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16726 Medicine

A 70-year-old patient with long-standing type 2 diabetes mellitus presents with complaints of pain in the left, ear with purulent drainage. On physical examination, the patient is afebrile. The pinna of the left ear is tender, and the external auditory canal is swollen and edematous. The white blood cell count is normal. Which of the following organisms is most likely to grow from the purulent drainage?

APseudomonas aeruginosa
BStreptococcus pneumoniae
CCandida albicans
DHaemophilus influenzae
Medicine
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16729 Medicine

A 78 year old male is admitted with chest pain. His ECG shows widespread ST depression in all leads except aVR which shows ST elevation. Whilst in ER, he passes melaena and on fuher questioning, gave history of altered bowel habit, weight loss and dark stools for 2-3 months. O/E he is pale, pulse rate is 115 bpm and BP is 80/50 mmHg. Blood tests demonstrate a hemoglobin of 3.6g/l and a high-sensitivity troponin of 140ng/l. What is the best initial management?

AAggressive treatment with dual antiplatelets
BPacked RBC transfusion
CNitrates to relieve ischemia
DBeta blocker to slow hea rate and reduce ischaemia
Medicine
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