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16615 Medicine

A 62-year-old man reports early satiety, fatigue, and generally feeling unwell. On examination he has a large spleen, appears pale, and the rest of the examination is normal. His blood count is abnormal; the WBC is 50,000/mL with increased mature granulocytes, hemoglobin 9.5 g/dL, and platelets 450,000/mL. Which of the following cytogenetic changes is most characteristic of his condition?

Adeletion of chromosome 14
Breciprocal translocation of 9 and 22 (Philadelphia chromosome)
Ctranslocation of the renal artery stenosis (RAS) oncogene
Dtrisomy 21
Medicine
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16618 Medicine

A 23 year old asymptomatic woman attends her family physician for thyroid function testing as her mother has recently been commenced on levothyroxine. Thyroid functiontests (TFTs) show TSH 6miU/L, and free T4 of 12.4 pmoi/L (0.96 ng/dL). Her serum thyroid peroxidase antibodies are strongly positive. What is the most appropriate management plan?

ACheck thyroglobulin antibodies
BArrange a scintigraphy scan
CReassure and discharge
DRepeat TFT s in 4-6 months
Medicine
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16621 Medicine

A 52-year-old man was referred to the clinic due to increased abdominal girth. He is diagnosed with ascites by the presence of a fluid thrill and shifting dullness on percussion. After administering diuretic therapy, which nursing action would be most effective in ensuring safe care?

AMeasuring serum potassium for hyperkalemia
BAssessing the client for hypervolemia
CMeasuring the client’s weight weekly
DDocumenting precise intake and output
Medicine
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16623 Medicine

A 52-year-old man presents to the out-patient clinic complaining of episodes of severe unilateral, stabbing facial pain that is intermittent for several hours, and then disappears for several days. The pain is described as “electric shock-like” and only lasts a few seconds. Physical examination of the face and mouth is entirely normal. Which of the following treatments is most effective for this condition?

Amorphine
Bindomethacin
Ccimetidine
Dcarbamazepine
Medicine
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