Himmler 22,171 مالک اشتراک گذاری ارسال شده در 8 شهریور، ۱۳۹۰ 8 A 55-year-old diabetic woman suddenly develops weakness of the left side of her face as well as of her right arm and leg. She also has diplopia on left lateral gaze. The responsible lesion is probably located in the A)Right cerebral hemisphere B)Left cerebral hemisphere C)Right side of the brainstem D)Left side of the brainstem E)Right medial longitudinal fasciculus 2 نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 8 شهریور، ۱۳۹۰ 9 A 40-year-old woman complains of headache associated with visual disturbance. Of the histories described below, which one suggests migraine headache as a likely diagnosis ? A)Numbness or tingling of the left face, lips, and hand lasting for 5 to 15 min, followed by throbbing headache B)An increasingly throbbing headache associated with unilateral visual loss and generalized muscle aches C)A continuous headache associated with sleepiness, nausea, ataxia, and incoordination of the right upper limb D)An intense left retroorbital headache associated with transient left-sided ptosis and rhinorrhea E)A visual field defect that persists following cessation of a unilateral headache 2 نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 8 شهریور، ۱۳۹۰ 10 A 60-year-old man with Parkinson's disease is receiving levodopa/cardiodopa therapy and complains of uncontrollable facial movements .Which of the following is correct ? A)Limb and facial dyskinesias are unusual side effects of chronic levodopa therapy B)Levodopa treatment, while ameliorating symptoms, does not alter the natural history of the disease C)Bromocriptine works by increasing the release of dopamine from the substantia nigra D)Trihexyphenidyl and benztropine mesylate have minimal side effects in the elderly 2 نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 28 آبان، ۱۳۹۰ Endocrinology and Metabolism Quiz for Students [TABLE] [TR] [TD=bgcolor: #cccccc]1 [/TD] [TD][/TD] [TD=colspan: 3]A 50-year-old female is 5 ft 7 in. tall and weighs 165 lb. There is a family history of diabetes mellitus. Fasting blood glucose is 150 mg/dL on two occasions. She is asymptomatic, and physical exam shows no abnormalities. The treatment of choice is [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD][/TD] [TD]A) [/TD] [TD]Observation [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD][/TD] [TD]B) [/TD] [TD=width: 100%]Medical nutrition therapy [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD][/TD] [TD]C) [/TD] [TD=width: 100%]Insulin [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD][/TD] [TD]D) [/TD] [TD=width: 100%]Oral hypoglycemic agent [/TD] [/TR] [/TABLE] 1 نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 28 آبان، ۱۳۹۰ [TABLE] [TR] [TD=bgcolor: #cccccc]2 [/TD] [TD] [/TD] [TD=colspan: 3] A 55-year-old type 2 diabetic patient has lost weight and has had good control of his blood sugar on oral agents. He has a history of mild hypertension and hyperlipidemia. He asks for advice about an exercise program. Which one of the following statements is correct ؟؟ [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]A) [/TD] [TD=width: 100%]Exercise should be avoided because it may cause foot trauma [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]B) [/TD] [TD=width: 100%]An active lifestyle cannot slow the complications of diabetes [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]C) [/TD] [TD=width: 100%]Vigorous exercise cannot precipitate hypoglycemia [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]D) [/TD] [TD=width: 100%]A stress test should be recommended prior to beginning an exercise program [/TD] [/TR] [/TABLE] 1 نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 28 آبان، ۱۳۹۰ [TABLE] [TR] [TD=bgcolor: #cccccc]3 [/TD] [TD] [/TD] [TD=colspan: 3] A newly diagnosed type 2 diabetic patient asks for clarification about dietary management. Which of the following is good advice ؟ [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]A) [/TD] [TD=width: 100%]Restrict carbohydrates and eat a high-protein diet [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]B) [/TD] [TD=width: 100%]Avoid sucrose altogether [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]C) [/TD] [TD=width: 100%]Less than 10% of caloric intake should be saturated fat [/TD] [/TR] [TR] [TD=colspan: 2][/TD] [TD] [/TD] [TD]D) [/TD] [TD=width: 100%]Caloric intake should be very consistent from one day to another [/TD] [/TR] [/TABLE] 1 نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 25 بهمن، ۱۳۹۰ [TABLE=width: 100%] [TR] [TD=bgcolor: #CCCCCC, align: right]4[/TD] [TD][/TD] [TD=colspan: 3, align: left] As part of a review of systems, a 55-year-old male describes an inability to achieve erection. The patient has mild diabetes and is on a beta blocker for hypertension. The first step in evaluation is[/TD] [/TR] [TR] [TD=colspan: 2] [/TD] [TD][/TD] [TD=align: left]A)[/TD] [TD=width: 100%, align: left]Serum testosterone[/TD] [/TR] [TR] [TD=colspan: 2, align: left] [/TD] [TD=align: left][/TD] [TD=align: left]B)[/TD] [TD=width: 100%, align: left]Serum gonadotropin[/TD] [/TR] [TR] [TD=colspan: 2, align: left] [/TD] [TD=align: left][/TD] [TD=align: left]C)[/TD] [TD=width: 100%, align: left]Information about libido and morning erections[/TD] [/TR] [TR] [TD=colspan: 2, align: left] [/TD] [TD=align: left][/TD] [TD=align: left]D)[/TD] [TD=width: 100%, align: left]Papaverine injection[/TD] [/TR] [/TABLE] نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 25 بهمن، ۱۳۹۰ [TABLE=width: 100%] [TR] [TD=bgcolor: #CCCCCC, align: right] 5 [/TD] [TD=align: left][/TD] [TD=colspan: 3] A 50-year-old female is evaluated for hypertension. Her blood pressure is 130/98. She complains of polyuria and of mild muscle weakness. She is on no diuretics or other blood pressure medication. On physical exam, the PMI is displaced to the sixth intercostal space. There is no sign of congestive heart failure and no edema. Laboratory values are as follows: Na-: 147 meq/dL K-: 2.3 meq/dL Cl-: 112 meq/dL HCO3: 27 meq/dL The patient is on no other medication. She does not eat licorice. The first step in diagnosis is [/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]A)[/TD] [TD=width: 100%, align: left]24-h urine for cortisol[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]B)[/TD] [TD=width: 100%, align: left]Urinary metanephrine[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]C)[/TD] [TD=width: 100%, align: left]Plasma renin and aldosterone[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]D)[/TD] [TD=width: 100%, align: left]Renal angiogram[/TD] [/TR] [/TABLE] نقل قول لینک به دیدگاه
Himmler 22,171 مالک اشتراک گذاری ارسال شده در 25 بهمن، ۱۳۹۰ [TABLE=width: 100%] [TR] [TD=bgcolor: #CCCCCC, align: right] 6 [/TD] [TD=align: left][/TD] [TD=colspan: 3, align: left] A 60-year-old woman comes to the emergency room in a coma. The patient’s temperature is 90°F. She is bradycardic. Her thyroid gland is enlarged. There is bilateral hyporeflexia. The next step in management is[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]A)[/TD] [TD=width: 100%, align: left]Await results of T4, TSH[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]B)[/TD] [TD=width: 100%, align: left]Obtain T4, TSH; begin thyroid hormone and glucocorticoid[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]C)[/TD] [TD=width: 100%, align: left]Begin rapid rewarming[/TD] [/TR] [TR] [TD=colspan: 2, align: left][/TD] [TD=align: left][/TD] [TD=align: left]D)[/TD] [TD=width: 100%, align: left]Obtain CT scan of the head[/TD] [/TR] [/TABLE] نقل قول لینک به دیدگاه
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