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Showing page 1 of 31 (279 total shorts) — subject: "General Medicine"
#1 General Medicine

The nephrotic syndrome is characterized by hypoalbuminemia, with serum albumin levels typically less than 3 g/dL due to the loss of albumin in the urine.

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What is the typical serum albumin level seen in the nephrotic syndrome?
1) > 4 g/dL
2) 3.0-3.5 g/dL
3) < 3.0 g/dL
4) 2.0-2.5 g/dL

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#2 General Medicine
Serum glutamic oxaloacetic transaminase (SGOT/AST) is increased in myocardial infarction. AST is released from damaged myocardial cells and peaks 24-48 hours after MI. While not specific to heart, it was historically used for MI diagnosis before troponins became available.
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Serum glutamic oxaloacetic transminase is increased in
1) Renal failure
2) Prostatic carcinoma
3) Myocardial infarction
4) Pulmonary edema
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#3 General Medicine

In liver disease, especially cirrhosis, there is a decrease in hepatic synthesis of clotting factors, particularly factor II (prothrombin). Vitamin K deficiency is also common in liver disease, which further contributes to hypoprothrombinemia. The deficiency of fibrinogen (factor I) would also result in a bleeding diathesis but is less common in liver disease. Factors V and VIII are also synthesized in the liver but are less frequently affected than factor II in such cases.

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A patient with a history of liver cirrhosis develops a hemorrhagic tendency. Which coagulation factor is likely to be deficient?
1) Factor I (Fibrinogen)
2) Factor II (Prothrombin)
3) Factor V
4) Factor VIII

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#4 General Medicine

Alcoholic cirrhosis is characterized by the presence of extensive scar tissue (fibrosis) and regenerative nodules within the liver. This results from chronic alcohol-induced damage to hepatocytes and the subsequent wound healing response.

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Which of the following is a hallmark of alcoholic cirrhosis?
1) Massive hepatic necrosis
2) Fatty infiltration of hepatocytes
3) Extensive scar tissue and regenerative nodules
4) Inflammatory cell infiltration

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#5 General Medicine

Acute peptic ulcers are characterized by mucosal erosions in the stomach or duodenum. They are usually caused by increased gastric acidity and mucosal damage due to stress factors such as psychological stress, trauma, burns, or intracranial lesions, leading to symptoms like severe abdominal pain and potential gastrointestinal bleeding.

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What is the typical presentation of acute peptic (stress) ulcers?
1) Severe abdominal pain and hemorrhage
2) Abdominal distension and vomiting
3) Diarrhea and dehydration
4) Weight loss and jaundice

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#6 General Medicine
Supraventricular tachycardia (SVT) causes a rapid heart rate, which significantly shortens the time the ventricles have to fill with blood (diastole).

The decreased ventricular filling time leads to less blood being pumped out with each beat, resulting in a decrease in blood pressure (BP).

Simultaneously, the reduced ability of the heart to empty effectively causes blood to back up into the venous system, leading to an increase in central venous pressure (CVP).
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In a patient of supraventricular tachycardia both CVP and intra-arterial pressure were measured. What changes would you expect in these pressures
1. Both increase
2. Both decrease
3. CVP increase, BP decrease
4. BP increase, CVP decrease
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#7 General Medicine

While hepatitis B and C are both common causes of chronic hepatitis, hepatitis B is the most frequently encountered cause due to its high prevalence worldwide and its ability to persist in the body for long periods.

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What is the most common cause of chronic hepatitis in humans?
1) Hepatitis A
2) Hepatitis B
3) Hepatitis C
4) Alcohol abuse

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#8 General Medicine
Trigeminal neuralgia typically involves the maxillary and mandibular divisions more than the ophthalmic division; thus, it is incorrect to state that the ophthalmic division is usually affected first.
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Not true about trigeminal neuralgia is
1) Mainly in middle aged and elderly
2) Paroxysms of pain last only a few seconds
3) Opthalmic division is usually affected first
4) None of the above
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#9 General Medicine
Pauci-immune crescentic glomerulonephritis (GN) is typically associated with ANCA-associated vasculitis. The standard treatment for this condition involves a combination of high-dose corticosteroids (such as methylprednisolone) and an immunosuppressive agent, most commonly cyclophosphamide, to induce remission. This combined approach is more effective than monotherapy with either agent alone.
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The treatment of choice in pauci immune crescentic glomerulonephritis is
1. Methylprednisolone + cyclophosphamide
2. Oral prednisolone
3. Immunoglobulin
4. Cyclophosphamide
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