EMQs in Clinical Medicine.pdf - Peshawar Medical College

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Treatment of poisioning and overdose 219 90 Treatment of poisoning and overdose A B C D E F flumazenil desferrioxamine N-acetylcysteine naloxone dimercaprol hyperbaric oxygen G H I J K L dicobalt edetate atropine atenolol intravenous fluids vitamin K metoclopramide paracetamol Choose the most appropriate pharmacological management for each of the presentations of poisoning/overdose below. Each option may be used only once. 1 A 40-year-old drowsy woman is brought to A&E with headache and vomiting with flushed cherry-pink skin. Carboxyhaemoglobin (COHb) is 40 per cent. 2 A 20-year-old woman presents to A&E with confusion, sweating and blurred vision after taking some ecstasy. She has a rectal temperature of 40.5°C. Creatine kinase is 4000 U/l. 3 A 32-year-old woman presents 6 hours after a paracetamol overdose. The paracetamol level is above the treatment line. 4 A 7-year-old boy presents to A&E with constricted pupils, sweating and increased salivation after drinking a bottle of insecticide lying in the garden. 5 A 54-year-old painter requires treatment for lead poisoning. Answers: see page 234.
220 Miscellaneous 91 Adverse drug reactions A B C D E F G indinavir atropine simvastatin nicotinic acid cholestyramine digoxin amiodarone H I J K L M N adenosine atenolol zidovudine captopril bendrofluazide lidocaine (lignocaine) didanosine Choose the medication that is giving rise to each of the presentations below. Each option may be used only once. 1 A 28-year-old man on anti-HIV therapy complains of circumoral paraesthesia. 2 A 55-year-old woman on treatment for ischaemic heart disease complains of muscle pains. 3 A 65-year-old woman with asthma complains of wheezing and shortness of breath after starting anti-hypertensive medication. 4 A 50-year-old woman on treatment for paroxysmal atrial fibrillation presents with a photosensitive rash. 5 A 55-year-old man on anti-hypertensive medication presents with gout. Answers: see page 236.
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EMQs in CLINICAL MEDICINE
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EMQs in CLINICAL MEDICINE Irfan Sye
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Dedication To Mum, Dad, Reshma and
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Contents vii SECTION 4: NEUROLOGY 7
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Preface Extended matching questions
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INTRODUCTION: EMQ REVISION The most
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SECTION 1: CARDIOVASCULAR MEDICINE
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Pulses 3 2 Pulses A B C D E F mitra
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Jugular venous pressure 5 4 Jugular
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ECG abnormalities 7 6 ECG abnormali
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Treatment of heart failure 9 8 Trea
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Cardiovascular emergencies 11 10 Ca
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Pulses - answers 13 D A 23-year-old
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Jugular venous pressure - answers 1
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Hypertension - answers 17 activity.
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Treatment of arrhythmias - answers
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Cardiovascular emergencies - answer
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Cardiovascular medicine - revision
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Cardiovascular medicine - revision
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SECTION 2: RESPIRATORY MEDICINE 11
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Causes of pneumonia 29 12 Causes of
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Chest radiograph pathology 31 14 Ch
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Treatment of asthma and COPD 33 16
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Management of COPD 35 18 Management
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Shortness of breath - answers 37 AN
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Haemoptysis - answers 39 and Mycopl
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Chest radiograph pathology - answer
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Treatment of asthma and COPD - answ
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Emergency management: respiratory d
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Treatment of respiratory infections
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Respiratory medicine - revision box
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SECTION 3: HAEMATOLOGY AND ONCOLOGY
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Anaemia 53 21 Anaemia A B C D E F s
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Haematological diseases 55 23 Haema
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Tumour markers 57 25 Tumour markers
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Adverse effects of chemotherapy 59
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Anaemia - answers 61 It is importan
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The peripheral blood film - answers
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Cancer care - answers 65 In Ham’s
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Adverse effects of chemotherapy - a
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Haematology and oncology - revision
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Haematology and oncology - revision
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SECTION 4: NEUROLOGY 28 Dizziness a
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Headache 75 29 Headache A B C D E F
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Weakness in the legs 77 31 Weakness
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Cranial nerve lesions 79 33 Cranial
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Neurological problems 81 35 Neurolo
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Falls and loss of consciousness 83
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Antiepileptic drug therapy 85 39 An
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Treatment of Parkinson’s disease
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Headache - answers 89 B I A 50-year
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Headache - answers 91 The clusters
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Weakness in the legs - answers 93 D
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Abnormal movements - answers 95 33
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Neurological problems - answers 97
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Falls and loss of consciousness - a
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Antiepileptic drug therapy - answer
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Treatment of headache - answers 103
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Neurology - revision boxes 105 REVI
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Neurology - revision boxes 107 Box
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Neurology - revision boxes 109 Box
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SECTION 5: ORTHOPAEDICS AND RHEUMAT
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Joint pain 113 43 Joint pain A B C
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Back pain 115 45 Back pain A B C D
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Complications of fractures 117 47 C
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Fall on the outstretched hand 119 4
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Knee problems 121 51 Knee problems
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Disease-modifying anti-rheumatic dr
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Joint pain - answers 125 triggered
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Back pain - answers 127 males. The
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Rheumatological conditions - answer
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Fall on the outstretched hand - ans
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Shoulder problems - answers 133 50
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Disease-modifying anti-rheumatic dr
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Orthopaedics and rheumatology - rev
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Orthopaedics and rheumatology - rev
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SECTION 6: THE ABDOMEN AND SURGERY
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Abdominal pain 143 55 Abdominal pai
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Liver diseases 145 57 Liver disease
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Jaundice 147 59 Jaundice A B C D E
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Presentation with a lump 149 61 Pre
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Lumps in the groin 151 63 Lumps in
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Anorectal conditions 153 65 Anorect
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Treatment of peripheral vascular di
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Haematuria 157 69 Haematuria A B C
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Dysphagia 159 71 Dysphagia A B C D
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Haematemesis 161 73 Haematemesis A
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Constipation 163 75 Constipation A
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Treatment of gastrointestinal condi
Page 180 and 181:
Abdominal pain - answers 167 Helico
Page 182 and 183: Liver diseases - answers 169 E F A
Page 184 and 185: Causes of splenomegaly - answers 17
Page 186 and 187: Jaundice - answers 173 C A J L M He
Page 188 and 189: Presentation with a lump - answers
Page 190 and 191: Lumps in the groin - answers 177 G
Page 192 and 193: Anorectal conditions - answers 179
Page 194 and 195: Treatment of peripheral vascular di
Page 196 and 197: Haematuria - answers 183 G A 46-yea
Page 198 and 199: Dysphagia - answers 185 G K A 10-ye
Page 200 and 201: Haematemesis - answers 187 Common b
Page 202 and 203: Constipation - answers 189 L J A 17
Page 204 and 205: Treatment of gastrointestinal condi
Page 206 and 207: The abdomen and surgery - revision
Page 208 and 209: SECTION 7: METABOLIC AND ENDOCRINE
Page 210 and 211: Nutritional deficiencies 197 79 Nut
Page 212 and 213: Disorders of sodium balance 199 81
Page 214 and 215: Diabetic complications 201 83 Diabe
Page 216 and 217: Endocrine problems - answers 203 AN
Page 218 and 219: Electrolyte and metabolic disturban
Page 220 and 221: Hypercalcaemia - answers 207 The wa
Page 222 and 223: Treatment of diabetes - answers 209
Page 224 and 225: Metabolic and endocrine disturbance
Page 226 and 227: SECTION 8: MISCELLANEOUS 85 Antibio
Page 228 and 229: Antibiotics 215 86 Antibiotics A B
Page 230 and 231: Antiviral therapies 217 88 Antivira
Page 234 and 235: Adverse drug reactions 221 92 Adver
Page 236 and 237: Adverse drug reactions 223 94 Adver
Page 238 and 239: Infections 225 96 Infections A B C
Page 240 and 241: Medical emergencies 227 98 Medical
Page 242 and 243: Drugs and immunity 229 100 Drugs an
Page 244 and 245: Treatment of infection - answers 23
Page 246 and 247: Poisoning and overdose - answers 23
Page 248 and 249: Treatment of poisoning and overdose
Page 250 and 251: Adverse drug reactions - answers 23
Page 252 and 253: Adverse drug reactions - answers 23
Page 254 and 255: Infections - answers 241 D H N A 72
Page 256 and 257: Infections - answers 243 I G A This
Page 258 and 259: The confused patient - answers 245
Page 260 and 261: Drugs and immunity - answers 247 J
Page 262 and 263: Index 249 antibiotics 85, 86 antibo
Page 264 and 265: Index 251 compartment syndrome 47 c
Page 266 and 267: Index 253 gastric carcinoma 26, 56,
Page 268 and 269: Index 255 laparotomy 77 lateral med
Page 270 and 271: Index 257 penicillamine 53, 57, 81,
Page 272 and 273: Index 259 spinal stenosis 45 spiron
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