A 75-yearold man has been attending the clinic for lower urinary tract symptoms. His mood is very low and he is unhappy, anxious and unable to sleep. He has been diagnosed with moderate depression.What treatment would you use for this patient?
Answer(s): C
Mild depression = CBT, Moderate depression = Antidepressant, Severe depression & Ps = ECT, Amitriptyline and Dosulepine causes urinary retention (which is comparatively less in citalopram) so no a patient with lower urinary symptoms. Hence Citalopram is the preferred option.
A 30 years' woman presents with acute headache. She complains of seeing halos especially at night.What is likely defect?
Answer(s): E
The diagnosis is glaucoma (headache and haloes especially at night). In glaucoma the vision.
A 75 year's lady who had mitral valve replacement 13 years ago has developed recurrent breathlessness. There is a prominent pulsation in her neck. She complains of abdominal pain and ankle swelling.What is the most probably diagnosis?
A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity.What is the next appropriate management?
Answer(s): D
Cough and fever and night sweat and weight loss are very suggestive of TB. She should do AF investigation.
A 78-year-old woman is admitted to the intensive care unit for acute pulmonary edema. She has rales to the apices and Jugular vein distention. Her EKG shows ventricular tachycardia.Which of the following is the best therapy?
Answer(s): A
Synchronized cardioversion is used when ventricular tachycardia is associated with acute pulmonary edema. Unsynchronized cardioversion is used for ventricular fibrillation or ventricular tachycardia without a pulse. Medical therapy, such as lidocaine, amiodarone, or procainamide, can be used for sustained ventricular tachycardia that is hemodynamically stable.
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