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169066 Psychiatry

A 31 – year – old male, with mood disorder, on 30 mg of haloperidol and 100 mg of lithium, is brought to the hospital emergency room with history of acute onset of fever, excessive sweating, confusion, rigidity of limbs and decreased communication for a day. Examination reveals tachycardia and labile blood pressure and investigations reveal increased CPK enzyme levels and leukocytosis. He is likely to have developed:

ALithium toxicity
BTardive dyskinesia
CNeuroleptic malignant syndrome
DHypeensive encephalopathy
Psychiatry
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169072 Medicine

A 18-year-old man notices occasional lightheadedness when standing up quickly. He also has difficulty playing sports because of easy fatigue and SOB. Examination shows normal heart sounds, but a loud systolic ejection murmur at the right sternal border. The murmur decreases with elevating the legs and increases in the standing position. Your clinical diagnosis is hypertrophic cardiomyopathy (HOCM).For the above patients, select the characteristic arterial pulse finding.

Apulsus tardus
Bpulsus paradoxus
Chyperkinetic pulse
Dbisferiens pulse
Medicine
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