A 25 years old male patient presents with clinical features suggestive of acute appendicitis. At laparotomy he is found to have 2.5 cm growth at the base of appendix. He should be treated with: A. AppendectomyB. Right hemicolectomyC. Appendectomy followed by right hemicolectomy at later stage if the margins are positiveD. Limited illeo-caecal resection The … Read more
The treatment of choice for pituitary prolactinomas is: A. SurgeryB. RadiotherapyC. Surgery followed by radiotherapyD. Dopamine agonists Answer: D (S) Dopamine agonists are the preferred treatment for pituitary prolactinomas. Here’s why: Compared to other options: Therefore, dopamine agonists offer a safe and effective first-line treatment for most pituitary prolactinomas
An 18 years old male underwent bilateral adrenalectomy for bilateral pheochromocytoma. 48 hours following surgery. He is feeling lethargic and very tired. His blood pressure is 80/60 mmHg and his pulse rate 90/mins. Clinical examination doesn’t reveal any sign of volume loss. The most likely diagnosis is : A. SepsisB. Cardiogenic shockC. Addisonian crisisD. Hypovolemic … Read more
Which one of the following drug must be stopped before performing assay for diagnosis of hyper-aldosteronism: A. SpironolactoneB. Calcium channel blockerC. FluconazoleD. Oral contraceptive pills The drug that needs to be stopped before performing an assay for diagnosis of hyper-aldosteronism is: A. Spironolactone Here’s why:
Pheochromocytomas are most commonly: A. Benign tumorsB. Malignant tumorsC. Found in both adrenal glands (bilateral)D. Located outside the adrenal glands (extra-adrenal) The answer is A. Benign tumors. While Pheochromocytomas can be malignant, around 10-15% of the cases, the majority, approximately 85%, are benign. This means they are not cancerous and are less likely to spread … Read more
A 45-year-old female presents to her primary care physician with a complaint of a bulge in her groin that becomes more prominent when she coughs or strains. She reports noticing the bulge gradually increasing in size over the past few months, especially after lifting heavy objects or during prolonged standing. The patient denies any associated … Read more