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YEAR-1 Course management

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A cardiologist prescribes an antiarrhythmic drug for a 45 year old patient with ventricular tachycardia. It is a structural analogue of lidocaine that is taken orally.

What is the most likely drug that has been prescribed to this patient?

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A mother brings her three year old daughter to the emergency department as she notices that she has generalized swelling of her body. She mentions that her daughter is still on breast feeding. 

Which is the most likely affected starling force in this condition?

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A 43 year old man with haemoptysis and haematuria is examined in the outpatient clinic. Transbronchial   biopsy of lung parenchyma is examined. It reveals interalveolar hemorrhage. Immunofluorescence shows linear alveolar deposits of IgG.

What is the most likely diagnosis?

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A 70 year old man who has hypertension of 20 years visits the cardiologist as his arterial blood pressure has not been properly controlled over the past two weeks. The physician prescribes him a new medication that increases the calcium reuptake into sarcoplasmic reticulum.

What is the most likely calcium channel targeted by this drug?

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A 35 year old woman with bronchial asthma comes to the outpatient clinic for follow up. She takes her medications regularly. Although her asthma symptoms are well controlled, she complains of hoarseness of voice and appearance of a white membrane covering the  mucosa of her mouth cavity. 

What is the specific medication that is responsible for her complaint?

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According to Parsons, he saw four norms governing the functional sick role.

What is  Parson’s Ideal Patient?  

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A 30 year old woman is admitted to emergency department with an acute onset of dyspnea. She is hypoxemic with So2 of 85%, CT pulmonary angiography shows a filling defect in the right main pulmonary artery.

What is the most likely diagnosis?

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A 58 year old smoker man presents to outpatient clinic with progressive dyspnea and productive cough for five months. Chest examination shows barrel shape deformity. Spirometry confirms diagnosis of COPD. Chest X ray is done.

What is the single most likely finding seen on chest X ray of this patient?

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A pregnant woman is able to transfer oxygen to her fetus because fetal hemoglobin has a greater affinity for oxygen than does adult hemoglobin.

What is the single most likely reason of the higher affinity of fetal hemoglobin to oxygen?

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A 40 year old woman is brought to the emergency Department with severe diarrhea over the past two days. Her blood pressure is 80/60 mmHg.

What are the most likely compensatory effects of her medullary cardiac center on her heart?

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