May_2017

lithium poisoning>3 with associated feature ..Most appropriate management is what? a) Himo dialosis b) 0.9% normal saline c) Antidote for TCA 2. Skin- picture of face a) Discoid axiama 6. P value of effectiveness ...

lithium poisoning>3 with associated feature ..Most appropriate management is what? a) Himo dialosis b) 0.9% normal saline c) Antidote for TCA 2. Skin- picture of face a) Discoid axiama 6. P value of effectiveness with drug….. a) type 1 error b) Type 2 error c) Effectiveness in greater than 0.5 d) effectiveness >0.1 p<0.1 . This means that there is less than a 0.1 probability (ie. a 10% chance) that the sample data only agree with your hypothesis due to random chance. There's at least a 90% chance that the sample data agree with your hypothesis because the "whole" data support the hypothesis. If p<0.5, this only means that there's at least a 50% chance that the "whole" data support the hypothesis, based on the sample data. However, there could be up to almost 50% chance that the apparent support is due only to random chance. p<0.5 is a very weak standard for an experiment, almost worthless. p<0.1 is stronger, but is still probably the bare minimum for trying to show anything. At p<0.1, there's a 1-in-10 chance of a false-positive If the p-value is less than 0.05, we reject the null hypothesis that there's no difference between the means and conclude that a significant difference does exist. If the p-value is larger than 0.05, we cannot conclude that a significant difference exists. 6. Scenario of metabolic syndrome HB-3.283 4. Pt with high sugar high cholesterol low hdl Alt raised obese Dx. 3 Page 4 of 205 1. Metabolic syndrome 2. Cushings 3. Diabetes Young girl present with pigmentation on her nape of the neck and axilla. She is obese. Her menstrual cycle is regular. Her grandmother also has Type 2 DM. One examination, there is pigmentation on her neck and axillae. What is your diagnosis? (A) Cushing (B) PCOS (C) Metabolic syndrome (D) Hypothyroid (E) Addison disease 14 years old female with body mass index 32, complaining of tirdness. She had menstruation at age of 12 and menses are regular. She has dark pigmentation on back of her neck and axilla (this sentence was repeated twice at the start and end of the scenario). Her grandmother has type 2 DM. diagnosis? A- Cushing disease B- Addisson disease C- Hypothyroidism D- PCO E- Metabolic syndrome 7. Scenario of Tourette syndrome long scenario child aggressive, hit his mother, irritable and aggressive in school, repeated tics on face and neck. Dx asked? a) ADHD b) Tourette syndrome c) Autism d) Rett syndrome ADHD triad: impulsivity + hyperactivity + lack of concentration 9. Scenario related to personality disorder a) Persistent personality disorder b) Dependent personality disorder 10. Scenario of delirium tremensJM-209 3 DAY later post op pt h/o alcoholism became confuse with high temperature next Diazepam Oxygen Infusion 4 Page 5 of 205 this is delirium tremens due to post op infection management is iv fluids antibiotics for infectioin then thiamine and diaze, i am confused what to pick here as next? infusion or diaze? For delirium tremens which is most appropriate? Iv diazepam Im haloperidol ???? discuss the spectrum of alcohol withdrawal symptoms and report that pharmacologic treatment involves the use of medications that are cross-tolerant with alcohol. Benzodiazepines are the agents of choice and may be administered on a fixed or symptom-triggered schedule. In the outpatient setting, carbamazepine may be used for patient with mild to moderate symptoms of alcohol withdrawal. Medications such as haloperidol, beta blockers, clonidine, and phenytoin may be used as adjuncts to a benzodiazepine in the treatment of complications of withdrawal. http://www.medbullets.com/step2-3-psychiatry/20651/acute-alcohol-withdrawal 11. Scenario of rhabdomyolosis yr old woman, brought after fall, confused, on warfarin ,bruises on both thighs and buttocks, troponin, 0.08, ck 1000, whats dx. recent MI less than 12hrs MI in 4 hrs rhabdomyolysis, HT with CDM pt on ACEI, warfarin, metformin, statin suddenly got swelling at Rt thigh for 2 days & become painful. He had past history of dvt . Now temp is 38.2 Rhabdomyolysis Haematoma DVT Cellulitis 12. Scenario releated to Asperger autism and ADHD A 5 years old child has been given a new toy that she likes. Mother reported she played with the toy for just a few minutes and never touched it again. Mother also reported daughter to be turning on the tv and then leaves it after a few minutes. Mother tries to talk with daughter but noticed daughter to look at her for a few seconds and just repeats the what her mother says. Everytime she is called by her name she looks at her mother for a few seconds and repeats her name. Diagnosis? A. Autism B. ADHD C. Mental Retardation D. Child Abuse E. Asperger's 6 years old kid with slow language improvement. When the parents say something to him, he repeats 3 words from what the parents say. He doesn’t watch the same tv program for 5 Page 6 of 205 more than five minutes. When the doctor talks to him, he repeats only 3 words from what the doctor said to him. A. Autism B. Asperger C.ADHD ??? 28. A foster mom tensed about 2 year old child with his behaviour child witnessed severe domestic violence of biological mother with her different sex partner. At times child became withdrawal and silent. Don't play with toys and difficult to settle at night cause? seperation anxiety acute in ch stress???? oppositional defiant behaviour autistic spectrum dis. 29. small girl whose parents are divorced is in foster care..she plays with only 2 toys stays calm ,plays to herself ,don’t talk