Tuesday 15 December 2020

ASTHMA MCQS

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ASTHMA MCQs

 

 

a.      Anyone can develop asthma at any age.

b.      History of allergy is necessary to diagnose asthma

c.      Finding of variable expiratory airflow limitation on spirometry confirms the diagnosis.

d.      In young children asthma is diagnosed without lung function tests.

e.      Silent asthma may present with unique symptoms.

 

 

a.      TURE

b.      FALSE

c.      TRUE-In adult asthma diagnosis

d.      TRUE-when spirometry is not possible and involves  symptoms observation for months or years.

e.      TURE-No hallmark symptoms like wheezing or cough but respiratory distress with other symptoms such as yawning ,signing or rapid shallow breathing.


Wednesday 9 December 2020

HYPERTHYROIDISM




1. IS THIS HYPERTHYROIDISM OR THYROIDITIS ?
                                                HOW TO DIFFERENTIATE?
                                                             HOW THE TREATMENT DIFFER ?



Most of the time this is where the questions are set💥


Causes of Hypertyroidism=high hormone levels
                                            Graves Disease
                                           Toxic multinodular goite
                                           Toxic solitary nodule

                                           Thyroiditis----------Transient -Treatment is targeted symptom control and anti-thyroid medications are not warranted.

Tuesday 4 July 2017

Main differential diagnoses of eating disorders

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.Main differential diagnoses of eating disorders
Malabsorption syndromes •
 Inflammatory bowel disease •
 Coeliac disease Endocrine •
 Diabetes mellitus •
 Hyperthyroidism Malignancy •
 Central nervous system tumours, lymphoma, leukaemia Other psychiatric disorders •
Depression •
 Obsessive compulsive disorder •
 Anxiety disorder

Eating Disorders





Table 1. DSM-IV diagnostic criteria for common eating disorders2 Anorexia nervosa 1. Refusal to maintain body weight at or above a minimally normal weight for age and height (eg. weight loss leading to maintenance of body weight less than 85% of that expected, or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected) 2. Intense fear of gaining weight or becoming fat, even though underweight 3. Disturbance in the way that body weight, size or shape is experienced, undue influence of body shape and weight on self evaluation, or denial of the seriousness of current low body weight 4. In postmenarchal females, amenorrhoea, ie. the absence of at least three consecutive menstrual cycles Types • Restricting type: during the current episode of anorexia nervosa, the person has not regularly engaged in binge eating or purging behaviour (self induced vomiting, misuse of laxatives, diuretics, or enemas) • Binge eating/purging type: during the current episode of anorexia nervosa, the person has regularly engaged in binge eating or purging behaviour (ie. self induced vomiting or the misuse of laxatives, diuretics, or enemas) Bulimia nervosa 1. Recurrent episodes of binge eating. An episode of binge eating is characterised by both of the following: • Eating in a discrete period of time (eg. within any 2 hour period) an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances • A sense of lack of control over eating during the episode (eg. a feeling that one cannot stop eating or control what, or how much, one is eating) 2. Recurrent inappropriate compensatory behaviour in order to prevent weight gain such as self induced vomiting, misuse of laxatives, diuretics, enemas, or other medications, fasting, or excessive exercise 3. Binge eating and inappropriate compensatory behaviours both occur on average at least twice a week for 3 months 4. Self evaluation is unduly influenced by body shape and weight 5. The disturbance does not occur exclusively during episodes of anorexia nervosa Types • Purging type: during the current episode of bulimia nervosa, the person has regularly engaged in self induced vomiting or the misuse of laxatives, diuretics, or enemas • Nonpurging type: during the current episode of bulimia nervosa, the person has used other inappropriate compensatory behaviours such as fasting or excessive exercise, but has not regularly engaged in self induced vomiting or the misuse of laxatives, diuretics, or enemas Reprinted from Australian Family Physician Vol. 40, No. 3, march 2011 109 FOCUS Eating disorders – early identification in general practice

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