Q) a 50 year old man with road side accident and injuries on right chest and femoral fracture, He is conscious, BP is 80/60 , Pulse 104/min, and chest expansion is reduced. JVP is not raised and heart sounds are normal. Respiratory rate is 22/min
Q. A 6 months old baby is brought to the emergency with continuous crying and drawing his legs up for 1 day. He has vomiting and passage of bloody stools. On examination a lump is found in right hypochondrium. What is the best clinical diagnoses?
Q) A 45 year old man who has been drinking regularly for the past 15 years vomits after a large meal and complains of severe chest pain. Cardiac cause is ruled out and boerhavve's syndrome is suspected. Which of the following is not true about this condition
a) Gastrograffin tests will confirm the diagnosis
b) Perforation is most common in the left lower end
c) Exploration and full thickness suturing of perforation should be done
d) This condition has a high morbidity and mortality if not diagnosed at time
Q) Which of the following is true about reno vascular hypertension
a) Seen in young age group
b) Both kidneys are of same size
c) It is familial
d) Diuretics will control the hypertension
Renal artery occlusion creates ischemia of the kidney which releases renin. Hypereninemia leads to secondary hypertension. This further leads to conversion of angiotensin I to angiotensin II and vasocontriction and eventually release of aldosterone.
It is a disease of young adults and children
Size of the kidneys vary and diuretics do not control hypertension because the mechanism is high renin secretion which is unresponsive to diuretics.
Q) A 68 year old man undergoes repair of infra renal aortic aneurysm. On 2nd POD he has abdominal pain, bloody diarrhea and tachycardia. BP is 120/70. Abdomen is mildly distended and tender especially in the left lower quadrant.