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Medicine Practice MCQs

Browse 18,554 high-yield clinical questions in Medicine. Includes detailed explanations, options, and topic tags.

#2054 General

A 30 years old male patient presents with weakness of right upper and both lower limbs since 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed a Hb 12 gm, TLC - 12000 Cu mm. Platelets 4,30.000. ESR - 49 mm. Urine examination showed proteinuria and RBC -10-15/hpf with no casts. Which of the following is the most likely diagnosis?

#2056 Respiratory system

A 35-year old male with a history of severe bronchial asthma for several months now complains of weight gain and the development of purple stretch marks. Physical examination shod BP - 149/95 mmHg. supraclavicular fullness. The skin was thinned out with areas of bruising. Neurological examination revealed deceased strength in the proximal muscles. Laboratory investigation showed reduced serum coisol and reduced plasma ACTH. An electrolyte workup in this patient will most likely reveal

#2058 Immune system

A 45-year old female had sought medical attention for her recent increase in weight and proximal limb weakness. She was diagnosed with rheumatoid ahritis. 1 week ago has been staed on prednisolone tablets. Physical examamination revealed truncal obesity; BP - 145/90 mm Hg and PR- -90/ mill. High levies of coisol were found in her blood and 24 hour urine sample. A high dose dexamethasone suppression test was performed and the plasma coisol level was suppressed. Serum ACTH level was high. The etiology of this condition can be confirmed by

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