A patient has been diagnosed as a case of pulmonary tuberculosis and started on antituberculosis therapy. A month later he reported to you with jaundice. On stopping treatment jaundice has recovered. Now antituberculosis therapy has to be restarted which of the following drugs is least likely to be cause of his jaundice: A. RifampicinB. StreptomycinC. … Read more
In a patient’s medical report, the following laboratory results are observed: serum calcium level of 8 mg/dL, serum phosphate (P04) level of 3.2 mg/dL, and an alkaline phosphatase level of 500 units/L. Based on these findings, which of the following medical conditions is the most likely diagnosis? A. OsteomalaciaB. HyperparathyroidismC. OsteoporosisD. Paget’s disease of the … Read more
A 50-year-old male underwent a partial gastrectomy for the treatment of gastric ulcers a decade ago. During examination, he displays pallor, and his hemoglobin (Hb) level is measured at 8 g/dL. His mean corpuscular hemoglobin concentration (MCHC) value is within the normal range, but his mean corpuscular volume (MCV) value is elevated. What is the … Read more
A patient, 40 years old, has been enduring right-sided hemicranial headaches for the past fifteen years. The headaches consistently occur on the right side of the head and occasionally entail visual symptoms. Which of the following possibilities is likely? A) MigraineB) Tension headachesC) Cluster headachesD) Intracranial vascular malformationE) Brain tumor Answer: A. Migraine Explanation: The … Read more
A 3-year-old boy presents for a routine check-up, and during the examination, it is noted that one of his testicles is not palpable in the scrotum. The pediatrician suspects undescended testis. What is the most important associated risk for a child with an undescended testis? A. Indirect inguinal herniaB. Epididymo-orchitisC. SterilityD. Testicular torsionE. Increased risk … Read more
A 25-year-old male presents with persistent fever, weight loss, and swelling in the neck. On examination, he has enlarged, firm, non-tender lymph nodes in the cervical region. The patient also reports a history of night sweats. Given the suspicion of tuberculous lymphadenitis (T.B. lymphadenitis), which of the following findings is most commonly associated with this … Read more
A 60-year-old patient presents with a recurrent multinodular goiter (MNG) after having had a previous surgical resection for thyroid enlargement. On examination, the patient has a multinodular thyroid, with some increased size in the previously resected gland, and symptoms of compression, including difficulty swallowing and a feeling of tightness in the throat. Which of the … Read more
A 55-year-old patient presents with a painless swelling in the preauricular region. Upon imaging and further evaluation, the lesion is identified to be a tumor of the parotid gland. The surgeon is preparing to excise the tumor and is considering the anatomical features of the gland. Which of the following statements about the parotid gland … Read more
A 45-year-old patient presents with a contracted scar on the neck following a previous surgical procedure. The scar is causing functional limitations and aesthetic concerns. The surgeon plans to perform a surgical technique to lengthen and reorient the scar in order to reduce tension and improve the cosmetic outcome. Which of the following techniques is … Read more
A 60-year-old male patient who underwent general anesthesia for abdominal surgery is extubated and found to be unable to breathe spontaneously. His oxygen saturation drops, and he exhibits signs of respiratory distress. Which of the following is the most common cause of failure to breathe after general anesthesia? A. Airway obstructionB. Sedation from opioids and … Read more