QUESTION: 29

A 65-year-old lady who is on thiazide suffers from falls in the morning. What is the cause for her symptoms?

Epilepsy
Orthostatic hypotension
TIA

Answer(s): C

Explanation:

Thiazide diuretic is associated with orthostatic hypotension.

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QUESTION: 30

A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:

A retrograde urethrogram.
A voiding cystourethrogram.
An intravenous pyelogram.
A cystogram obtained after filling, until a detrusor response occurs.

Answer(s): A

Explanation:

A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications pelvic trauma in the emergency department diminished urinary stream urethral strictures urethral diverticula urethral obstruction suspected urethral foreign bodies urethral mucosal tumors ג€¢ suspected urethral fistula

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QUESTION: 31

A 10-year-old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other is normal.
What is the most likely diagnosis?

Wax
Bilateral OM with effusion
Foreign body
Meningitis due to meningococcus

Answer(s): B

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QUESTION: 32

A 27-year-old lady after C-section developed epigastric pain after 8h.
What is the appropriate investigations?

Liver enzyme
Liver biopsy
ABG
Coagulation

Answer(s): A

Explanation:

Epigastric pain is a warning sign of HELLP syndrome. So to rule out HELLP syndrome should be done.

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QUESTION: 29

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QUESTION: 31

QUESTION: 32

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