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affected.
11) C post cholecystectomy >> common bile duct stricture>> need ERCP
12) B organophosphate poisoining >> antidote atropine
13) B tacile hallucinations with cocaine and amphetamines
14) C 27 weeks gestation >> need IM betamethasone for surfantant maturation
15) D uterine atony cos of big baby. (9Lb)
16) A B12 deficiency >> atrophic gastritis due to lack of intrinsic factor, schilling test proves it
17) A pneumococcal, H influenza, meningococcal >> all capsulated organisms >> due to impaired B
lymphocyte thus low Ig thus impaired opsonizatoin
18) F repeated staph aureus (catalase positive organism >> chronic granulomatous disease due to
NADPH oxidase deficiency in neutrophils)
19) D high calcium, low phosphate >> hyperparathyroid >> increased urinary calcim excretion
20) B H influenza >> COPD + lobar pneumonia + gram neg bacilli
21) B multiple painful sores >> genital herpes
22) E cricothyroidectom >> facial fracture + unstable cervical spine
23) C HOCM murmur gets louder on standing
24) B amyotrophic lateral sclerosis > fibrillation potentials in multiple muscles of extremities
25) A education about puberty to parents and child
26) B low PO2, high PCO2 >> alveolar hypoventilation
27) C young patient, no warning signs >> trial of PPI first
28) E Rh incompatibility
29) C acute urticaira + angioedema
30) D pneumococcal
31) C 6 hours is just about the time GA effect wears off>> child starts to feel pain
32) F vagovagal syncope >> HR during syncope is 45/min. if hypoglycemia, should b tachycardia
33) D NO cleaving of C terminal peptides on angiotensin 1, (mechanism of action of ACE)
34) C renal ultrasound, could b obstructive uropathy due to tumor >> will show hydronephrosis
35) D antidote for heroin >> Naloxone
36) A botulism >> pupil dilation (MS GBS doesn’t affect pupils)
37) D urethral diverticulum >> midline mass in vaginal wall
38) B low cardiac index >> cardiogenic shock >> high PCWP >> acute pulmonary edema>> give
diuretics
39) A ETEC
40) A PCOS >> give clomiphene
41) E if HBS antibodies are already present >> no treatment or vaccine or Ig is necessary
42) C diuretics causes low K >> digoxin toxicity >> premature ventricular beats
43) E metastasis to bone >> hyper Ca >> confusion
44) E stenosis above 70% >> carotid enarterectomy
45) A wide based gait >> cerebellar degeneration due to alcohol >> abstinence from alcohol
46) D congestive cardiac failure ( perihilar haziness with upper lobe veins dilation)
BLOCK 3 answers
BLOCK 4