Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Wednesday, March 9, 2011

A 27-year old sexually active male develops a vesiculobullous lesion on the glans soon after taking tablet paracetamol for fever.

 A 27-year old sexually active male develops a vesiculobullous lesion on the glans soon after taking tablet paracetamol for fever. The lesion healed with hyperpigmentation. The most likely diagnosis is:
1 Behcet’s syndrome.
2 Herpes genitalis.
3 Fixed drug eruption.
4 Pemphigus vulgaris.

A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side.

 A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs for last 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 - 49mm. Urine examination showed proteinuria and RBC - 10-15/hpf with no casts. Which of the following is the most likely diagnosis.
1 Polyarteritis nodosa.
2 Systemic lupus erythematosus.
3 Wegener’s granulomatosis.
4 Mixed cryoglobulinemia.

A 45 year male with a history of alcohol dependence presents with confusion, nystagmus and ataxia. Examination reveals 6th cranial nerve weakness. He is most likely to be suffering from:

 A 45 year male with a history of alcohol dependence presents with confusion, nystagmus and ataxia. Examination reveals 6th cranial nerve weakness. He is most likely to be suffering from:
1. Korsakoff’s psychosis.
2. Wernicke’s encephalopathy.
3. De Clerambault syndrome.
4. Delirium tremens.
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