A 48 year old gentleman with a 2 year history of non small cell lung carcinoma

A 48 year old gentleman with a 2 year history of non

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14. A 48-year-old gentleman with a 2-year history of non-small cell lung carcinoma, presented with dyspnea for 1 week. On physical examination, he has a swollen and red face with dilated and engorged veins on neck and upper chest. What is the appropriate next step of management? A.High dose systemic steroidsB.Intravenous diureticsC.Systemic chemotherapyD.Targeted therapyE.Intravenous antibiotics Suggested answer: A (Dexamethasone) 15. Student A 50-year-old woman has a peripherally inserted central catheter (PICC) inserted on the left side for chemotherapy of her metastatic breast cancer. The chemotherapy consists of three cycles. Six weeks since the start of chemotherapy she reported erythema, swelling and pain over her left arm. What is the most appropriate action to be done? A Systemic chemotherapy B Ultrasonography scan of the left arm
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C High dose systemic steroids D Duplex ultrasound of lower limbs to detect DVT E Systemic broad-spectrum antibiotics Suggested answer: B 16. Student What is the proper way of administering adrenaline in a patient with anaphylaxis? A 0.5 mL of 1:100 adrenaline, IM every 5 minutes B 0.5 mL of 1:1000 adrenaline, IM every 5 minutes C 0.5 mL of 1:10000 adrenaline, IM every 5 minutes D 500 mcg adrenaline, IV bolus every 5 minutes E 0.5 mg adrenaline, IV bolus every 5 minutes Suggested answer: B 17. Student Which of the following drugs is the most likely to cause an immunological/allergic reaction? A Rituximab B Pembrolizumab C Cyclophosphamide D 5-fluorouridine E Trastuzumab Suggested: Rituximab - suffix -ximab implies a human/mouse chimeric antibody, most immunogenic. 5-fluorouridine is an alternative name for 5-fluorouracil. 18. 19. Hui Wai Fung Mammography is LESS sensitive for lesion detection: Suggested answer: C 20.
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A 35-year-old woman presented with loss of consciousness after swimming. She was found to have left sided weakness, left facial weakness and dysarthria. An urgent non-contrast computed tomography (CT) of the brain was performed with no focal lesion and bleeding detected. She reported to have some flu-like symptoms recently. Her condition is now stable. What is the next imaging modality you would order? Suggested: A 21. Note: the following two questions are set on the same patient background. 22. A 40 year-old patient with G5P1 has the first baby delivery. Previously had four terminations with suction removal. The delivery was eventful at the delivery of placenta.
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