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Vomiting
(Single Best Answer) Question 1: A 6-month old boy weighing 3.2 kg presents with recurrent vomiting and polyuria. Investigations show blood urea 60 mg / dL, creatinine 0.7 mg / dL, calcium 12.8 mg / dL, phosphate 3 mg / dL, pH 7.45, bicarbonate 25 mEq/L and PTH 140 pg / ml (normal < 60 pg / ml). Daily urinary calcium excretion is reduced. Ultrasound abdomen show bilateral nephrocalcinosis. The most likely diagnosis is ?
A) Bartter syndrome
B) Mutation of the calcium sensing receptor
C) Pseudo-pseudohypoparathyroidism
D) Parathyroid adenoma
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 45 year old hypertensive male presented with sudden onset severe headache, vomiting and neck stiffness. On examination he didn't have any focal neurologic deficit. His CT Scan showed blood in the sylvian fissure. The probable diagnosis is ?
A) Meningitis
B) Ruptured aneurysm
C) Hypertensive bleed
D) Stroke
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: An 8 day old breast fed baby presents with vomiting, poor feeding and loose stools. On examination the heart rate is 190/minute, blood pressure 50/30 mmHg, respiratory rate 72 beats/minute and capillary refill time of 4 seconds. Investigations show hemoglobin level of 15 g/dL, Na 120 mEq/l, K 6.8 mEq/l, Cl 81 mEq/l, bicarbonate 15 mEq/l, urea 30 mg/dl and creatinine 0.6 mg/dl. The most likely diagnosis is ?
A) Congenital adrenal hyperplasia
B) Acute tubular necrosis
C) Congenital hypertrophic pyloric stenosis
D) Galactosemia
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: A 45 years old hypertensive male patient presented in the casualty with two hours history of sudden onset of severe headache associated wit nausea and vomiting. On clinical examination the patient had neck stiffness and right sided ptosis. Rest of the neurological examination was normal. What is the clinical diagnosis ?
A) Hypertensive brain haemorrhage
B) Migraine
C) Aneurysmal subarachnoid haemorrhage
D) Arteriovenous malformation haemorrhage
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: The following are used for treatment of postoperative nausea and vomiting following squint surgery in children except ?
A) Ketamine
B) Ondansetron
C) Propofol
D) Dexamethasone
Answer (Select an option above to get the answer):
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