Do you agree with the diagnosis?
What is the diagnosis for a patient who presents with following reports? Blood c/p Hb. 10 mg/dl, TLC 5000/dl, MCV of 110fl and a platelet count of 120,000/dl. His LFT’s show Bilirubin 1mg% (Normal upto 1mg %) ALT of 75IU/l (Normal up to 40 IU/dl) AST of 150 IU/l (Normal upto 40 IU/l), Alkaline phosphatase 140 IU/l (Normal upto 110 IU/l).
- Alcoholic liver disease
- Non-Alcoholic liver disease
- Wilson disease
- Autoimmune hepatitis
- Chronic hepatitis B
A middle aged businessman has presented with acute chest pain along with dysphagia and vomiting. He is a known case of hypertension and diabetes, both controlled with medication. His immediate x-ray chest showed normal lungs and heart but a gas bubble was visible in the chest.
What is the most likely diagnosis?
- Dissection of aorta
- Gastric volvulus
- Achalasia cardia
- Meckle’s diverticulum
- Esophageal rupture
This middle aged man has been diagnosed as a case of pulmonary tuberculosis and was advised ATT.
He initially responded well later on died suddenly. His death was unexplained. The professor in the ward round mentioned a theory that this sudden death might be due to unmasking of hypoadrenalism as a result of increase in steroid metabolism. Which of the following drug is supposed to be responsible for this uncommon reaction?
- Tab. Rifampicin
- Tab. INH
- Tab. Ethambutol
- Tab. Pyrazinamide
- Tab. Streptomycin
This young boy is a known case of Marfan syndrome with Aortic regurgitation. Patient is asymptomatic as far as his cardiac lesion is concerned. He has been advised regular follow up. In this patient which of the following is most important Echo finding for consideration of valve replacement?
B. Left ventricular size
C. Left ventricular pressure
D. Aortic root dilatation
E. Left ventricular end systolic dimension
A middle aged man type II diabetic patient is ill. At present his blood sugar is 540 mg% (30 mmol/l) Serum Na+ is 135 mmol/l and K+ is 4 mmol/l. Urine shows trace of ketone bodies. His pH is 7. Which of the anti-diabetic drug he might be taking?