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A 20 year's man presents with painful swallowing. Exam: trismus and unilateral enlargement of his tonsils Peritonsillar region is red, inflamed and swollen.
What is the most appropriate treatment?

  1. Oral antibiotics
  2. Analgesics with antipyretics
  3. I&D with antibiotics
  4. IV antibiotics and analgesics
  5. Tonsillectomy

Answer(s): C



An 18years female has periorbital blisters. Some of them are crusted, others secreting pinkish fluid.
What likely diagnosis?

  1. Rubella
  2. Shingles
  3. Measles
  4. Chicken pox
  5. Varicella

Answer(s): B

Explanation:

Shingles Ophthalmic division of trigeminal nerve. Typically, shingles is unilateral.



A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.
On examination tapping of the angle of jaw produce facial spasms, what diagnosis?

  1. Pseudohypoparathyroidism
  2. DiGeorge syndrome
  3. Chronic renal failure
  4. Uncontrolled thyroid functions

Answer(s): C

Explanation:

Secondary hyperparathyroidism Hypocalcemia, hyperphosphatemia, inc creatinine.



An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension.
Which anatomical site is most likely to be affected?

  1. Pons
  2. Wernicke's area
  3. Broca's area
  4. Midbrain
  5. Parietal cortex

Answer(s): C

Explanation:

A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with receptive or Wernicke's aphasia, which is distinguished by a patient's inability comprehend language or speak with appropriately meaningful words though fluency, may be preserved.






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