MedQuiz 3rd
*Que. 1. A 65yo man presents with painless hematuria, IVU is normal, prostate is mildly enlarged with mild frequency. What is the most appropriate next step?* a. US Abdomen b. Flexible cystoscopy c. MRI d. Nuclear imaging e. PSA *Que. 2. A 74yo smoker presented to his GP with cough and SOB. Exam revealed pigmentation of the oral mucosa and also over the palms and soles. Tests show that he is diabetic and hypokalemic. _What is the most probable dx?_* a. Pseudocushing syndrome b. Conns disease c. Ectopic ACTH d. Cushings disease e. Hypothyroidism *Que. 3. A 44yo woman has lost weight over 12 months. She has also noticed episodes where her heart beats rapidly and strongly. She has a regular pulse rate of 90bpm. Her ECG shows sinus rhythm. _What is the most appropriate inv to be done?_* a. Thyroid antibodies b. TFT c. ECG d. Echocardiogram e. Plasma glucose *Que. 4. A 79yo anorexic male complains of thirst and fatigue. He has symptoms of frequency, urgency and terminal dribbling. His urea and creatinine levels are high. His serum calcium is 1.9 and he is anemic. His BP is 165/95 mmHg. What is the most probable dx?* a. BPH b. Prostate carcinoma c. Chronic pyelonephritis d. Benign nephrosclerosis *Que. 5. A 64yo man has recently suffered from an MI and is on aspirin, atorvastatin and ramipril. He has been having trouble sleeping and has been losing weight for the past 4 months. He doesn’t feel like doing anything he used to enjoy and has stopped socializing. He says he gets tired easily and can’t concentrate on anything. What is the most appropriate tx?* a. Lofepramine b. Dosulepin c. Citalopram d. Fluoxetine e. Phenelzine