Internal Medicine Videos & books

Correct Answer - A Ans: A. Alcohol An indicator that should make the clinician highly suspicious of alcohol-related liver injury is AST: ALT ratio of 2:1 or more. Gamma-glutamyl transferase (GGT) is another sensitive but non- specific marker for the hepatic injury which cannot be used solely to diagnose alcohol-related hepatic insult. Levels of GGT greater than twice the normal values in addition to AST:ALT ratio >2 strongly indicate alcohol-induced liver injury as well.

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Correct Answer - C Ans: C. Hypotension Following are seen in Pituitary apoplexy Severe hypoglycemia Severe headache (usually retro-orbital) Impaired consciousness Fever Visual disturbances (visual field defect, visual acuity) Ophthalmoplegia (ocular paresis) → Causing diplopia Hypotension & shock Nausea/vomiting Meningeal sign

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Correct Answer - A Ans: A. PICA .Most cases result from ipsilateral vertebral artery occlusion; occlusion of the posterior inferior cerebellar artery is responsible for it. Vessel occlusion that results in Lateral Medullary syndrome: Vertebral (most common) Posterior inferior cerebellar (2nd most common) Superior, middle or Inferior lateral medullary arteries Lateral medullary syndrome (Wallenberg syndrome): Vertigo Numbness of ipsilateral face and contralateral limbs Diplopia Dysphagia Dysarthria Ataxia Hoarseness

Correct Answer - A Ans: A. (Lymphocytosis, Low Glucose, High protein) Presence of significant basal exudates, together with dilated ventricles (hydrocephalus) in a young female with a prolonged history of fever and headache suggests a diagnosis of Tubercular Meningitis. Tubercular Meningitis is characterized by Lymphocytic Pleocytosis, Low Glucose and High Protein within the CSF. The pathological hallmark of Tubercular Meningitis is the predominant involvement of basal cisterns that are observed by the presence of basal inflammatory tissue exudate.

Correct Answer - D Ans. is 'd' i.e., Vitamin B12 deficiency Anemia along with involvement of posterior column is characteristic of subacute combined degeneration of spinal cord caused by vitamin B12 deficiency.

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