Archives: FCP Part 2

FCP2-347

A 25-year-old woman presents to the clinic with nausea, thirst and dehydration. She mentioned that she has an uncle with previous parathyroid gland excision and a cousin who has recently been diagnosed with insulinoma.
On examination, her BP is 135/72 mmHg, her pulse is 70/min and regular, her BMI is 20. Cardiovascular, respiratory and abdominal examinations are unremarkable.
Investigations show:
Hb 12.6 g/dl
WCC 5.4 x109/l
PLT 299 x109/l
Na+ 139 mmol/l
K+ 4.4 mmol/l
Creatinine 121 ىmol/l
Albumin 37 g/l
Ca++ 2.95 mmol/l
PTH 18 (normal<10) Which of the following is the most likely cause of her raised calcium?

FCP2-319

A 69-year-old diabetic female presents for a regular outpatient visit. Her BMI is calculated to be 33. Lab results: GFR=29, Urea=13, Creatinine=390 mmol/L. Which of the following drugs should ideally be used by this patient?

FCP2-320

A 70-year-old smoker was recently diagnosed with small cell lung cancer. Which of the following electrolyte combinations confirms the diagnosis of SIADH?

FCP2-321

A 75-year-old male patient with type 2 diabetes mellitus, was admitted with confusion. On examination he was drowsy and had tremors. Which of the following is the best investigation, which is important for the further management?

FCP2-322

A man was admitted with galactorrhoea. History reveals that the patient has been having problems with getting and maintaining an erection. He also admits he’s noticed a decrease in the quantity of his facial hair. What is the most likely diagnosis?

FCP2-323

A teenage girl presented in the OPD with a history of amenorrhea. She said she was exercising daily and needs to lose weight. On examination, she is 162 cm in height and 45 kgs in weight. Which of the following is the most probable cause in this case?

FCP2-324

An 18-year-old woman in her 30th week of pregnancy is brought to the hospital in altered sensorium. She is taking slow, shallow breaths and her breath has a fruity smell. An arterial blood gas (ABG) shows the presence of ketones. What is the most probable diagnosis?

FCP2-325

An 80-year-old patient known to have diabetes mellitus presented in the emergency room with the complaint of involuntary movements of his right arm and leg which disappeared during sleep. Which of the following is the most suitable explanation for this complaint?

FCP2-326

Impaired glucose tolerance is indicated by what glucose venous plasma level 2 hours after taking the OGTT test?

FCP2-327

Patients with myeloma mostly present with which of the following condition when in hospital?