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A 45-year-old male presents to the emergency department with severe headaches, vomiting, altered mental status, and visual disturbances. On examination, he shows signs of increased intracranial pressure, such as papilledema. Given this clinical presentation, which of the following investigations is contraindicated due to the risk of worsening the patient’s condition? A. X-ray skullB. CT brainC. … Read more

A 55-year-old male presents with a complaint of loss of vision in the outer half of both of his visual fields (i.e., he cannot see objects on the outer sides of both eyes). The patient reports difficulty in reading and driving, particularly when navigating through intersections. On examination, the patient is found to have bitemporal … Read more

A 65-year-old male presents with a tremor, muscle rigidity, and bradykinesia (slowness of movement). His symptoms have progressively worsened over the last six months, making it difficult for him to perform daily tasks. On neurological examination, there is a resting tremor in the right hand, and he shows difficulty initiating movement. Based on this clinical … Read more

A 40-year-old male presents with a history of easy bruising, fatigue, and enlarged spleen. The patient has been experiencing recurrent infections and anemia. Blood tests show low platelet count and anemia, and the spleen is palpably enlarged. Based on these findings, the doctor considers a treatment approach to address the patient’s underlying hematologic condition. Which … Read more

A 12-year-old child presents with a dry cough and fever that have persisted for the last four weeks. A chest x-ray shows hilar lymphadenopathy on the right side and consolidation of the right middle lobe. Which of the following conditions is the most likely diagnosis? A. Pneumococcal pneumoniaB. Benign tumour of the right bronchusC. Primary … Read more

During a blood sugar camp, five individuals present with their fasting blood sugar levels measured. The following are their fasting blood sugar values: Which of the following blood sugar levels is considered normal? A. 90 mg/dLB. 120 mg/dLC. 130 mg/dLD. 49 mg/dLE. 52 mg/dL Correct Answer: A. 90 mg/dL Explanation: The normal fasting blood sugar … Read more

A 12-year-old boy presents to the clinic with a two-week history of swelling and pain in multiple large joints, including the knees, elbows, and ankles. He also reports a fever that has been intermittent over the past week. The boy mentions that, about 3 weeks ago, he had a sore throat that was not treated, … Read more

A patient diagnosed with pulmonary tuberculosis (TB) was started on antituberculosis therapy. After a month of treatment, the patient develops jaundice, which resolves upon discontinuation of the therapy. Now, antituberculosis therapy is to be restarted. Which of the following drugs is least likely to cause his jaundice? A. RifampicinB. StreptomycinC. INH (Isoniazid)D. EthambutolE. Pyrazinamide Correct … Read more

A 50-year-old male presents with the following laboratory results: serum calcium level of 8 mg/dL, serum phosphate (PO4) level of 3.2 mg/dL, and alkaline phosphatase level of 500 units/L. Based on these findings, which of the following is the most likely diagnosis? A. OsteomalaciaB. HyperparathyroidismC. OsteoporosisD. Paget’s disease of the boneE. Hyperthyroidism Correct Answer: A. … Read more

A 50-year-old male, who underwent a partial gastrectomy for the treatment of gastric ulcers 10 years ago, presents with paleness. His laboratory results show a hemoglobin (Hb) of 8 g/dl, a normal MCHC, and an increased MCV. What is the best treatment option for this patient? A. Vitamin KB. Iron supplementsC. Inj. B12D. Vitamin C … Read more