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190 Unknown

A 65-year-old male presented to the OPD with progressive dyspnea on exeion for 3 months. Patient records told that he had an episode of necrotizing pancreatitis along with ARDS in the past for which he was mechanically ventilated for a long time. Patient is a chronic smoker. On examination, low pitched inspiratory and expiratory wheeze is heard over mid-chest area. PFTs revealed, FEV1 is 78% of predicted. FEV1/FVC ratio is 60%. Flow volume curve is given. What is the most likely diagnosis in the above case: –

ACOPD
BSubglottic stenosis
CIdiopathic pulmonary fibrosis
DUnilateral vocal cord paralysis
Unknown
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191 Unknown

A 28-year-old woman complains of chest pain for 1.5 months. Three months prior to the current visit, she developed cough with expectoration, worse in the early morning. There was no shoness of breath or hemoptysis About 2 months after the onset of the cough, she began to have intermittent pleuritic (worse with coughing or deep breathing) left sided chest pain, increasing fatigue and weight loss of 3kgs but no loss of appetite. On auscultation: fine crackles in the suprascapular areas bilaterally were present(L>>R). The left upper lobe was dull to percussion. All are contents of the classic medium used for the above disease except: –

AEgg suspension
BMalachite green
CGlycerol
DL-glutamine
Unknown
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197 Unknown

Undertakers fracture-

ATraumatic spondylolisthesis of C1 over C2
BSpondylolisthesis of the lower cervical spine with tearing of C6 C7 intervertebral disc
CBurst fracture of C3
DSpinous process fractures of lower cervical vertebrae
Unknown
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