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11019 Medicine

A 63-year-old man alcoholic with a 50-pack-year history of smoking presents to the emergency room with fatigue and confusion. Physical examination reveals a blood pressure of 110/70 with no orthostatic change. Heart, lung, and abdominal examinations are normal and there is no pedal edema. Laboratory data are as follows:Na: 110 mEq/LK: 3.7 mEq/LCl: 82 mEq/LHCO3: 20 mEq/LGlucose: 100mg/dLBUN: 5 mg/dLCreatinine: 0.7 mg/dLUrinalysis: normalUrine specific gravity: 1.016Which of the following is the most likely diagnosis?

AVolume depletion
BInappropriate secretion of antidiuretic hormone
CPsychogenic polydipsia
DCirrhosis
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11021 Medicine

About gait and balance disorders, which of the following are true or false? a) The commonest cause for gait disorder is multiple infarcts b) Tropical spastic paraparesis related to the retrovirus HTLV-II c) Freezing of gait is common in progressive supranuclear palsy and multiple-system atrophy d) Frontal gait disorder is known as the “slipping clutch” syndrome e) Fragile X premutation has been associated with gait ataxia in older men

Aa,c,d-True b,e-False
Bb,d,e-True a,c-False
Cc,d,e-True a,b-False
Da,e-True b,c,d-False
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11024 Medicine

A 75-year-old man is brought to the casualty with sudden syncopal episode while playing with his grandchildren. He is currently ale and describes occasional substernal heaviness and shoness of breath. His lungs have bibasilar rales and BP is 120/80mmHg. Which is the classical finding expected in this patient?

AEjection systolic murmur with Soft S2
BEjection systolic murmur with wide split S2
CHarsh Holosystolic murmur with soft 2
DHarsh pan-systolic murmur with loud S2
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