Skip to main content

USMLE/PLAB/AMC Clinical Case Quiz - 17

USMLE PLAB Clinical Cases Questions 15]A 60-year-old male presents to you with a history of fever for more than 3 weeks. He also complains of dizziness, blackouts, weakness, and fatigability. He has no history of recent surgery and dental procedures. But he also complains of on and off constipation and rectal bleeding. For this, his doctor has advised him colonoscopy in the past. His colonoscopy showed an ulcerated fungated mass in the distal colon.
On examination:
    • He is febrile and pale, his blood pressure is 100/70. No lymph nodes.
    • Her lungs are clear. No signs of a chest infection.
    • Oral hygiene was adequate.
    • Cardiac examination revealed a pan-systolic murmur, Grade III, with normal apex beat.
  • Now answer the following questions. In end, you will get your score. Review the quiz when you finish seeing the correct answers. Click on “Feedback” during quiz review to find out why the answers are correct.
Initial baseline investigations showed marked leukocytosis and microcytic hypochromic anemia.

Like us on facebook/twitter or follow by email for future updates.

Comments

Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you