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NEW QUESTION 48 Patient with gunshot and part of his bowel spillage out and you decide to give him antibiotic for Bacteroidfragilis, so what you will give?

• A. Amoxicillin
• B. Doxycycline
• C. Gentamicin
• D. Clindamycin

Answer: D   NEW QUESTION 49 65years man had a bowel resection 5days ago. He is anuric and breathless. His BP=150/110mmHg.He has lung bases and sacral edema. Bloods: K+=6.8mmol/l, urea=58mmol/l, creatinine=600umol/l. What is the single immediate management?

• A. 5% dextrose infusion
• B. Calcium resonium enema
• C. Bolus of 20U insulin
• D. 10U insulin, 50ml of 50% dextrose infusion
• E. Dextrose-saline infusion

Answer: D   NEW QUESTION 50 A 10-year-old boy is admitted to the hospital because of bleeding. Pertinent laboratory findings include a platelet count of 50,000/μL , prothrombin time (PT) of 15 seconds (control 11.5 seconds), activated partial thromboplastin time (aPTT) of 51 seconds (control 36 seconds), thrombin time (TT) of 13.7 seconds (control 10.5 seconds), and factor VIII level of 14% (normal 38%-178%). Which of the following is the most likely cause of his bleeding?

• A. Immune thrombocytopenic purpura (ITP)
• B. Vitamin K deficiency
• C. Disseminated intravascular coagulation (DIC)

Answer: C   NEW QUESTION 51 Patient with severe depression and now he showed some improvement with therapy. The risk of suicide is now:

• A. Decreases
• B. No change
• C. No risk
• D. Increases

Answer: D   NEW QUESTION 52 Hypothyroid patient on thyroxin had anorexia, dry cough and dyspnea& left ventricular dysfunction. She had normal TSH & T4 levels, Hyperphosphatemia & hypocalcemia. The diagnosis is:

• A. Uncontrolled Hypopituitarism
• B. Primary Hypopituitarism
• C. Secondary Hypopituitarism
• D. Hypopituitarism

Answer: B   NEW QUESTION 53 ......