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16255 Medicine

A 45 year old male known case of diabetes presents with nausea , multiple episodes of vomiting and abdominal pain.He is stuporous , having blood glucoselevel of 402 mg% and on urine examination Ketone bodies are detected.He is having tachycardina along with ohostatic hypotension. On lab investigation,his potassium levels are 3 meq/L.The next best step in the management will be:

AManage hypokalemia-Repeat serum K+ levels- IV fluids and sta IV regular insulin
BIV fluids-give IV regular insulin and lastly manage hypokalemia
CGive IV regular insulin along with K+ - IV fluids after the K+ level is normal
DIV fluids - give Lente insulin and side by side manage hypokalemia
Medicine
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16262 Medicine

A 25 year old young woman has recurrent episodes of headache and sweating. Her mother had renal calculi and died after having a neck mass. The physical exaination reveals a thyroid nodule but no clinical sign of thyrotoxicosis. Before performig thyroid surgery, the surgeon should order :

AMesurement of thyroid hormones.
BSerial determinations of serum calcium, phosphorus protein and alkaline phosphatase.
C24-hours urine test for 5 hydroxyindoleacetic acid excretion.
DSerial 24 hours test for catecholamines, metanephrines and vanillylamandelic acid excertion.
Medicine
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