Gastrointestinal Disorders Quiz
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Questions and Answers

What is the recommended range for INR maintenance in a patient taking warfarin after mitral valve prosthetics?

  • less than 1.0
  • up to 2.0
  • 3.0-3.5 (correct)
  • 2.0-2.5
  • Which medication is most likely responsible for causing potassium levels to rise to 6.4 mmol/l in a patient undergoing treatment for hypertension and heart disease?

  • cardiac 10 mg
  • Prestan 10/10 mg
  • hypothiazide 12.5 mg / day
  • veroshpiron 100 mg / day (correct)
  • Given the symptoms of tightening in the heart and a rapid heart rate with a specific ECG pattern, what is the most likely rhythm disturbance present?

  • Ventricular extrasystole
  • Paroxysmal tachycardia (correct)
  • Atrial extrasystole
  • Sinus arrhythmia
  • For a 60-year-old patient with hypertension and ischemic heart disease experiencing shortness of breath and palpitations, which treatment is most indicated?

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

    In a 57-year-old man with severe shortness of breath and complete dissociation between P-waves and QRS complexes, what is the most suitable treatment tactic?

    <p>Implantation of the pacemaker</p> Signup and view all the answers

    Which organism is most likely to be associated with urinary tract infections?

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

    What would be considered a dangerous level for INR that should be avoided in patients on warfarin therapy?

    <p>more than 5.0</p> Signup and view all the answers

    What class of medication is useful for treating hypertension and preventing arrhythmias in patients with a history of heart disease?

    <p>β-blockers</p> Signup and view all the answers

    What is the most likely diagnosis for a patient with dull pains in the right lumbar region, painful urination, and cloudy urine after being sick for about a year?

    <p>Acute pyelonephritis</p> Signup and view all the answers

    Which laboratory finding is most specific for nephrolithiasis?

    <p>Specific gravity 1028</p> Signup and view all the answers

    In a patient with hypertension, general weakness, and proteinuria, which condition is most likely based on the presented symptoms?

    <p>Exacerbation of chronic glomerulonephritis</p> Signup and view all the answers

    Which drug is recommended for anti-relapse treatment?

    <p>Antibacterial drugs, changing every month</p> Signup and view all the answers

    What finding in urine analysis is characteristic of acute pyelonephritis?

    <p>Bacteria +++</p> Signup and view all the answers

    What is the most likely route of infection into the kidneys?

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

    Which syndrome is likely to be the leading diagnosis in Patient M. based on the presented symptoms?

    <p>Arterial hypertension</p> Signup and view all the answers

    For which condition is the development of nephrotic syndrome most characteristic?

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

    What is the primary indicator found in a patient with severe airflow limitation during spirography?

    <p>FEV1 / FVC &lt; 70%</p> Signup and view all the answers

    Which immunological indicator is specific for differentiating lupus nephritis?

    <p>Detection of antibodies to DNA</p> Signup and view all the answers

    What complication is most commonly associated with urolithiasis?

    <p>Urinary tract infection</p> Signup and view all the answers

    Which symptom is evaluated in the COPD assessment test?

    <p>The patient's assessment of the amount of sputum</p> Signup and view all the answers

    Based on the symptoms presented, what is the most likely preliminary diagnosis for the 35-year-old female patient?

    <p>Community-acquired pneumonia</p> Signup and view all the answers

    What is the most probable cause of the urinary tract condition in the 18-year-old man?

    <p>Vesicoureteral reflux</p> Signup and view all the answers

    What is the most likely pathogen causing pneumonia in a patient taking methotrexate after a viral infection?

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

    Which of the following blood pressure readings indicates hypertension in Patient M.?

    <p>190/120 mm Hg</p> Signup and view all the answers

    Which laboratory finding is indicative of nephrotic syndrome in the urine analysis?

    <p>Protein - 0.99 g/l</p> Signup and view all the answers

    Which condition is most directly associated with bronchial obstruction?

    <p>Bronchial asthma</p> Signup and view all the answers

    In a patient with a history of bronchial asthma, which factor is crucial for managing respiratory failure of grade III?

    <p>Oxygen supplementation</p> Signup and view all the answers

    Which symptom is most commonly associated with acute bronchitis?

    <p>Cough with expectoration</p> Signup and view all the answers

    Which condition can lead to symptoms of dyspnea, cough with scant sputum, and a fear of deterioration?

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

    What is the most appropriate diagnosis for a 45-year-old man presenting with weakness, pallor, and specific blood findings indicating leukemia?

    <p>Chronic myelogenous leukemia</p> Signup and view all the answers

    A 53-year-old man presents with splenomegaly and an abnormal blood profile. What is the most likely diagnosis?

    <p>Chronic myeloid leukemia</p> Signup and view all the answers

    What preliminary diagnosis is most likely for a 65-year-old patient with lymphadenopathy and leukocytosis with absolute lymphocytosis?

    <p>Chronic lymphocytic leukemia</p> Signup and view all the answers

    What type of anemia is characterized by hyperchromia and megaloblastic type of hematopoiesis?

    <p>B12-scarce</p> Signup and view all the answers

    In a patient with hypoplastic anemia, what is the most typical finding on a myelogram?

    <p>Bone marrow devastation</p> Signup and view all the answers

    A 55-year-old woman with leukocytosis and lymphocytosis in her hemogram. What disease do these changes most commonly indicate?

    <p>Chronic lymphocytic leukemia</p> Signup and view all the answers

    What is the most characteristic feature of acute myeloblastic leukemia in the context of a 45-year-old patient?

    <p>Presence of leukemia myeloblasts</p> Signup and view all the answers

    In what condition would you expect to see both lymphocyte infiltration and a negative Heddelson reaction?

    <p>Chronic lymphatic leukemia</p> Signup and view all the answers

    Which type of atrioventricular block is characterized by progressively longer PR intervals until a QRS complex is dropped?

    <p>Atrioventricular block of II degree Mobitz 1</p> Signup and view all the answers

    What is the most probable cause of tachyarrhythmia followed by bradycardia in a 75-year-old patient with coronary artery disease?

    <p>Weaknesses of the sinus node</p> Signup and view all the answers

    In a patient with a heart rate of 130 beats per minute, fusing T waves with R waves, which arrhythmia is likely observed?

    <p>Sinus tachycardia</p> Signup and view all the answers

    What type of arrhythmia could be reversed by carotid sinus massage, leading to palpitations of 160 beats per minute?

    <p>Paroxysmal supraventricular tachycardia</p> Signup and view all the answers

    Which type of block is indicated by a broadened QRS complex exceeding 0.12 seconds in patients with deformed complexes in leads V1-V2?

    <p>Complete block of the right bundle branch</p> Signup and view all the answers

    What condition corresponds with symptoms such as palpitations and increased heart boundaries in a 25-year-old patient with CRHD?

    <p>Chronic heart failure</p> Signup and view all the answers

    What is the main characteristic feature on the ECG that suggests a complete block of the left bundle branch?

    <p>QRS widening more than 0.12s</p> Signup and view all the answers

    In a patient with angina and symptoms of heart problems, what clinical feature might suggest a malfunctioning sinus node?

    <p>Intermittent tachycardia with bradycardia</p> Signup and view all the answers

    Study Notes

    PRASHNA 1

    • Gastroesophageal Reflux Disease (GERD): The main symptom is heartburn.
    • Chronic Gastritis: Common causes include Helicobacter pylori.
    • Cholestasis Syndrome: Characteristic lab finding: increased alkaline phosphatase.

    PRASHNA 2

    • Chronic Gastritis: Common causes include Yersinia, Chlamydia, Streptococcus, Staphylococci, Helicobacteria.

    PRASHNA 3

    • Cholestasis Syndrome: Laboratory changes characteristic of cholestasis syndrome include increased alkaline phosphatase.

    PRASHNA 4

    • Gallbladder Inflammation (Cholecystitis): Leading factors in acute or chronic inflammation include stagnation of bile, chronic hepatitis, chronic pancreatitis and high fat diet.

    PRASHNA 1 (page 2)

    • Possible Diagnosis: IHD, progressive angina, Gastroesophageal reflux disease (GERD), Helicobacter pylori-associated chronic gastritis, Peptic ulcer disease of duodenum.

    PRASHNA 2 (page 2)

    • Possible Diagnosis: Chronic autoimmune gastritis

    PRASHNA 3 (page 2)

    • Possible Diagnosis: Chronic autoimmune gastritis

    PRASHNA 4 (page 2)

    • Possible Diagnosis: Stomach ulcer

    PRASHNA 5 (page 3)

    • Possible Diagnosis: Chronic gastritis, Chronic pancreatitis, Chronic cholecystitis, Biliary dyskinesia, Gastroesophageal reflux disease (GERD).

    PRASHNA 6 (page 3)

    • Possible Diagnosis: Gastroesophageal reflux disease (GERD).

    PRASHNA 7 (page 3)

    • Diagnosis of Exception: Irritable Bowel Syndrome

    PRASHNA 8 (page 3)

    • Clinical Syndrome: Sideropenic

    PRASHNA 9 (page 4)

    • Constipation-causing Medications: Some antibiotics, iron preparations, preparations of bile acids and magnesium sulfate.

    PRASHNA 10 (page 4)

    • Irigoscopy Contraindications: Conditions like anal pain, acute anal fissures, stool disorders (constipation, diarrhea) or suspected rectal/sigmoid colon disease.

    PRASHNA 11 (page 4)

    • Irritable Bowel Syndrome Symptoms: Possible symptoms include abdominal pain, bloating, feeling of incomplete defecation, etc.

    PRASHNA 12 (page 4)

    • Differential Diagnosis of IBS and Chronic Pancreatitis: Important factors include steatorrhea, creatorrhea, amylorrhea, positive fecal occult blood test.

    PRASHNA 13 (page 4)

    • Functional Diarrhea Symptoms: Common findings in this condition include anemia, leucocyturia (leukocytes in urine) and elevation of transaminases.

    PRASHNA 14 (page 5)

    • Functional Diarrhea Frequency: Defecation frequency is often more than 5 times a day, sometimes more than 10 or 15 times.

    PRASHNA 15 (page 5)

    • Optimal IBS Constipation Treatment in Elderly: Smecta, Dufalac and Magnesia sulfate are some of the drugs that may be considered in this context.

    PRASHNA 16 (page 5)

    • Differential Diagnosis of IBS and Hemorrhoidal Dilation: Significant criterion is presence of blood in the stool at the end of defecation.

    PRASHNA 17 (page 5)

    • Possible Diagnosis: Chronic pancreatitis

    PRASHNA 18 (page 6)

    • Possible Diagnosis: Chronic cholangitis, exacerbation

    PRASHNA 19 (page 6)

    • Diagnostic Method: Ultrasound of the liver and gallbladder is a crucial method for confirming the diagnosis.

    PRASHNA 20 (page 6)

    • Possible Diagnosis: Chronic calculous cholecystitis

    PRASHNA 21 (page 7)

    • Possible Diagnosis: Chronic cholecystitis

    PRASHNA 22 (page 7)

    • Clinical Syndrome to focus on: Treatment would be directed towards Intestinal dyspepsia.

    PRASHNA 23 (page 7)

    • Likely Cause of Heartburn in Pregnancy: Increased intra-abdominal pressure.

    PRASHNA 24 (page 8)

    • Required Study: Esophagogastroduodenoscopy (EGD) for diagnosis.

    PRASHNA 25 (page 8)

    • Most likely diagnosis: Gastroesophageal reflux disease (GERD).

    PRASHNA 26 (page 8)

    • Suspected Ulcer Factor: Medication may be a factor associated with peptic ulcer development. Autoimmune factors also need to be considered.

    PRASHNA 27 (page 8)

    • Diagnosis: Gastroesophageal reflux disease (GERD) is the most likely diagnosis.

    PRASHNA 28 (page 9)

    • Diagnosis: Stomach ulcer.
    • Infectious Agent: Helicobacter Pylori

    PRASHNA 29 (page 9)

    • Diagnostic Procedure: EGD with targeted biopsy for H. pylori infection

    PRASHNA 30 (page 9)

    • Treatment: Eradication therapy for Helicobacter Pylori infection.

    PRASHNA 31 (page 9)

    • Peptic Ulcer Complication: Bleeding is the most likely complication described.

    PRASHNA 32 (page 10)

    • Likely Diagnosis: Irritable Bowel Syndrome

    PRASHNA 33 (page 11)

    • Likely Diagnosis: Secondary biliary cirrhosis
    • Increased Liver Enzymes: The key finding indicating possible complications after cholecystectomy

    PRASHNA 34 (page 11)

    • Likely Diagnosis: Chronic cholestatic hepatitis.

    PRASHNA 35 (page 12)

    • Diagnosis: Iron deficiency anemia

    PRASHNA 36 (page 12)

    • Cause of Iron Deficiency Anemia: Common causes include blood loss (hemorrhoids, helminthic invasion, or other causes of blood loss), various factors including smoking.

    PRASHNA 37 (page 12)

    • Syndrome Criteria: Sideropenic syndrome is characterised by the triad of dry skin, brittle nails and hair loss.

    PRASHNA 38 (page 12)

    • Possible Anemia Diagnosis: Based on the hemogram, iron deficiency anemia is most likely.

    PRASHNA 39 (page 13)

    • Likely Diagnosis: B12 deficiency anemia is most likely and also other types of anemia.

    PRASHNA 40 (page 13)

    • Diagnostic Method: Blood tests, including serum iron levels, are important for establishing the diagnosis in this case.

    PRASHNA 41 (page 13)

    • Proper Treatment: Intravenous administration of vitamin B12 is usually the route of administration for this type of treatment.

    PRASHNA 42 (page 14)

    • Possible Diagnosis: Chronic myeloid leukemia.

    PRASHNA 43 (page 14)

    • Likely Diagnosis: Chronic lymphocytic leukemia

    PRASHNA 44 (page 15)

    • Anemia Type: B12-deficiency anemia

    PRASHNA 45 (page 15)

    • Myelogram Pattern for Hypoplastic Anemia: The typical myelogram shows bone marrow hypocellularity; decreased cellularity.

    PRASHNA 46 (page 15)

    • Possible Diagnosis: Acute leukemia.

    PRASHNA 47 (page 15)

    • Possible Diagnosis: Acute lymphatic leukemia

    PRASHNA 48 (page 16)

    • Nail Change Associated Anemia: Iron deficiency anemia is a possible cause

    PRASHNA 1 (page 16)

    • Likely Diagnosis: Acute lymphoblastic leukemia.
    • Immunological Markers: Positive expression for CD10, and CD19 markers, and negative for clg, and slg.

    PRASHNA 2 (page 16)

    • Drug Indication: This applies to both acute myeloid and acute lymphocytic leukemia.

    PRASHNA 3 (page 16)

    • Likely Diagnosis: Iron deficiency anemia

    PRASHNA 4 (page 17)

    • Most likely diagnosis: Atherosclerosis of the coronary arteries.

    PRASHNA 5 (page 17)

    • Treatment for IDA in Women: Iron preparations for 6 weeks.

    PRASHNA 6 (page 17)

    • Treatment for Acute Leukemia: Removing the cancer cells; usually, an approach to chemotherapy for remission with potential allogeneic bone marrow therapy is used for long-term survival.

    PRASHNA 7 (page 17)

    • Diagnosis: B12-deficiency anemia

    PRASHNA 8 (page 18)

    • Possible Diagnosis: Acute leukemia.

    PRASHNA 9 (page 18)

    • Diagnostic Method: Blood tests and bone marrow aspiration

    PRASHNA 10 (page 18)

    • Most Likely Diagnosis: Anemia.

    PRASHNA 11 (page 19)

    • Drug for Pregnant Woman with Anemia: Ferrous Sulfate preparations for pregnant women are safe for both the patient and the developing fetus.

    PRASHNA 1 (page 20)

    • Biomarker for Atherosclerosis: High triglycerides.

    PRASHNA 2 (page 20)

    • Angina Pain Quality: Crushing or squeezing chest pain.

    PRASHNA 3 (page 20)

    • Classic Angina Pain Radiation: Left arm is the most common area.

    PRASHNA 4 (page 20)

    • Diagnosis: Angina.

    PRASHNA 5 (page 20)

    • Disease which increases likelihood of Coronary Artery Disease: Hypothyroidism.

    PRASHNA 6 (page 20)

    • Disease often associated with Dyslipidemia: Hypothyroidism

    PRASHNA 7 (page 20)

    • Indicator of Resorption-Necrosis Sybdrome: Hypercoagulation.

    PRASHNA 8 (page 21)

    • Myocardial Infarction Cause: Atherosclerosis of the coronary arteries or blockage of the coronary arteries.

    PRASHNA 9 (page 21)

    • Diagnosis: Stable Angina Pectoris.

    PRASHNA 10 (page 21)

    • ECG Change in Coronary Artery Disease: ST segment depression in multiple leads.

    PRASHNA 11 (page 22)

    • Risk Factor for IHD: Smoking is a significant risk factor.

    PRASHNA 12 (page 22)

    • ECG finding in acute myocardial infarction: Q-wave and ST segment elevation.

    PRASHNA 13 (page 22)

    • Diagnosis: Angina pectoris of exertion or stable angina.

    PRASHNA 14 (page 22)

    • ECG Changes Unfavorable to Coronary Artery Disease: ST segment depression in several leads is an ECG finding that's not an optimal sign.

    PRASHNA 15 (page 23)

    • Unfavorable ECG Change: P wave broadening is associated with poorer prognosis.

    PRASHNA 16 (page 23)

    • Likely Diagnosis: Coronary artery disease.

    PRASHNA 17 (page 23)

    • Likely Diagnosis: Possible causes of chest pain include myocardial infarction and also angina pectoris

    PRASHNA 18 (page 24)

    Likely Diagnosis: Angina Pectoris

    PRASHNA 19 (page 24)

    • Likely Diagnosis: Myocardial infarction

    PRASHNA 20(page 25)

    • Likely Diagnosis: Atrial fibrillation is evident

    PRASHNA 21 (page 25)

    • Rhythm Disruption: Paroxysmal supraventricular tachycardia

    PRASHNA 22 (page 25)

    • ECG Interpretation: Sinus bradycardia is suspected.

    PRASHNA 23 (page 26)

    • ECG finding: Atrial fibrillation.

    PRASHNA 24 (page 26)

    • ECG finding: Atrioventricular block of degree III

    PRASHNA 25 (page 26)

    • ECG finding: Atrioventricular block of degree II Mobitz type 1

    PRASHNA 26 (page 27)

    • ECG finding: Atrioventricular block of degree II Mobitz type 1

    PRASHNA 27 (page 27)

    • ECG finding: Incomplete right bundle branch block

    PRASHNA 28 (page 27)

    • Likely Diagnosis: Atrial flutter, or atrial fibrillation

    PRASHNA 29 (page 28)

    • Likely Diagnosis: Possible causes of chest pain, include myocardial infarction and also angina pectoris

    PRASHNA 30 (page 28)

    • Arrhythmia: Atrial fibrillation.

    PRASHNA 31 (page 28)

    • Complication: Arrhythmic shock.

    PRASHNA 32 (page 28)

    • Likely heart failure stage: Stage II-B

    PRASHNA 1 (page 29)

    • Likely Diagnosis: There is a possible need for spirometry to analyze lung function.

    PRASHNA 2 (page 29)

    • Valvular Defect: Aortic insufficiency.

    PRASHNA 3 (page 29)

    • Likely Diagnosis: Angina Pectoris.

    PRASHNA 4 (page 29)

    • ECG Finding in Exercise Testing: Single ventricular extrasystoles are a potential concern in this context.

    PRASHNA 5 (page 29)

    PRASHNA 6 (page 30)

    • Risk Factor: Smoking.

    PRASHNA 7 (page 30)

    • Physiological change in Resorption-Necrosis syndrome: Hypercoagulation.

    PRASHNA 8 (page 30)

    • Likely Diagnosis: Angina.

    PRASHNA 9 (page 31)

    • Hypotensive Drug Classification: Beta-blockers.

    PRASHNA 10 (page 31)

    • Contraindicated Drug: Beta-blockers are contra-indicated in some situations relating to COPD.

    PRASHNA 11 (page 31)

    • MOST Appropriate Drug: ACE inhibitors are a preferred drug in certain contexts to treat hypertension in pregnancy

    PRASHNA 12 (page 32)

    • Treatment: Diuretics

    PRASHNA 13 (page 32)

    • Likely Diagnosis: Hypertension

    PRASHNA 14 (page 32)

    • Likely Diagnosis: Atrial fibrillation.

    PRASHNA 15 (page 32)

    • Likely Diagnosis: Atrial flutter

    PRASHNA 16 (page 33)

    • Drug Group: Diuretics.

    PRASHNA 17 (page 33)

    • Treatment: ACE inhibitors are the most appropriate choice.

    PRASHNA 18 (page 33)

    • Likely Diagnosis: Secondary Biliary Cirrhosis.

    PRASHNA 19 (page 34)

    • Likely Recommendation: L-Thyroxine.

    PRASHNA 20 (page 34)

    • Likely Drug Group: Beta-blockers.

    PRASHNA 21 (page 34)

    • Likely Therapy: Discontinuing the medication is the correct strategy.

    PRASHNA 22 (page 34)

    • Likely Diagnosis: Hypothyroidism

    PRASHNA 1 (page 35)

    • Diagnosis method: Electrocardiogram or EKG testing

    PRASHNA 2 (page 35)

    • Diagnosis: Possible causes of chest pain include myocardial infarction and also angina pectoris

    PRASHNA 3 (page 35)

    • Diagnosis: Angina Pectoris

    PRASHNA 4 (page 36)

    • ECG finding in exercise testing: Single ventricular extrasystoles

    PRASHNA 1 (page 38)

    • Diagnosis: Most likely cause is Complete heart block or complete atrioventricular block.

    PRASHNA 2 (page 38)

    • Urine Infection Agent: Klebsiella is most likely.

    PRASHNA 3 (page 38)

    • Kidney Infection Route: Urinogenic is the most common route of kidney infection.

    PRASHNA 4 (page 39)

    • Clinical Syndrome: Acute renal failure.

    PRASHNA 5 (page 39)

    • Possible complication associated with kidney stones: Urinary tract infection.

    PRASHNA 6 (page 40)

    • Cause of Vesicouretral reflux: Chronic pyelonephritis could often cause this.

    PRASHNA 7 (page 40)

    • Nephrotic Syndrome Presentation: Nephrotic syndrome is primarily characterized by edema, proteinuria, and hematuria.

    PRASHNA 8 (page 40)

    • Edematous Syndrome Mechanism: The main mechanism in this context relates to reduction in oncotic pressure.

    PRASHNA 9 (page 40)

    • Urinary Tract Infection Syndrome: Dysuric syndrome could be the best answer.

    PRASHNA 10 (page 41)

    • Likely Diagnosis: Acute glomerulonephritis.

    PRASHNA 11 (page 41)

    • Diagnostic Method: Urine culture.

    PRASHNA 12 (page 41)

    • GFR for CKD Stage 3B: 30-44 ml/min is the characteristic GFR level.

    PRASHNA 13 (page 41)

    • Neophrotic Syndrome Symptom for Adolescents: Severe swelling, pallor, and hypoalbuminemia are characteristic for adolescents suffering from nephrotic syndrome.

    PRASHNA 1 (page 42)

    • Possible Cause of Symptoms: The most likely problem is acute glomerulonehpritis.

    PRASHNA 2 (page 42)

    • Typical Disease: Chronic glomerulonephritis is mostly possible.

    PRASHNA 3 (page 42)

    • Urine Analysis Findings: The most likely diagnosis is acute pyelonephritis

    PRASHNA 4 (page 42)

    • Antibacterial Treatment: Gentamicin

    PRASHNA 5 (page 42)

    • Anti-relapse Drugs: In this context, there isn't one particular drug that is most common in regards to anti-relapse for urinary tract infections.

    PRASHNA 6 (page 43)

    • Follow-up Appointment Frequency for Nephrotic Syndrome: 1 year.

    PRASHNA 7 (page 43)

    • Anemia in CKD: Hyporegenerative anemia is most common in Chronic kidney disease.

    PRASHNA 8 (page 43)

    • Dispensary Observation Period after Pregnancy: 1 year, 2 years, 3 years, 5 years are all possible.

    PRASHNA 9 (page 43)

    • Treatment: Antibacterial therapy could be the most appropriate choice in this situation.

    PRASHNA 10 (page 44)

    • Diagnosis: Acute pyelonephritis

    PRASHNA 11 (page 44)

    • Urine Analysis: Acute pyelonephritis could be the most appropriate answer.

    PRASHNA 12 (page 44)

    • Likely Diagnosis: Chronic glomerulonephritis, nephrotic form of exacerbation stage IV is a strong possibility in this case.

    PRASHNA 1 (page 45)

    • Airway Obstruction Confirmation: Spirography

    PRASHNA 2 (page 45)

    • Selective B2 Adrenergic Stimulants: Fenoterol, is a selective B2-adrenergic stimulant

    PRASHNA 3 (page 45)

    • Side Effects of Inhaled Glucocorticosteroids: Oral candidiasis

    PRASHNA 4 (page 45)

    • Airflow Rate Device: Peak flow meter.

    PRASHNA 1 (page 46)

    • Uncontrolled Asthma Symptoms: Continued daytime symptoms are a potential issue.

    PRASHNA 2 (page 46)

    • COPD Classification: The degree of obstruction and the number of exacerbations are needed to correctly classify COPD.

    PRASHNA 3 (page 46)

    • COPD Classification: Again, the degree of obstruction and the number of exacerbations are vital for the correct COPD classification.

    PRASHNA 4 (page 47)

    • COPD Classification: The classification will depend on the degree of obstruction and the number of exacerbations.

    PRASHNA 5 (page 47)

    • Diagnostic Criteria: FEV1/FVC ratio.

    PRASHNA 6 (page 47)

    • Useful Investigation Method: Spirometry.

    PRASHNA 7 (page 47)

    • Bronchial Obstruction Cause: Bronchial mucosa edema.

    PRASHNA 8 (page 47)

    PRASHNA 9 (page 48)

    • Diagnosis criteria: Obstruction and exacerbations are essential components in diagnosis.

    PRASHNA 10 (page 48)

    • Criteria for COPD: The number of hospitalisations needed is a relevant factor in this context.

    PRASHNA 11 (page 48)

    • Diagnosis: Community-acquired pneumonia

    PRASHNA 12 (page 49)

    • Complication: Severe acute respiratory virus infection.

    PRASHNA 13 (page 49)

    • Syndrome Cause: Bronchial asthma, or maybe Community-acquired pneumonia.

    PRASHNA 14 (page 49)

    • Treatment for Respiratory Failure Grade III: Oxygen therapy, and/or specific drugs are essential.

    PRASHNA 15 (page 49)

    • FEV1 value: FEV1 value below 30%

    PRASHNA 16 (page 49)

    • COPD assessment information: Frequency of exacerbations over the past year is relevant.

    PRASHNA 17 (page 50)

    • Pathophysiological Symptom: Often, crepitations are associated with inflammation (or other processes).

    PRASHNA 18 (page 50)

    • Symptom Cause: Lobar pneumonia is the most likely diagnosis.

    PRASHNA 19 (page 50)

    • Most dangerous complication of community-acquired pneumonia: Infectious-toxic shock is life-threatening.

    PRASHNA 20 (page 50)

    • Treatment for atypical pneumonia: Antibiotics are important.

    PRASHNA 1 (page 51)

    • Purpose of Short-acting Beta-2 Agonists for Asthma: Relieving attacks and acute bronchoconstriction.

    PRASHNA 2 (page 51)

    • Asthma Treatment: A combination of inhaled corticosteroid and long-acting beta-2-agonist is needed, along with other factors.

    PRASHNA 3 (page 51)

    • Basic COPD Therapy: Inhaled corticosteroids and long-acting bronchodilators are often used.

    PRASHNA 4 (page 51)

    • Basic COPD Therapy: Inhaled corticosteroid/long-acting beta-agonist combination therapy.

    PRASHNA 5 (page 51)

    • Diagnosis: Chronic Obstructive Pulmonary Disease (COPD)

    PRASHNA 6 (page 52)

    • Diagnosis: Likely a chronic respiratory disease such as bronchitis or bronchiolitis

    PRASHNA 7 (page 52)

    • Treatment: Inhaled corticosteroids and long-acting beta-2-agonists.

    PRASHNA 8 (page 52)

    • Diagnosis: Acute Bronchitis or bronchial obstruction

    PRASHNA 9 (page 53)

    • Infectious Agent: Pneumococcus is a likely cause.

    PRASHNA 10 (page 53)

    • Diagnosis: Bronchial asthma.

    PRASHNA 11 (page 53)

    • Infectious Agent: Pseudomonas aeruginosa is a significant concern.

    PRASHNA 12 (page 53)

    • Diagnosis: Bronchial asthma

    PRASHNA 13 (page 54)

    • Drug Choice: Inhaled glucocorticosteroids are often recommended, and in some cases a combination therapy is needed.

    PRASHNA 14 (page 54)

    • Treatment: Inhaled glucocorticosteroids are often recommended.

    PRASHNA 15 (page 54)

    • Diagnosis: Status asthmaticus - severity of bronchial obstruction.

    PRASHNA 16 (page 55)

    • Diagnostic Method: Pulmonary function tests such as spirometry are most informative.

    PRASHNA 17 (page 55)

    • Treatment: Inhaled corticosteroids and long-acting bronchodilators are highly likely in this situation.

    PRASHNA 18 (page 55)

    • Diagnosis: Bronchial asthma is most likely to be the cause.

    PRASHNA 19 (page 56)

    • Infection: Pseudomonas aeruginosa.

    PRASHNA 20 (page 56)

    • Diagnosis: Persistent mild or moderate bronchial asthma.

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    Gastrointestinal Disorders Quiz
    32 questions

    Gastrointestinal Disorders Quiz

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    InestimableGreatWallOfChina
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