Question 32

What is the definitive treatment for this patient discussed under question 31?

a) Methylene Blue

b) Vitamin C

c) 100 % Oxygen

d) Blood Transfusion

e) Bronchodilators

f) Surgery

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Question 24

The patient in question 22, is stabilised in the ER, and the physician admits him and administers an antibiotic to take care of his infective source. The patient get a red rash all over the chest and abdomen, with the rash being more prominent on his Neck. What is the next best step of Management?

a) Administer an anti-histaminic

b) Stop the drug

c) IVF rapid infusion with NaHCO3

d) Slow the infusion rate of drug

e) IV dexamethasone

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Question 16

The patient in the question 14 is diagnosed accordingly and managed successfully after staging the disease. Six months after treatment is begun, he arrives in the ER at midnight with complaints of breatlessness and fever. He gives history of alopecia since last 2 months. He also complains that his fingers often turn blue in cold conditions. On examination he is breathing heavily at the rate of 26/min, and his oxygen stauration is 88%. The pulmonary function test suggest increase in FEV1/FVC. What is the cause of patient's current symptoms?

A) Busulfan
B) Bleomycin
C) Radiation
D) Methotrexate
E) worsening of prior disease
F) Asthmatic attack
G) Sarcoidosis
H) Amiodarone
I) Adriamycin
J) Dacarbazine

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Question 13

65 year old farmer was brought to the hospital by his wife at midnight. She says he is having severe headache since last 8 hours after he returned from work. He is sweating a lot and tears are falling from his eyes. He says he is feeling weak and tired and has vomited once. The vomitus just contains what he has eaten in the evening and there was no blood. On examination his skin is cool and wet. His BP is 124/82 mm Hg and Pulse is 64/min. He appears to be confused and answers only a few questions. During the interview, he was repeatedly spitting in the thrash bin in the ER. Systemic examination is non significant, except his pupils are smaller and few twitches can be seen in his limb muscles. He is diagnosed as insecticide toxicity and atropine is administered. What is the mechanism of action of the toxin?

A) Blocks Acetylcholine receptor at the post synaptic membrane
B) Stimulates Acetylcholine receptor at the post synaptic membrane
C) Blocks the enzymes that produce choline & Acetate in the synapse
D) Blocks the reuptake of choline in the presynaptic membrane
E) Block release of Acetylcholine
F) Blocks the Ryanodine receptors
G) Blocks the enzyme that metabolizes Catecholamines after uptake in the presynapse

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Question 8

Match the following:

1) G1 a) Vinca alkaloids
2) G2 b) Methotrexate
3) S c) Bleomycin
4) M d) 6 mercaptopurine
e) Busulfan

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Question 7

41 year old female is admitted for dyspnea on exertion, myalgias and fatigue since last 6 months. She has a past history of rheumatoid arthritis for which she is regularly taking aspirin and a DMARD. She also has history of HTN treated with hydrochlorthiazide and DM controlled by diet. She smokes 1 pack of cigerette daily for last 20 years and consumes alcohol on weekends. Her father was diagnosed with CML and succumbed to it at the age of 65 years, and her mother died of old age. Her elder brother has psoariasis and elder sister has hashimotos thyroiditis. She is sexually active with her husband and uses condoms regularly. She did not travel anywhere out of her town for the last 3 years after she was diagnosed with Rheumatoid arthritis. She is a homemaker, and loves to be with her two lovely children. On examination her BP is 128/76 mm Hg and pulse of 110/min. She appears to be pale. Her CBC shows Hb of 9.2, MCV 120, and the peripheral smear is shown (Image Source: Google). She has no tingling or numbness of extremities. What is the cause of low Hb?

A) Reversible Myelosuppression
B) CML
C) B12 deficiency
D) Dietary Folate deficiency
E) Chemotherapy
F) Iron deficiency anemia
G) Bone marrow fibrosis
H) Irreversible Myelosuppression
I) Pernicious Anemia

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