Question no.362

        You make the diagnosis of Marfan syndrome in a very tall 22 year old man with long, thin extremities.

1) What other finding is associated with this disease?

        A) Family history in 100%of the patients.

        B) Upward sublaxation of the lenses.

        C) Mental retardation.

        D) Malar rash.

        E) Increased length of trunk compared with the limbs.

Spot diagnosis 89

This patient has swelling in the front of the neck by examination her eye & asked her to look upward& lateral , She become as this photo.

What is your clinical diagnosis?

Thyroid scan

What is your radiological diagnosis?

Spot diagnosis 75

What is your clinical diagnosis?

Spot diagnosis 70

What is your clinical diagnosis?

Examination of Thyroid gland

Medical MCQ 33

In Addison's disease, the following values are low except:

a) Blood sugar.

b) Plasma ACTH.

c) Urinary potassium.

d) RBCs count.

e) Serum sodium.

USMLE 15

  A 51 year old man complains of difficulty walking and mild right sided foot pain for the past several weeks. His medical history for type 1 DM, hypertension and hyperchlesterolemia. Physical examination reveals a significantly deformed right foot and a mildly deformed left foot. X-ray suggests effusion in several of the tarsometatarsal joints, large osteophytes, and several extraarticular bone fragments.

Which of the following is the most likely cause of the patient's complaints?

A) Hyperuricemia.

B) Poor vascular supply

C) Rheumatoid arthritis.

D) Nerve damage.

E) Bone demineralization.

F) Bacterial infection.

Medical Case 29

A 5-month-old girl presented with history of constipation and delayed developmental milestones. She had prolonged physiological jaundice. On exam, she is hypoactive, has an open mouth with large tongue. Other systemic examinations are within normal.

What is the next step in management?
A) Checking T4 and TSH
B ) Checking serum bilirubin
C ) Doing CT scan of head
D ) Follow up after 4 weeks

Thyroid examination

Spot diagnosis 44

This is a very common skin manifestation of systemic disease...
what is its name?
what are the diseases correlate with?

USMLE 13

A 30-year-old female complains of palpitations, fatigue, and insomnia. On physical exam, her extremities are warm and she is tachycardic.There is diffuse thyroid gland enlargement and proptosis. There is a thickening of the skin in the pretibial area. Which of the following

lab values would you expect in this patient?

a. Increased TSH, total thyroxine, total T 3

b. Decreased TSH, increased total thyroxine

c. Increased T 3 uptake, decreased T 3

d. Decreased TSH, normal 4

Spot Diagnosis 41

What is your dermatological diagnosis?

Medical Case 17

A female patient 30 years old already diagnosed as SLE came presenting to the outpatient clinic for follow up, Her BP was 190/115 on 3 separate days. She was on corticosteroids for 3 years. The patient was admitted to the hospital and her BP was controlled & she was discharged from the hospital & advised follow up. Two years later during follow up in outpatient clinic she was discovered to be diabetic.

What is the cause of diabetes in this lady?

Medical MCQ 24

Obese persons are at an increased risk for which of the following disorders?

a) Hypothyrodism.

b) Type 1 DM.

c) Cholelithiasis.

d) Elevated levels of HDL cholesterol.

e) Central sleep apnea.

Spot Diagnosis 38

What is your medical diagnosis?

Medical MCQ 23

Upper segment > lower segment of body is found in all (Dwarfism) except:

a) Pituitary dwarf.

b) Cretinism.

c) Achondroplasia.

d) Juvenile myxedema.

Medical Case 27

    A 28 years old pregnant female developed severe post- partum hemorrhage which was successfully controlled. The baby was artificially fed as his mother's breast failed to secrete milk. The mother began to feel weak and she noticed atrophy of her breast.

What is your medical diagnosis?

Medical Case 21

    A male diabetic patient 35 years old who received his usual insulin therapy in the morning, but he neglected to take his breakfast, short time later he got blurring of vision, irritability, excessive sweating, then he passed into coma.

What is your medical diagnosis?

How can you treat this patient?

Are there other possible causes of such diagnosis?

Medical MCQ 22

  Microvascular complications of DM :

a) Retinopathy.

b) Nephropathy.

c) Neuropathy.

d) All of the above.