Exam (elaborations)
PMED MEDICAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
PMED MEDICAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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September 12, 2024
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Exam (elaborations)
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MBBS
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MBBS
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PMED MEDICAL QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AN71NyearNoldNfemaleNpresentsNwithNdyspneaNandNwheezingNofNunknownNorigin.NAfterNtreatingNtheNhypox
ia,NwhatNshouldNyouNdo?
A.NAdministerNepinephrineNtoNtheNpatient
B.NAdministerNcorticosteroidsNtoNtheNpatient
C.ApplyNCPAPNmaskNtoNtheNpatient
D.NObtainNadditionalNinformationNtoNdetermineNtheNcauseN-
NANSWERND.NObtainNadditionalNinformationNtoNdetermineNtheNcause
AN57NyearNoldNmaleNcomplainsNofNbleedingNwithNdefecation.NHeNtakesNaNdailyNmultivitaminNandNdeniesNan
yNsignificantNmedicalNhistory.NWhatNshouldNyouNsuspect?N-NANSWERNUlcerativeNcolitis
WhatNshouldNyouNsuspectNinNdrugNtoxicityNorNunderdose?N-NANSWERNNarrowNtherapeuticNindex
AN43NyearNoldNfemaleNwhoNwasNfoundNunconsciousNbyNherNhusband.NHeNalsoNstatesNthatNsheNtakesNhydro
cortisoneNandNhasNaNproblemNwithNherNadrenalNglands.NSheNisNunresponsiveNtoNverbalNstimuli.NHerNvitalNsi
gnsNareNBPN63/60,NPN140,NRN6.NWhatNshouldNyouNsuspect?N-NANSWERNAddisonianNCrisis
AN29NyearNoldNfemaleNcutNherNhandNwhileNpruningNaNtree.NYouNaskNherNwhenNsheNlastNgotNaNtetanusNshotN
andNsheNstatesNthatNitNwasNjustNbeforeNgraduatingNhighNschool.
WhatNshouldNyouNdo?N-
NANSWERNWarnNherNthatNthereNisNaNriskNofNtetanusNandNencourageNherNtoNseekNfurtherNmedicalNcare
WhyNisNtransportNtoNtheNhospitalNcriticalNforNsickleNcellNpatientsNwhoNareNhavingNaN"crisis"?N-
NANSWERNCardiorespiratoryNcollapseNisNimminent.
AN32NyearNoldNfemaleNcomplainsNofNsharpNextremityNpain,Nweakness,NandNburningNsensationsNinNherNlegs.
NSheNalsoNhasNdifficultyNwalking,NandNaNlossNofNcoordination.NHerNprescribedNmedicationsNincludeNLantus,N
Simvastatin,NandNHCTZ.NWhatNisNtheNmostNlikelyNcause?N-NANSWERNPeripheralNneuropathy
, AN26NyearNoldNmaleNsuddenlyNcomplainsNofNitching,Nhives,NshortnessNofNbreathNandNwheezingNwhileNrecei
vingNaNbloodNtransfusion.NWhatNshouldNyouNdo?N-NANSWERNStopNtheNtransfusion
AN38NyearNoldNmaleNisNreceivingNaNbloodNtransfusion.NHeNsuddenlyNcomplainsNofNitching,Nhives,NshortnessN
ofNbreathNandNwheezing.NAfterNstoppingNtheNtransfusion,NwhatNmedicationNshouldNbeNadministered?N-
NANSWERNDiphenhydramine
AN67NyearNoldNmaleNcomplainsNofNbloodyNstoolNwithNaccompanyingNnauseaNandNemesis.NHeNstatesNhisNsy
mptomsNbeganN3NdaysNago.NVitalNsignsNareNBPN90/70,NPN110,NRN22.NWhatNshouldNyouNadminister?N-
NANSWERNAntiemetic
AN34NyearNoldNfemaleNwithNaNhistoryNofNhypothyroidismNisNunresponsive.NANphysicalNexamNrevealsNfacialNs
wellingNandNcoldNskin.NVitalNsignsNareNBPN90/62,NPN46,NRN10,NtempN95NF,
WhatNshouldNyouNsuspect?N-NANSWERNMyxedema
ANconsciousN70NyearNoldNmaleNcomplainsNofN"chills"NandNhasNhadNaNproductiveNcoughNforNtheNpastN3Ndays
NwithNdifficultyNbreathing.NVitalNsignsNare:NBPN130/60,NPN110,NRN26Nrhonchi,NSp02N92%.NWhatNshouldNyouN
do?N-NANSWERNPlaceNinNaNpositionNofNcomfortNandNapplyNoxygen
HowNshouldNyouNtreatNaNpatientNsuspectedNofNhavingNgastroenteritis?N-
NANSWERNAssessNforNsignsNofNdehydrationNandNrehydrateNasNnecessary
AN70NyearNoldNfemaleNpatientNisNunconsciousNandNunresponsive.NSheNisNaNresidentNinNaNskilledNnursingNfaci
lity.NHerNprimaryNphysicianNorderedNtransportNforNevaluation.NSheNisNpaleNbutNhotNtoNtheNtouch.NWhatNsh
ouldNyouNsuspect?N-NANSWERNSepsis
AN23NyearNoldNfemaleNisN6NmonthsNpregnant.NSheNwasNstungNbyNaNbeeNandNis
experiencingNhives,NandNdifficultyNbreathing.NSheNhesitatedNtoNuseNherNepinephrineNautoNinjectorNforNfear
NitNwillNinduceNlabor.NWhatNshouldNyouNdo?N-
NANSWERNAdministerNanNantihistamineNandNtransportNemergently
AN41NyearNoldNfemaleNisNunconsciousNandNsuffersNfromNsevereNrespiratoryNdepression.NHerNboyfriendNrep
ortsNthatNsheNingestedNaNhandfulNofN"someNkindNofNpainNkiller,"NbutNtheNbottleNcannotNbeNfound.NWhatNty
peNofNoverdoseNshouldNyouNsuspect?N-NANSWERNCodeine