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频道帖子
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.
1 35210
| 2 | Voting 42-year-old patient with obstructive
jaundice. Alp, Ggt, haptoglobin all
increased. The most likely cause is: | 6 393 |
| 3 | https://youtu.be/rZi3qI9bbso?si=FvjpZJcy5Ofilh_x | 690 |
| 4 | https://youtu.be/oYxMrOoMHpA?si=FPGrVisugtdO6xGH | 1 521 |
| 5 | Voting Atient has fatigue. But not gaining
weight. Body was warm. Investigation
will show: | 12 457 |
| 6 | Follow the Doctor usmle channel on WhatsApp: https://whatsapp.com/channel/0029Va5uYgUKGGGNpDS2LJ2X | 27 443 |
| 7 | 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 | 7 541 |
| 8 | Voting Which of the following is not seen in
Pituitary apoplexy | 17 024 |
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| 10 | 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 | 8 656 |
| 11 | Voting Loss of pain/temperature sensation on
ipsilateral face & C/L body due to
thrombosis in | 15 139 |
| 12 | 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. | 11 128 |
| 13 | Voting A 25 years old lady with a history of fever
for 1 month presents with headache and
ataxia.Brain imaging shows dilated ventricles and significant basal exudates. Which of the following will be the most likely CSF finding: | 19 919 |
