Plab Feb 2009

101-DKA(absolute insuloin defeciency) 102-insulin increase(hypoglycemia) 103-investigation for DKA->ABGs 104-capillary blood glucose(pre op investigation for obese male ,diabetic with BMI 32) 105-keep INR between 2-3 106-coagulation screen(haematuria in patient with prosthetic valve) 107-lumbar puncture(pierce dura) 108-choking(pierce cricothyroid membrane) 109-pleural aspiration(pierce intercostal muscles) 110-midline laparoscopy(pierce linea alba) 111-B12 defeciency (diet),vegan with macrocytic anemia 112-iron defeciency(blood loss),i dont remember it and not sure about it 113-anaesthesia and intubate for old man who was on fire and coughing rusty sputum 114-Basal cell carcinoma 115-hepatic metastasis(multiple hepatic focal lesions with umbilication) 116-macular degeneration 117-diabetic retinopathy 118-CT scan for subarachnoid haemorrhge 119-treatment for scabies(i made it hydrocortisone ointment but i think it is perimethrin) 120-VWD 121-paranoid delusion 122-agoraphobia 123-stop warfarin and add heparin 124-foecal impaction management(i did it urinary catheterization aasuming that there is accompanying urinary retention ,but i think that was an extreme thinking) 125-woman with TAH& BSO with ditended dense abdomen->aspirate 126-skin swab for viral serology 127-a woman with menorrhagia and blod clots->i went for antifibrinolytics 128-aortic dissection 129-H pylori infection 130-Vit C 131-analgesia and mobilisation for backache after moving furniture 132-assess his capability to refuse treatment( man with paracetamol suicidal attempt),i dont know if it is right or not 1....women with multiple lymphnodes on drugs i went wiht tb as tb z commen in drug absers 2...child with vomiting containing blood..i wrote endoscopy 3.......21 year old girl with heavy bleeding and clots i went with ANTIFIBRINOGEN was thinking of levonorgestril but there was no history of pain and ocps ar not given for clots 4 girl with defness after child birth .. i answered congenital sensinural defness coz according to weber test it was sensinural 5....child with hearing difficulty noticed by teachers in school answer chronic otitis media with effusio 6which drug to add in 80 year old man already on frusamid gtn i wrote nefadapin as ca blocker ar given in old people after diuretics 7women with abd pain after ovarian cancer surgeryans...ivp to see mets 8.. got wrong for person on warfarin i answered continue warfarin with hepar people do comment