Treatment Of Bipolar Disorder

Which of the following medications is used in the classic treatment of bipolar disorder?
A) Lithium
B) Sertraline
C) Amitriptyline
D) Phenytoin
E) Alprazolam

Answer:

A 27-year-old presents with the worst headache of his life.

A 27-year-old presents with the worst headache of his life. Which of the following is least likely to be helpful?

A. Careful history eliciting recent trauma or head injury
B. Evaluation of cranial nerves including the retina
C. Strong consideration of CT or MRI of the head
D. Plain film of the skull
E. History of previous headache problems and treatments

 Answer :

A 24-year-old man presents with rectal bleeding and a 'sharp, stinging' pain on defecation

A 24-year-old man presents with rectal bleeding and a 'sharp, stinging' pain on defecation. This has been present for the past two weeks. He has a tendency towards constipation and notices that when he wipes himself fresh blood is often on the paper. Rectal examination is limited due to pain but no external abnormalities are seen. What is the most likely diagnosis?
A. Internal haemorrhoids
B. Anal carcinoma
C. Rectal polyp
D. Anogenital herpes
E. Anal fissure

Answer:

High-Risk Markers For Sudden Cardiac Death In Hypertrophic Cardiomyopathy

Which one of the following would not be considered a high-risk marker for sudden cardiac death in hypertrophic cardiomyopathy?
A. Family history of sudden cardiac death
B. Non-sustained VT on cardiac monitoring
C. Left Ventricular septal thickness of 2.3cm
D. Drop in blood pressure on ETT
E. Syncope

Answer And Discussion:

Drug-Induced Liver Disease

A 54-year-old woman presents with jaundice shortly after being discharged from hospital. Liver function tests are reported as follows:
Albumin = 49 g/l, Bilirubin = 89 mmol/l, Alanine transferase (ALT) = 66 iu/l,
Alkaline phosphatase (ALP) = 245 mmol/l, Gamma glutamyl transferase (yGT) = 529 u/l.
Which of the following antibiotics is she most likely to have received?
A. Co-amoxiclav
B. Gentamicin
C. Ciprofloxacin
D. Trimethoprim
E. Ceftazidime

Answer:

Treatment of Choice for Bordetella pertussis Infection

Which of the following medications is considered the treatment of choice for Bordetella pertussis infection?
A) Penicillin
B) Ciprofloxacin
C) Azithromycin
D) Tetracycline
E) Cefuroxime

Answer and Discussion: