1) A patient had septic shock due to pneumonia Now FeNa =3% and muddy brown cast What does he have
- Options: ATN, AIN, Pre renal azotemia
- Ans: ATN (Acute Tubular Necrosis)
- (Note: FeNa > 2% and muddy brown casts are classic signs of ATN).
2) Benefit of Semaglutide in CCF and HbA1c =8.5
- Ans: Semaglutide reduces MACE (Major Adverse Cardiovascular Events) and inflammation
3) ARB MOA
- Ans: ARBs block $AT_1$ receptors, preventing angiotensin II–mediated vasoconstriction, aldosterone release
4) A patient has COPD and pulmonary HTN and dyspnea and edema , tell treatment first line
- Ans: LTOT (Long Term Oxygen Therapy)
5) Patient in Digoxin has Potassium 2.5 And:
- Ans: Digoxin precipitated by Hypokalemia
6) A patient had MI 3 wks ago, now has STEMI in V1 to V4 and anterior wall motion/dilation What’s the cause
- Ans: Left Ventricular Aneurysm
- (Note: Persistent ST elevation weeks after an MI is a hallmark of LV Aneurysm).
7) A girl has fainting episodes on standing and emotional stress. Her tilt test was positive. She had bradycardia. What’s the cause
- Ans: Vasovagal syncope
8) MOA of PTU hepatotoxicity:
- Ans: PTU causes idiosyncratic immune-mediated hepatocellular injury
9) Down and Out eye Dilated pupil
- Ans: Cause is 3rd nerve palsy
10) Sildenafil causing Blue tint in hypertensive patient MOA
- Ans: Non-arteritic anterior ischemic optic neuropathy (NAION)
- (Note: While “Blue tint” specifically is often due to PDE6 inhibition in the retina, the mention of NAION suggests the question might be about the more severe ischemic side effect).
11) A patient has raised ALT HBsAg Positive , IgM Positive Dark urine , jaundice Elevated ammonia Asterixis Tell treatment
- Ans: Tenofovir and monitoring
- (Note: The presence of asterixis and elevated ammonia suggests acute liver failure or severe acute hepatitis B).
12) A dengue patient has hematocrit 52% and plt 30k Tell treatment
- I) corticosteroids and antibiotics
- ii) IV crystalloid ✔️
- iii) oral rehydration
- Ans: IV crystalloid (High Hematocrit indicates hemoconcentration/plasma leakage, requiring fluid resuscitation).
13) Raised homocysteine and DVT cause is
- Ans: VIT B12 Deficiency
14) One mcq was case control vs cohort study
- (User note: “I dont remember exact mcq”)
15) EF =35 % , normal potassium and creat Which drug would increase survival
- Options: Digoxin, Furosemide, Verapamil, Spironolactone
- Ans: Spironolactone
- (Note: Spironolactone [Mineralocorticoid Receptor Antagonist] has a proven mortality benefit in HFrEF. Digoxin and loop diuretics generally only improve symptoms).
16) Dark skin , hyperkalemia , hyponatremia seen in
- Ans: Addisons disease (Primary Adrenal Insufficiency)
17) There ws this mcq Of some relation between food and how it increases Glp 1 in body
- Concept: Oral food intake stimulates GLP-1 secretion from intestinal L-cells, which enhances insulin release, suppresses glucagon, slows gastric emptying, and increases satiety.
18) Patient had Ulcerative colitis scenario
- Ans: Toxic Megacolon
19) Cardiac Tamponade patient has
- Ans: Pulsus Paradoxus
20) A female patient had metastatic ovarian CA Her son wanted to know about it What to do ethically
- (Note: The answer usually revolves around maintaining patient confidentiality).