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138854 Pediatrics

A 15-year-old female presented to the emergency depament with history of recurrent epistaxis, hematuria and hematochezia. There was a history of profuse bleeding from the umbilical stump at bih. Previous investigations revealed normal prothrombin time, activated paial thromboplastin time, thrombin time and fibrinogen levels. Her platelet counts as well as platelet function tests were normal but urea clot lysis test was positive. Which one of the following clotting factor is most likely to be deficient?

AFactor X
BFactor XI
CFactor XI1
DFactor Xlll
Pediatrics
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138856 Radiology

A 34-year-old woman is admitted with a history of fever, chills, and greenish sputum for 10 days. She has history of ETOH and substance abuse. On physical examination, vital signs are: pulse 113 bpm; temperature 101degF; respirations 25/min; blood pressure 110/78 mm Hg. She looks ill and has crackles with egophony and E to A changes in the right upper lung field. Laboratory data: Hb 12 g/dL; Hct 37%; WBCs 15.0/uL; differential BUN 48 mg/dL; creatinine 1.7 mg/dL. Chest radiographs are shown below.What is the most likely diagnosis?

AKlebsiella pneumonia
BLoculated empyema
CPostobstructive pneumonia
DTuberculosis
Radiology
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138861 Medicine

A sprightly 82 year old woman with a past history of a small hiatus hernia is recently diagnosed with osteoporosis and started on appropriate treatment. Three months later she complains to her family physician during a routine visit of progressive dysphagia to solids, especially to meat. The family physician notes that she has lost 3 kg in weight although she retains a good appetite. She has no other symptoms and clinical examination is otherwise unremarkable. What is the most likely explanation?

AShe has an early oesophageal cancer
BShe has developed eosinophilic oesophagitis, a common condition at that age
CShe was started on bisphosphonates for the osteoporosis
DShe has developed the Plummer-Vinson syndrome
Medicine
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