Diagnosis of a Genetic Disorder

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Questions and Answers

What is the likely consequence of absent thymus shadow on a chest radiograph?

Impaired immune system function

Which of the following is a diagnostic tool used to identify biochemical abnormalities?

Blood tests

What is the typical location of the thymus gland?

Thoracic cavity

What is the primary function of the thymus gland?

<p>Maturing and developing immune cells</p> Signup and view all the answers

What is the significance of a biochemical abnormality in the context of the chest radiograph findings?

<p>It indicates a potential immune system dysfunction</p> Signup and view all the answers

What is the primary symptom of bacterial vaginosis?

<p>Copious watery vaginal discharge</p> Signup and view all the answers

What is the most likely diagnosis for a patient with a copious watery vaginal discharge?

<p>Bacterial vaginosis</p> Signup and view all the answers

What is the significance of malpresentation of a fetus?

<p>It can lead to complications during delivery</p> Signup and view all the answers

Which of the following is a risk factor for malpresentation of a fetus?

<p>All of the above</p> Signup and view all the answers

What is the management of malpresentation of a fetus during pregnancy?

<p>Close monitoring and possible cesarean section</p> Signup and view all the answers

What is the most likely underlying cause of the patient's cardiomegaly?

<p>Hemochromatosis</p> Signup and view all the answers

What is the significance of the S3 gallop in this patient?

<p>It is a sign of ventricular failure</p> Signup and view all the answers

What is the most likely explanation for the patient's spider angiomata?

<p>Estrogen excess</p> Signup and view all the answers

What is the most likely cause of the patient's increased skin pigmentation?

<p>Hemochromatosis</p> Signup and view all the answers

What is the significance of the patient's history of no alcohol consumption?

<p>It suggests that the patient's symptoms are due to a genetic condition</p> Signup and view all the answers

What is the primary concern in the initial management of this patient's ankle injury?

<p>Relieving pain and discomfort</p> Signup and view all the answers

What is the primary benefit of elevating the affected ankle?

<p>Reducing pain and inflammation</p> Signup and view all the answers

What is the recommended duration of ankle bracing without weight bearing?

<p>Three weeks</p> Signup and view all the answers

Why is referral to the nearest accident and emergency department not recommended?

<p>The patient's condition can be managed conservatively</p> Signup and view all the answers

What is the primary goal of the initial week of bed rest?

<p>Reducing pain and inflammation</p> Signup and view all the answers

What is a recognized feature of tender scrotal swelling in infancy?

<p>Teratoma</p> Signup and view all the answers

Which endocrine disorder is not associated with systemic hypertension?

<p>Hypopituitarism</p> Signup and view all the answers

What is not a cause of bradycardia?

<p>Severe anaemia</p> Signup and view all the answers

Which drug does not reduce gastric acid secretion?

<p>Aluminium hydroxide</p> Signup and view all the answers

In which condition is megaloblastic anemia not expected?

<p>Ancylostoma worms infestation</p> Signup and view all the answers

What is a characteristic finding of left-sided pneumothorax?

<p>Hyper-resonant percussion note on the left</p> Signup and view all the answers

What is a radiological sign of active rickets?

<p>Cupping</p> Signup and view all the answers

What is a common feature of tender scrotal swelling in infancy?

<p>Inguinal hernia</p> Signup and view all the answers

Which endocrine disorder is associated with systemic hypertension?

<p>Conn's syndrome</p> Signup and view all the answers

What is a cause of bradycardia?

<p>Hypothermia</p> Signup and view all the answers

Study Notes

Diagnostics

  • Biochemical abnormality and absent thymus shadow on chest radiograph are indicative of a specific condition
  • Copious watery vaginal discharge is a symptom of an underlying condition

Pediatrics

  • Teratoma is a recognized feature of tender scrotal swelling in infancy

Endocrinology

  • Conn's syndrome, hyperparathyroidism, acromegaly, and Cushing's syndrome are endocrine disorders associated with systemic hypertension
  • Hypopituitarism is not associated with systemic hypertension

Cardiology

  • Cardiomegaly and S3 gallop are symptoms of a cardiac condition
  • Bradycardia can be caused by hypothermia, hypothyroidism, subdural hematoma, and shock
  • Severe anemia is not a cause of bradycardia

Gastroenterology

  • Aluminium hydroxide, omeprazole, cimetidine, and misoprostol reduce gastric acid secretion

Hematology

  • Megaloblastic anemia can be expected in patients with ileocaecal tuberculosis, gastrectomy, Crohn's disease, and ancylostoma worms infestation, but not in those with hypothyroidism

Respiratory Medicine

  • Hyper-resonant percussion note on the left is a finding in left-sided pneumothorax

Musculoskeletal Medicine

  • Cupping and demineralization of the shafts are radiological signs of active rickets

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