Question

• A 44 yo female hairdresser presents with a 2 month history of pain and numbness of her left hand that awakens her from sleep. On exam, you reveal electric tingling sensations with percussion over the volar surface of the wrist and paresthesias within 15 seconds of passively flexing the wrist. What is the most likely diagnosis and what is the initial noninvasive treatment of choice to maintain a neutral position of the wrist?

• A 34 yo male presents with fever of 102 F, chills, and perineal pain for the past 2 days. He has difficulty voiding, dysuria, urgency, and nocturia. What is your diagnosis and what physical findings would most likely accompany this diagnosis?

• A 48 yo G3P3003 African American female presents complaining of severe secondary dysmenorrhea and menorrhagia over the last 6 months. On exam, her uterus feels enlarged and irregular. What is the most likely diagnosis?

• A 60yo female with 30 pack year smoking history presents complaining of new onset of shortness of breath. On exam, dullness is noted on percussion with diminished breath sounds over the left base. Chest X-ray shows a new left pleural effusion. What would be the next step in the management of this patient – be specific in what diagnostic test(s) you would order?

• A patient presents with small, irregular pupils which are seen that react with near vision but not to light. What is the term describing this condition and what diagnosis usually will accompany this situation?

• A 31 year old female complains of diarrhea. She admits to associated weight loss and steatorrhea, but denies melena or hematochezia.   What is the most likely diagnosis?

• What phase of the female menstrual cycle occurs at the time of an elevated estrogen and LH / FSH surge?

• A 27 yo male healthy nonsmoker with no underlying medical history is diagnosed with an upper extremity venous thrombosis. What is the most likely factor abnormality found in this patient?

• A 34 yo female construction worker presents with episodic blanching of her fingers when exposed to cold weather or stressful situations.   On exam, her digits appear normal at this time. What is your likely diagnosis?

Answer 1

1 -may be pta suffering from carpal tunnel syndrome it is relieved by ice massaging for 10mins Or hanging the hands on side of the bed.

2.-according to the information given pta may have pyelonephritis/ureteritis/cystitid symptoms which r suggestibe of diagnosis are fever dysurea lower and pain

3.female may have fibroid or endometriosis for confirmatiin we can go for usg.

4.pleural fluid aspiration culture and senstivity pt may have T. B malignancy or nay other ds. Till reports r awaited we can put pt in broad spectrum antibiotics

5.menstrual cycle phase with elevated estrogen lh/fsh is proliferative phase

27 yr non smoker female may have subclavian vein thrombosis

34 yr female is having stress induced anxiety.