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Dr Marwah LIVE
A 50-year-old man presents with chronic diarrhea, weight loss, arthralgia and hyperpigmentation on extensor surfaces and flexural area. On examination, a systolic murmur is heard in the aortic area. Biopsy of small intestine is shown below. Which of the following statements are correct about this patient condition?
3 hours ago | [YT] | 9
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Dr Marwah LIVE
Fetal fibronectin test is primarily used for which of the following clinical purposes?
3 days ago | [YT] | 30
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Dr Marwah LIVE
A 34-year-old man with untreated HIV (CD4 count 45/µL) presents with headache, fever, nausea, vomiting, and confusion. On examination, there is neck stiffness and altered mental status. Lumbar puncture shows elevated opening pressure, low CSF glucose, and encapsulated diplococci on India ink staining. What is the most appropriate initial treatment?
4 days ago | [YT] | 37
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Dr Marwah LIVE
A 6-year-old child presents with recurrent respiratory infections, chronic diarrhea, failure to thrive, and nasal polyps. Sweat chloride is 70 meq/dL. Which of the following will not be seen in this condition?
5 days ago | [YT] | 30
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Dr Marwah LIVE
A 4-week-old infant presents with jaundice since birth, dark urine, and hepatomegaly. Laboratory evaluation reveals conjugated hyperbilirubinemia with markedly elevated AST and ALT. Ultrasonography shows a normal gallbladder. Which of the following histopathological findings is most likely in this child?
1 week ago | [YT] | 28
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Dr Marwah LIVE
A 28-year-old G2P1L1 woman at 39 weeks presents for induction of labour.
She had a previous LSCS. On examination: Bishop score = 3, No contractions with foetal heart rate normal. What is the best method for cervical ripening?
1 week ago | [YT] | 27
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Dr Marwah LIVE
50-year-old man with type 2 DM has FPG 220 mg/dl and 2-hour PG 200 mg/dl. Which explains elevated fasting glucose levels?
1 week ago | [YT] | 25
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Dr Marwah LIVE
A 34-year-old pregnant woman at 38 weeks gestation has opted for painless delivery. Ten minutes after epidural administration, while lying in left lateral position, she feels dizzy, light-headed, and nauseated while nurse is attaching CTG monitor. Her BP drops from 110/70 to 80/50 mmHg. The most likely cause is:
1 week ago | [YT] | 21
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Dr Marwah LIVE
A 15-year-old boy presents with progressive proximal muscle weakness for the last 5 years. He has difficulty rising from the floor and climbing stairs. His younger brother died suddenly at the age of 18 years. On examination, there is early contracture of the elbows and Achilles tendon, and limitation of neck flexion. Serum CK is elevated. ECG shows atrioventricular conduction defect. Which of the following is the most likely diagnosis?
1 week ago | [YT] | 24
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Dr Marwah LIVE
A 35-year-old female presents with bilateral ptosis and fatigue. On examination with flashlight both pupils are dilated. DTR and superficial reflexes are normal. Sensory and cerebellar examination is normal. Which of the following investigations should be done first in this case?
1 week ago | [YT] | 27
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