Regarding Coronary artery disease

Which one of the following is NOT a definitive major risk factor for the development of coronary artery disease.

a)Diabetes Mellitus
b)Alcoholism
c)Tobacco Smoking
d)Age of patient
e)Hypertension

Answer: B) Alcoholism

40 Year old smoker

A 40yearold smoker presented to  the A & E department with sudden onset of  severe shortness of breath, his respiratory rate was 36/min, O2 Saturation at room air was 82%,heart rate 136/min, Blood pressure 80/55 mmhg. He was profusely sweating, neck veins were distended, on auscultation there was reduced air entry on  the right hemithorax.

What is the most appropriate next best step

a)Do a Chest Xray
b)Insert a partially saline filled syringe at right 2nd I.C Space
c)Call to arrange a chest drain
d)CT Chest
e)Give Streptokinase

Answer : B)Insert a partially saline filled syringe at right 2nd I.C Space. (case of tension pneumothorax. This needs  to be done even before ordering a chest xray.)

65 Year old female with acute shortness of breath

A 65 year old female presented in Accident and Emergency department with acute shortness of breath. She had a respiratory rate of 30/min. Heart rate of 126/min BP 90/60, Afebrile. On examination her chest had  HVB. Oxygen Saturation was 88 %with 5Liter O2/min. CXR was normal. She was discharged 2 days back from hospital, suffered from wound infection after open cholecystectomy.
What is the gold standard to diagnose her condition?

a) U/S chest
b) Serum troponins
c)D-Dimers
d) CT Pulmonary Angio
e)ABG's

Answer: c) CT Pulmonary Angio (Case of Acute Pulmonary Embolism)

Sleep Apnoea

How many episodes of apnoea or hypopnea are required in 1hour of sleep to indicate significant Sleep Apnoea

a)5
b)10
c)15
d)20
e)25


Answer : C) 15

Daily Challenge

Which one of the following is the cause of renal failure with preserved hemoglobin
a)Renal TB
b)Chronic tubulointerstitial nephritis
c)Diabetic nephropathy
d)Polycystic kidney disease
e)Multiple Myeloma

Answer; D) Polycyctic kidney disease

Bringing A Change

Greetings to all,
                        I am bringing a change to this blog now. Post graduation information will remain same on it's page and will be updated from time to time.What i will do next is to make this blog a free online tuition for all medical students especially those involved with the CPSP exams.
Will include mcq's,picture challenge,daily mcq challenge,exam related videos,IMM questions, FCPS questions etc