TOXIC MULTI NODULAR GOITRE-MCQS
1.Thyroid gland with at least 2 autonomously functioning nodules that secretes excess thyroid hormones.
2.Symptoms include dysphagia, dyspnoea dizziness and /or neck discomfort.
3.Tc -99 scan shows a homogeneous pattern.
4. Non contrast CT scan along with spirometry is useful to evaluate when there is a suspected tracheal compression.
5. Pemberton's sign is used to evaluate venous obstruction in patients with goitre
Answers
1. TRUE
2. TRUE-retrosternal goitre may cause dizziness when raising arms above the head.
3. FALSE-Heterogeneous pattern with many areas with hyperactivity and hypo-activity throughout the gland.
4. TRUE- Non contrast CT scan and inspiratory flow volume loop obtained during the spirometry manoeuvre may be helpful for functional evaluation of tracheal compromise.
5. TRUE-The sign is positive when bilateral arm elevation causes facial plethora
Showing posts with label Medical Exams. Show all posts
Showing posts with label Medical Exams. Show all posts
Friday 25 December 2020
Sunday 2 May 2010
ACNE IMPORTANT POINTS.
ACNE IMPORTANT POINT IN HISTORY AND EXAMINATION.
History
• How long have you had
pimples for?
• Are there any triggers?
• Is there a family history?
• What treatments have you
had? How long did you
follow each treatment?
• What was the most
effective treatment? Why
did you stop it?
• How do you feel about
your skin? Does it stop
you from doing anything?
Examination
• Assess the severity and
whether there is any
scarring.
• Determine any
psychological impact.
History
• How long have you had
pimples for?
• Are there any triggers?
• Is there a family history?
• What treatments have you
had? How long did you
follow each treatment?
• What was the most
effective treatment? Why
did you stop it?
• How do you feel about
your skin? Does it stop
you from doing anything?
Examination
• Assess the severity and
whether there is any
scarring.
• Determine any
psychological impact.
Thursday 24 September 2009
PNEUMONIA INFECTIOUS AGENTS
1.Haemophilus influenza -Smokers, COPD
2.Mycoplasma --------Young, otherwise healthy patients
3.Legionella --------Epidemic infection in older smokers, particularly when located near infected water sources, such as air-conditioning systems
4.Pneumocystis jiroveci (formerly carinii) pneumonia HIV-positive persons with <200 CD4 cells not on prophylaxis.
5.Coxiella burnetti (Q-fever) Exposure to animals, particularly at the time they are giving birth
6.Klebsiella Alcoholics
7.Staphylococcus aureus Following viral syndromes or viral bronchitis, especially influenza
8.Coccidioidomycosis Exposure to the deserts of the American Southwest, particularly Arizona
9.Chlamydia psittaci Exposure to birds
10.Histoplasma capsulatum Exposure to bat or bird droppings, spelunking (recreational cave exploration)
11.Bordetella pertussis Cough with whoop and post-tussive vomiting
12.Francisella tularensis Hunters, or exposure to rabbits
SARS, Avian injluenza Travel to Southeast Asia
13.Bacillus anthracis, Yersinia pestis, and Francisella tularensis Bioterrorism
2.Mycoplasma --------Young, otherwise healthy patients
3.Legionella --------Epidemic infection in older smokers, particularly when located near infected water sources, such as air-conditioning systems
4.Pneumocystis jiroveci (formerly carinii) pneumonia HIV-positive persons with <200 CD4 cells not on prophylaxis.
5.Coxiella burnetti (Q-fever) Exposure to animals, particularly at the time they are giving birth
6.Klebsiella Alcoholics
7.Staphylococcus aureus Following viral syndromes or viral bronchitis, especially influenza
8.Coccidioidomycosis Exposure to the deserts of the American Southwest, particularly Arizona
9.Chlamydia psittaci Exposure to birds
10.Histoplasma capsulatum Exposure to bat or bird droppings, spelunking (recreational cave exploration)
11.Bordetella pertussis Cough with whoop and post-tussive vomiting
12.Francisella tularensis Hunters, or exposure to rabbits
SARS, Avian injluenza Travel to Southeast Asia
13.Bacillus anthracis, Yersinia pestis, and Francisella tularensis Bioterrorism
Sunday 1 February 2009
THE MANAGEMENT OF VARIZELLA ZOSTER VIRUS EXPOSURE AND INFECTION IN PREGNANCY AND NEW BORN PERIOD
GOOD DAY
1.Zoster immunoglobulin (ZIG) should be offered to pregnant, varicella-seronegative women with significant exposure to varicella-zoster virus (VZV) (chickenpox) infection.
2.Oral aciclovir prophylaxis should be considered for susceptible pregnant women exposed to VZV who did not receive ZIG or have risk factors for severe disease.
3.Intravenous aciclovir should be given to pregnant women who develop complicated varicella at any stage of pregnancy.
4.Counselling on the risk of congenital varicella syndrome is recommended for pregnant women who develop chickenpox.
5.ZIG should be given to a baby whose mother develops chickenpox up to 7 days before delivery or up to 28 days after delivery.
6.Intravenous aciclovir should be given to babies presenting unwell with chickenpox, whether or not they received ZIG.
7.Breastfeeding of babies infected with or exposed to VZV is encouraged.
8.A mother with chickenpox or zoster does not need to be isolated from her own baby.
9.If siblings at home have chickenpox, a newborn baby should be given ZIG if its mother is seronegative.
10.The newborn baby does not need to be isolated from its siblings with chickenpox, whether or not the baby was given ZIG.
11.After significant nursery exposure to VZV, ZIG should be given to seronegative babies and to all babies born before 28 weeks' gestation.
1.Zoster immunoglobulin (ZIG) should be offered to pregnant, varicella-seronegative women with significant exposure to varicella-zoster virus (VZV) (chickenpox) infection.
2.Oral aciclovir prophylaxis should be considered for susceptible pregnant women exposed to VZV who did not receive ZIG or have risk factors for severe disease.
3.Intravenous aciclovir should be given to pregnant women who develop complicated varicella at any stage of pregnancy.
4.Counselling on the risk of congenital varicella syndrome is recommended for pregnant women who develop chickenpox.
5.ZIG should be given to a baby whose mother develops chickenpox up to 7 days before delivery or up to 28 days after delivery.
6.Intravenous aciclovir should be given to babies presenting unwell with chickenpox, whether or not they received ZIG.
7.Breastfeeding of babies infected with or exposed to VZV is encouraged.
8.A mother with chickenpox or zoster does not need to be isolated from her own baby.
9.If siblings at home have chickenpox, a newborn baby should be given ZIG if its mother is seronegative.
10.The newborn baby does not need to be isolated from its siblings with chickenpox, whether or not the baby was given ZIG.
11.After significant nursery exposure to VZV, ZIG should be given to seronegative babies and to all babies born before 28 weeks' gestation.
Thursday 29 January 2009
MCQs
GOOD DAY !
Hi next to come is MCQ discussion............please mind that you needs to know what exactly is "ASKING".......this will help to select what is the answer.....!!!
Hi next to come is MCQ discussion............please mind that you needs to know what exactly is "ASKING".......this will help to select what is the answer.....!!!
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