Medical Diagnosis and Conditions Quiz
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Questions and Answers

What is the main respiratory pattern associated with ataxic respiration due to medullary lesions?

  • Steady and controlled breaths
  • Rapid and shallow breathing
  • Consistent deep breaths
  • Irregular respiration with random deep and shallow breaths (correct)
  • Which condition is indicated by the presence of acetone in the breath?

  • Hepatic coma
  • Pulmonary embolism
  • Diabetic ketoacidosis (DKA) (correct)
  • Uremic coma
  • Which type of odor in the breath is typically associated with hepatic coma?

  • Rotten eggs
  • Sweet smell
  • Ammonia
  • Fetor hepatic (correct)
  • What does a urine ferrous odor in breath indicate?

    <p>Uremic coma</p> Signup and view all the answers

    Which of the following conditions is associated with central neurologic lesions?

    <p>Medullary lesions</p> Signup and view all the answers

    What might be indicated by the presence of adnexal tenderness and cervical motion tenderness in this case?

    <p>Ectopic pregnancy</p> Signup and view all the answers

    A positive pregnancy test in a case of 39°C fever could suggest which of the following conditions?

    <p>Pelvic inflammatory disease</p> Signup and view all the answers

    Which of the following is NOT a potential differential diagnosis for this case?

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

    What is an important next step in management for this patient given the findings?

    <p>Request a detailed ultrasound</p> Signup and view all the answers

    Which condition could be ruled out if a transvaginal ultrasound shows a viable intrauterine pregnancy?

    <p>Ectopic pregnancy</p> Signup and view all the answers

    What is the most likely diagnosis when a patient presents with symptoms of acute pelvic pain and possible septic conditions?

    <p>Rupture ectopic pregnancy / septic abortion</p> Signup and view all the answers

    Which condition is characterized by the presence of an abscess in the pelvic region related to an ectopic source?

    <p>Tubal abscess</p> Signup and view all the answers

    What complication may arise from an ectopic pregnancy that is left untreated?

    <p>Septic abortion</p> Signup and view all the answers

    Which of the following conditions does NOT commonly relate to ectopic pregnancy?

    <p>Ovarian torsion</p> Signup and view all the answers

    What is a common clinical feature of a ruptured ectopic pregnancy?

    <p>Acute abdominal pain</p> Signup and view all the answers

    Which factor contributes to an increased risk of recurrent ectopic pregnancies?

    <p>History of pelvic surgery</p> Signup and view all the answers

    How does Pelvic Inflammatory Disease (PID) affect the risk of ectopic pregnancy?

    <p>It can cause scarring of the fallopian tubes</p> Signup and view all the answers

    What role does an Intrauterine Device (IUD) play in the context of ectopic pregnancy risk?

    <p>Increases the risk due to improper placement</p> Signup and view all the answers

    What is the primary method to remove potassium (k) in cases of severe hyperkalemia?

    <p>Administer diuretics or resin</p> Signup and view all the answers

    What management strategies are typically considered for a patient with a history of recurrent ectopic pregnancy?

    <p>Regular monitoring and assessment of future pregnancies</p> Signup and view all the answers

    Which condition can lead to hypernatremia?

    <p>Excess free water administration</p> Signup and view all the answers

    Which condition is NOT typically associated with increased risk for ectopic pregnancy?

    <p>Using hormonal birth control pills</p> Signup and view all the answers

    What is the normal sodium level range in the human body?

    <p>135 - 145 mmol/l</p> Signup and view all the answers

    Which factor is NOT associated with causing hypernatremia?

    <p>Excessive antibiotic use</p> Signup and view all the answers

    What serious condition can result from severe hyperkalemia?

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

    What is the recommended dosage range for Aspirin when treating ongoing ischemia?

    <p>162-325 mg</p> Signup and view all the answers

    What medication should be considered for patients with an allergy or intolerance to Aspirin?

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

    When should oral B-blockers be administered in the context of heart failure or ongoing ischemia?

    <p>In the first 24 hours if there are no contraindications</p> Signup and view all the answers

    What is the loading dose of Clopidogrel for patients with Aspirin allergy/intolerance?

    <p>300-600 mg</p> Signup and view all the answers

    Which condition is NOT mentioned as a reason for intravenous (IV) treatment?

    <p>Diabetes management</p> Signup and view all the answers

    Study Notes

    Convulsions in Pregnancy

    • Direct causes of pregnancy-related convulsions: eclampsia and pregnancy-related aggregation of epilepsy
    • Indirect causes of pregnancy-related convulsions: CNS infections, trauma, tetany, drug withdrawal, or metabolic disorders like hyperglycemia, hypoglycemia, hyponatremia, and hypocalcemia.

    Diagnostic Criteria

    • Preeclampsia: Hypertension (140/90mmHg or higher) on two occasions at least four hours apart, with proteinuria (300mg or greater in 24 hours) and occurring after 20 weeks gestation.
    • Eclampsia: Preeclampsia plus tonic-clonic seizures in pregnant patients.
    • Epilepsy: Epilepsy with no history of hypertension and proteinuria, occurring anytime during pregnancy.

    Clinical Presentation of Eclampsia

    • Elevated blood pressure
    • Swelling in the face and hands
    • Headache
    • Excessive weight gain
    • Nausea and vomiting
    • Vision problems
    • Difficult urination
    • Abdominal pain (upper right quadrant)

    Clinical Presentation of Epilepsy

    • Uncontrolled jerky movements of arms and legs
    • Loss of consciousness
    • Temporary confusion
    • Psychic symptoms (fear, anxiety, déjà vu)
    • Panic attack

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    Description

    Test your knowledge on various medical conditions and diagnoses in this comprehensive quiz. Explore questions on respiratory patterns, breath odors, and critical management steps related to internal medicine. Perfect for medical students and professionals looking to review key concepts.

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