Causes Of Nephrotic Syndrome

A 54-year-old female with rheumatoid arthritis is noted to have proteinuria on annual review. Which one of the following drugs is most associated with the development of proteinuria?
A. Ciclosporin
B. Gold
C. Methotrexate
D. Infliximab
E. Sulfasalazine

Answer:

Management Of A Patient With Tachycardia In CCU

A 61-year-old with a history of a myocardial infarction 2 years ago with a known ejection fraction of 25% presents to A&E with a 2 hour history of mild palpitations. He is otherwise fit and well. His ECG monitoring shows a regular broad complex tachycardia at a rate of 170 bpm which self terminated before a 12-lead ECG was performed. His U&Es are normal. The patient’s blood pressure was 130/90 mmHg during the tachycardia and he was not unduly distressed. He is transferred to CCU where a 12-lead ECG shows LBBB with a QRS duration of 100 ms.
What will be his appropriate management?
A. He needs an ICD (Implantable Cardioverter Defibrillator)
B. He needs an urgent revascularization
C. He needs an EP study (electrophysiology study)
D. He tolerated his tachycardia well; therefore it is likely to be an SVT with aberrancy
E. He should be commenced on flecainide

Answer:

A 31 Year Old Man Presents With A 2 Week H/O Headache With Watery Eyes.

A 31-year-old man presents to his GP with a two week history of headaches around the left side of his face associated with watery eyes. He describes having about two episodes a day each lasting around 30 minutes. What is the likely diagnosis?
A. Migraine
B. Cluster headache
C. Trigeminal neuralgia
D. Acute angle closure glaucoma
E. Meningioma

Answer:

Essential Tremors

A 60-year-old woman presents with a tremor. Which one of the following features would suggest a diagnosis of essential tremor rather than Parkinson's disease?
A. Difficulty in initiating movement
B. Tremor is worse following alcohol
C. Postural instability
D. Unilateral symptoms
E. Tremor is worse when the arms are outstretched

Answer:

Irritable Bowel Syndrome - Diagnosis - NICE Guidelines

A 35-year-old female presents with abdominal pain associated with bloating for the past 6 months, Which one of the following symptoms is least associated with a diagnosis of irritable bowel syndrome?
A. Feeling of incomplete stool evacuation
B. Weight loss
C. Back pain
D. Lethargy
E. Nausea

Answer:

Which of the following is an indication for bone marrow biopsy in a patient with suspected idiopathic thrombocytopenic purpura?

Which of the following is an indication for bone marrow biopsy in a patient with suspected idiopathic thrombocytopenic purpura?
A. Use of corticosteroid therapy for treatment
B. Use of intravenous immunoglobulin for treatment
C. Platelet count less than 50,000

D. Thrombocytopenia persisting for more than 1 month
E. Thrombocytopenia with normal hemoglobin and white blood cell counts

Answer :