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16230 Medicine

A 45-year old female had sought medical attention for her recent increase in weight and proximal limb weakness. She was diagnosed with rheumatoid ahritis. 1 week ago has been staed on prednisolone tablets. Physical examamination revealed truncal obesity; BP – 145/90 mm Hg and PR- -90/ mill. High levies of coisol were found in her blood and 24 hour urine sample. A high dose dexamethasone suppression test was performed and the plasma coisol level was suppressed. Serum ACTH level was high. The etiology of this condition can be confirmed by

ACT scan of the chest
BMRI of the brain
CCT scan of the abdomen
DPlasma metanephrine level
Medicine
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16232 Medicine

A 35-year old male with a history of severe bronchial asthma for several months now complains of weight gain and the development of purple stretch marks. Physical examination shod BP – 149/95 mmHg. supraclavicular fullness. The skin was thinned out with areas of bruising. Neurological examination revealed deceased strength in the proximal muscles. Laboratory investigation showed reduced serum coisol and reduced plasma ACTH. An electrolyte workup in this patient will most likely reveal

AHyponatremia
BHypomagnesemia
CHypokalemia
DHypercalcemia
Medicine
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16234 Medicine

A 30 years old male patient presents with weakness of right upper and both lower limbs since 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed a Hb 12 gm, TLC – 12000 Cu mm. Platelets 4,30.000. ESR – 49 mm. Urine examination showed proteinuria and RBC -10-15/hpf with no casts. Which of the following is the most likely diagnosis?

APolyaeritis nodosa
BMixed cryoglobulinemia
CWegener's granulomatosis
DSystemic lupus erythematosus
Medicine
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