Correct Answer: E

Penicillin + Flucloxacillin. Cellulitis is usually caused by bacteria, such as staphylococci or streptoc are commonly present on the skin. So Penicillin + Flucloxacillin should be given.

Correct Answer: A

A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications ?pelvic trauma in the emergency department ? diminished urinary stream ?urethral strictures ?urethral diverticula ?urethral obstruction ?suspected urethral foreign bodies ?urethral mucosal tumors ?suspected urethral fistula

Correct Answer: B

The key to this case is understanding that a child who was otherwise healthy but presents with a holosystolic murmur and symptoms of failure to thrive most likely has a VSD. Right ventricular hypertrophy occurs from blood shunting from the high pressure left system to the low pressure right system. This could later lead to Eisenmenger syndrome (ES). ES is defined as the process in which a left-to-right shunt caused by a VSD reverses into a right-to-left shunt due to hypertrophy of the right ventricle.

Correct Answer: C

This test is used when a screening test for syphilis is positive to confirm that there is a true infection. A negative or nonreactive result means there you do not have a current or past infection with syphilis. 52Ans- Management of dog, cat and human bite is essentially similar. They are managed with Amoxycillin/ Clavulanate and Tetanus vaccine booster if more than 5 years since last immunization/vaccine Dog and cat bite-Pasteurellamultocida Human bite-EikenellaCorrodens Humab bites are more damaging then dog bite and cat bites

Correct Answer: A

Correct Answer: C

It has a neutral act on lipid profile so is suitable for those in whom hyperlipidemia

Correct Answer: D

The most urgent step in the management of cord compression is to administer steroids as soon as possible and to relieve pressure on the cord. Imaging studies are done after steroids are given, if the diagnosis of cord compression is clear (as it is in this case with pain, tenderness, and signs of hyperreflexia in the legs).

Correct Answer: C

Peptic ulcer disease usually occurs in the stomach and proximal duodenum. The predominant causes in the United States are infection with Helicobacter pylori and use of nonsteroidal anti-inflammatory drugs. Symptoms of peptic ulcer disease include epigastric discomfort (specifically, pain relieved by food intake or antacids and pain that causes awakening at night or that occurs between meals), loss of appetite, and weight loss. Older patients and patients with alarm symptoms indicating a complication or malignancy should have prompt endoscopy. Patients taking nonsteroidal anti-inflammatory drugs should discontinue their use. For younger patients with no alarm symptoms, a test-and-treat strategy based on the results of

H. pylori testing is recommended. If H. pylori infection is diagnosed, the infection should be eradicated and antisecretory therapy (preferably with a proton pump inhibitor) given for four weeks. Patients with persistent symptoms should be referred for endoscopy. Surgery is indicated if complications develop or if the ulcer is unresponsive to medications. Bleeding is the most common indication for surgery. Administration of proton pump inhibitors and endoscopic therapy control most bleeds. Perforation and gastric outlet obstruction are rare but serious complications. Peritonitis is a surgical emergency requiring patient resuscitation; laparotomy and peritoneal toilet; omental patch placement; and, in selected patients, surgery for ulcer control.

Reference: http://www.aafp.org/afp/2007/1001/p1005.html

Correct Answer: C

Hydrochlorothiazide Approximately 95% of a single dose of lithium is eliminated in the urine. The drug is handled by the kidneys in the same manner as sodium, ie most of the filtered lithium is reabsorbed in the proximal tubule. Hence loading with sodium will increase lithium excretion, while sodium depletion will promote the retention of lithium. All diuretics decrease renal lithium clearance. However, thiazide diuretics cause the greatest retention of lithium amongst all diuretics.

Correct Answer: C