severe chest pain of 20 hours duration. He was initially taken to local hospital where diagnosis of AWMI was made and he was thrombolysed with Tenekteplase and referred. CAG was done which revealed the following.What should be done?

INTERESTING ECG 3

Q. 56 year old male admitted with severe chest pain. Diagnose the location of lesion?

 

INTERESTING ECG 2

Q. 42 years old gentleman with repeated episodes of presyncope came to ER with dizziness. His BP was 80/50. EKG is below attached. What is the diagnosis?

INTERESTING ECG 1

Q. 42 years old gentleman with repeated episodes of presyncope came to ER with dizziness. His BP was 80/50. EKG is below attached. What is the diagnosis?

MISCELLANEOUS 2

MIXED



Q. What is the most effective screening technique for cervical cancer?
a. Fourier transform infrared
b. PCR assay
c. HPV DNA testing
d. Pap smear

Ans: d. The most effective screening technique remains the Papanicolaou test ("Pap
smear").Fourier transform infrared (FTIR) spectroscopy is a new tool for screening
cervical cancer and has a sensitivity of85% and a specificity of91 %. PCR DNA
techniques can be used to help detect concomitant HPV infection.


Q. Which of the following is a risk factor for breast cancer?
a. fibrocystic disease
b. first-degree relative with breast cancer
c. late menarche
d. multiple previous pregnancies

Ans: b. Nulliparity, early menarche, and history of a first-degree relative with breast
cancer are all risk factors for breast cancer. Fibrocystic disease is not a risk factor
for breast cancer


Q. Which of the following is associated with Lyme disease?
a. The infection is carried by mosquito larvae.
b. The infectious pathogen is Borrelia burgdorferi.
c. Nervous system involvement does not occur.
d. All patients present with a typical rash known as erythema chronicum migrans

 Ans: b. The infectious pathogen of Lyme disease is Borrelia burgdorferi. The carrier
is the Ixodes genus of tick. Many patients present with erythema chronicum
migrans but not all.

DERMATOLOGY SPOTTER

Q. What is the diagnosis?( Clue: Xlinked dominant disease)
1) Becker disease
2) Incontinenta Pigmenti
3) Ichthyosis
4) Pemphigus vulgaris

Ans: 2) Incontinenta Pigmenti.

Incontinentia pigmenti is a complex developmental syndrome due to an X-linked dominant
trait that is usually lethal in males; 95% of cases are females.Vesicular, verrucous, and pigmented
skin lesions are usually seen.


Q). 34 years old female after sun exposure, what is the diagnosis?
1) Acne
2) Solar eczema
3) polymorphic light eruption
4) SLE

Ans: 3) Polymorphic light eruption.                                                                                                            
 This is a common intermittent skin reaction to UV exposure, which may represent a delayed type
hypersensitivity response to UV-induced cutaneous antigens. PLE presents with
an itchy, non-scarring, symmetrical papular rash
on light-exposed sites  within hours or days of significant sun exposure in young female usually below 30 years of age.
Large and small papules, papulopustules, and vesicles can occur. The eruption is transient, and resolves within several days, but it may persist if exposure continues.
Cutaneous lupus should be considered as differential diagnosis, and a minority of patients with PLE may subsequently develop lupus after several years .


Q). Skin eruption in a 26 year old male after scarlet fever.what is the diagnosis?
1) TSS
2)SSSS
3) Septic shock
4) Lyells syndrome

Ans: 1) TSS.


Scarlet fever (scarlatina) is an acute infection with a toxin-producing strain of Streptococcus pyogenes. Complications caused by the toxin or bacterial invasion include meningitis,
osteomyelitis, rheumatic fever, and glomerulonephritis