Which statement about IV cannula gauge is CORRECT?
Anonymous Quiz
2%
24 G is larger than 14 G
2%
Gauge does not affect flow
89%
Lower gauge means larger diameter
7%
Higher gauge means larger diameter
A medical intern is preparing IV access for a 7-year-old child with dehydration. The child has relatively small peripheral veins, but reliable IV access is required for administration of IV fluids. Which cannula is MOST appropriate among the following?
Anonymous Quiz
9%
16 G grey
68%
22 G blue
13%
18 G green
10%
14 G orange
A 58-year-old with long-standing diabetes presents with sudden painless loss of vision in one eye. Fundus examination reveals multiple flame-shaped hemorrhages, cotton-wool spots and venous beading. Which diabetic complication is most likely responsible?
Anonymous Quiz
14%
Central retinal artery occlusion
33%
Proliferative diabetic retinopathy
47%
Non-proliferative diabetic retinopathy
6%
Diabetic macular edema
A 55-year-old man presents with crushing retrosternal chest pain for 2 hours. ECG shows ST elevation in leads II, III and aVF. Which coronary artery is most likely occluded?
Anonymous Quiz
8%
Left main coronary artery
55%
Right coronary artery
10%
Left circumflex artery
28%
Left anterior descending artery
A 58-year-old smoker has severe airflow obstruction on spirometry. Which of the following spirometric patterns is most characteristic of COPD?
Anonymous Quiz
10%
Increased FEV₁ after bronchodilator to normal in every case
5%
Normal FEV₁ with reduced TLC only
78%
Reduced FEV₁/FVC
8%
Increased FEV₁/FVC
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Always focus on what's in our control Dr. Devashish (psychiatrist)
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How to deal with Long Clinical Questions Effectively
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"Passive vs Active Learning - this is why you forget things"
Dr. Divisha, AIR 4885 (from 1.5 lakh)
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A 64-year-old with peripheral vascular disease is planned for radial arterial cannulation. During Allen’s test, After releasing the ulnar artery, the palm remains pale for a prolonged period. What is the most appropriate interpretation?
Anonymous Quiz
3%
Increased radial artery flow
90%
Inadequate ulnar collateral circulation
5%
Adequate radial circulation
2%
Normal Allen’s test
A patient develops sudden dyspnea, pleuritic chest pain and hypotension shortly after an attempted subclavian central venous catheterization. Breath sounds are markedly reduced on the side of the procedure. Which complication should be suspected?
Anonymous Quiz
7%
Airway obstruction
7%
Pulmonary edema
77%
Pneumothorax
9%
Cardiac tamponade
A 38-year-old woman with hypertension that remains uncontrolled despite treatment with three antihypertensive drugs, including a diuretic. She reports headaches, palpitations and sweating. Which secondary cause of hypertension should be suspected?
Anonymous Quiz
11%
Renal artery stenosis
3%
Cushing syndrome
77%
Pheochromocytoma
9%
Primary hyperaldosteronism
A 60-year-old hypertensive patient has BP 170/100 mmHg despite taking an ACE inhibitor, amlodipine and hydrochlorothiazide. He is compliant with therapy. Which additional drug is commonly considered for resistant hypertension?
Anonymous Quiz
6%
Mannitol
2%
Atropine
4%
Digoxin
87%
Spironolactone
A 50-year-old woman has repeatedly elevated clinic BP readings, but her home BP measurements are consistently normal. She has no evidence of target-organ damage. What is this phenomenon called?
Anonymous Quiz
5%
Secondary hypertension
84%
White-coat hypertension
2%
Resistant hypertension
10%
Masked hypertension
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