讲义分析lmc recall pku已恢复

2013lmcrecallPaperBasicsciencemeasuredrugAns:e,becozdon’tmeasurewarfarin,measurePT25粒paracetamol,問kingscriteria.Ans:pH<7.3liverfailurelivera.albuminWhichisNOTaprognosticfactorforacuteserumamylasexxxAnsa.serumCroup問beta2agonistIVPOsteroidAns:notB,shouldbeCor問18個月都做唔到邊個==2thingsbangwalkAns(2thingsbangchildfebrileconvulsion.likelytoLP?partial->generalizedtemp>neurolepticdrug’ssideeffectTD,唔會投訴,原因typicalasatypicalneurolepticdrugeffecacy的比較samewhichPaperIIBasicsciencemetabolicacidosis,normalaniongapc.diarrheaAns:cdiarrha(theotheroneispast:乜唔夠ventilator,得一部,點分比老人同另一個.?原則Hb低MCV低但有HbHalphabetasicklecellHbEnormal(normalvariant?)Ans:aLungcancer,唔舒Lab:glucose3.5(lowerK+5.6(upperlimit)Na+135lowermetatoadrenalmetatolungAns…BorA(likely4.5cmSCCnocervicallymphnodesenlargement)問a.radiotherapytotheneckOnesidesensoneuraldeafness,facialpain.Dx:acousticneuromaAns:MTIcongenitalpyloricstenosis.好typical.的DVT你係HO點dopplerAns:duplexdopplerPatient/wcaecalcancer,mostcommonweightirondeficiencychangeinbowelPRbleeding/bloodinAns::IBOdueto:patient/wchronicconstipation,nowdiarrhea,verypainfulans:fissureacute reasticheadcancer.typicaljaundice,palpablegallbladder,no:aboutC.difficuli(pseudomembranecase:someinfection,thenusecephalosporins,thendiahhrea.Xrayshowmegacolon.what’scheckC.diffculcitoxininPatientafterparotidgland(pleumoxxxadenoma)surgery,sweatordroolingeasy.ans:Frey’sref:13::atypicalcaseonmesentricischemiacase:patient/wrecentHxofAMI14::typicalcase:patienthavemanyTIAs,carotidarterywithbruit.what’snextcarotidarterycarotidarteryAns:patientaftersurgery,day2.Xrayrightsidelowersegmentsomeshadow.notenoughsubphernicabscesspatientaftersomesurgery,stable(BP,pulsenmlrange)inofpain,mgt?addpainans:catherization(Iguesspainkillerneedsometime,bettercatrightnow17::Oldpatientprogressivedysphagia,hoarsevoice.barium?Ans:bariummeal,becozesophaguseasymadeperforationbyscopy,shoulddobariummealtoseeseefirst,thendoendoscopyAdoctorcutthewrongligamentincutthe…hepato-duodenalligament,whatarteryishepaticpropercommonhepaticinferiorvenacavaQ:有個衣衫襤褸的,满身酒氣入院,主訴腹痛,放射到背部,AMYLASE是正常,他是醫院常客,問診斷?(bySandra)ANS.:chronicQ:有個無發熱,膝(/ankle?)關節紅肿熱痛,(之前又发作过）URATE正常,CBC正常,ESR正常,問用什麼藥治療?ans:gout?Q:有個發熱,膝關節紅肿熱痛,問下一步要做什麼?ans.aspirationofjointQ有個小孩non-biliousprojectousvomitingnofailuretothriveaskdiagnosis?ans:congenitalpyloricstenosisQ有關Crohn’sdisease的常見腸外病變?Ans:估:ASasso/wHLA-B27Q有一條問umbilicalhernia下一步要做咩Ans:bookelectivesurgeryhernia唔洗做Q:問婦道分泌物,greywithfishyodor,最常見的病?ans:bacterialvaginosisQ:有一條問organosphosphate后用什麼治療?Ans:atropineQ:有個在sternocledomastoidmuscle中上1/3交界出現一個有波動感的肿物,抽吸發現內容物為液体,满佈油脂和cholesterolcrystal,whatisthediagnosis?ans:a,sebaceouscystb.branchialcystc.lipomad.cystichygromae.hypoglossalAns:Q有一題問有個女人temporal頭痛polymyalgiarheumatica症狀問下一步做咩?ans:a.temporalarterybiopsyb.NSAID…..Ans:shouldgivehighdosesteroidsimmediaQ:antiTBdrugAns:Xmultiplemyeloma,A/GX?Xshoulderdislocation,willhavewhichofthefollowingfullnessofcanttouchothersideoftheXLefthipXDx:軟骨瘤reassureXthejointbeinginvolved?Ans.?X8yo,child.lowerthirdtibiafracture.longshortinternalXA22yofiremantraumaed,Xrayisfemorneckfracture(likelyintracapsular).whyneedtofixearly?preventavascularMother左幾次奶nipplesore(infection?congestion?)轉飲formulad奶出黎先再比BB飲教mother正確去餵人奶RhD-vemother,husbandstatusunknown,babytypeunknown.nowneedexternalcephalicversion(36week?).HowtomanagetheRhDgivemotheranti-Dforprophylaxisaftergiveanti-Difmotheralreadygotit(KBtest)checkamountoffetalbloodinsidemom’s.iflittle,don’tgivegiveanti-Dafterdelivery(shouldgive,butnowshouldalsogive)ans:a.what’sthedefinitionofendof2ndstageofdeliveryofdeliveryofcentaans:deliveryofbaby4.apatientgetlowgradesquamousI.N.(theI.N.inCIN?).mgt?b.coneshapec.unprotected4daysago,don’tcometoyoubecozit’sholiday.nowdoLenoAns:CUIUCDcanbegivenafter5dforemergencycombinedCOCPwillincreasethechanceovarianendometriumcancerans:?DVTABunxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxpregnancytest+ve.ectopicb-d.rubbishoptionsthatwon’tbepregnancytest+velikeacutepancreatits,acutecholecysticisAns.ectopicpregnancyCommunityPast乜工業安全ocasecontrolOR4格你prevalence/sensitivity/specificy你,要你咁樣計番人數出黎再計ORnumberneedtotreat,shouldbe[100cancerpatient,20duntsmoke,80100casecontrol20smoke80dunsmokePS:呢setcalculateTruepositiveTNFPFNtest+ve但dtreatment(RCTshow到benefit)TP,TNFP,FN,邊d人會受傷害?Ans:TPFP呢dpositive左就會接受呢d一個chart,Xaxis係量度一d野Yaxis係第d野每個的volunteer的data就點一點,右上主要係西歐左下係東亞.可能有乜volunteerecologyans:?volunteerpaststandardagestandarddeath要你開隻藥但隻藥幫唔到佢的呢d叫有demand無need.bcd差唔多ans:?取IUD不規律，CHECKendometrium3.submucosalmyoma點處理？alaparoscopyb.laparotomyc.hysteroscopy...rashafter4daysfever?iralmeningitis,whichoneisture?A,mostcommonisCMVBcancauseseizuresandchangeofconciounessbutdoesntcauseepilepticstatus(癫痫持续状C.CSFhighlymphocytes,highproteinlowD.viralmeningitisdoesntcausedead,togenisis(isamilderformofDown’ssyndrome,whichofthefollowingisthecardiacabnormalyriskischancesofparentshavingwhichofthefollowingistrueaboutmusclesanaerobicusesaerobicusesproducesOldguy,temporallobeinfraction,BP175/95,2hrsadmittedintohospital.lowerbpwithlowerBPwithintra-dermalwomen38ishyearsold,heacher,vomitingBP180/100,fatherhadsuddencardiacdeathhistory,diagnosis:familialAdultmalefever脑室扩张，immediate地塞contactneurosurgeonforVPMale,69ish,increasedALP,increasedgGGT,asymptomaticotherwise,polycysticpyogenicKetonemanagement,whatisthemostcommonelectrolyteCarpeltunnelsyndrome:theearlierCarpeltunnelsyndrome,atnightfingernumbness,asafamilydoctorwhatshouldyouinjectoldwomanbroughtinbydaughterinsomiadrprescribedsomething佐匹克隆？）butpatientstillhaveinsomnia,lost10kgin3months,whatisthecause?forgottotakesideeffectofthehiddengirl,heightisaboveraverage,breastenlargement,tannerstage3,butpubichair(-),brainbLhrhpartofthebrainresponsibleforaddicts,seethesamebuildingforgettingthedrug,wanttotakedrugagain,thepartofthebrainresponsibleforthatemotion?whichofthefollowingareassociatedwithvitiligoaddisiondiseasegeneticscreening(genopharmo---药理学？？orsomething)isusefulinscreening有无generelatedtoneuroblastomaandwilm’stumor,differsmainlywithwhichofthefollowingwhichofthefollowingdrugisknowntobenefitpatientswith70-80yrsold,women,tooksomegesics1weekbefore,nowhaveproteinuria,edema,butnoRBC,noWBCinurine,diagnosi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30yearsoldmale,recurrentepisodesofsupersmellydiarrhoea,SLElady,gavesteroidsfor1day,nowsuddenlyaggressivetonurses,steroidsSLECNS22.apatientedtohaveGB,nowdifficultybreathing,ventilationelectromyogramruleoutMGalloftheOldlady,hippain,movementunlimited,painwhenabduction,polyrheumaticchild,sorethroat,fever,diffuseLNenlargement,initialEB16yrsmale,ALL,hadbonemarrowtransnt,oncyclosporin,nowhavefever,hemoglobindecrease,etsdecrease,ureaincrease(180?),increaseLDH,whatisthecause?cyclosporininducedrenalrelapseofsecondarygra