A 6-year-old boy presented in the emergency department with a cough and knee swelling after falling on the road. He had a non-blanching rash on his buttocks and investigations revealed: PT=13, APTT=71, Hgb=11, WBC=8, Plt=200. Which is the most likely diagnosis?
A 25-year-old male presents to the emergency department with fever, sweating, hyperventilation and breathing difficulty. He also complains of a continuous ringing sensation in both his ears for the past couple of days. He admits to consuming a lot of over the counter painkillers for the past few days. Which of the following drugs is the most likely cause of these symptoms?
An 8-year-old boy was admitted following a MVA. His BMI is 28 kb/m2 and he’s been found to have glycosuria, which resolved after his recovery. Which investigation is necessary to perform as part of the follow-up?
A 33-year-old woman has missed her last two periods and has been lactating. Upon anamnesis, she claims she’s lost weight and she’s been suffering from vaginal dryness. The endocrinologist suggests that she checks her prolactin levels. Which of the following inhibits prolactin release from the hypophysis?
A 60-year-old patient diagnosed with Type-2 diabetes mellitus is not responding to dietary modifications and weight reduction. He needs to be started on an oral hypoglycemic agent. Which among the following statements regarding oral hypoglycaemic agents is true?
A 58-year-old woman has multiple non-healing leg ulcers. She reports feeling unwell for several months. Examination findings include a normal blood pressure, pulse 90 bpm, pale conjunctivae and poor dentition associated with bleeding gums. What is the most likely underlying diagnosis?
A 17-year-old boy was brought to clinic, as his parents were concerned regarding possible delayed puberty. He was otherwise well, played sports regularly and his academic performance was good. His height was 1.7m and weight was 70 kg. On examination, he had a small penis and testes, absent pubic hair, but no other abnormalities. Investigations revealed: Serum testosterone 4 nmol/L (9-35) Plasma follicle stimulating hormone (FSH) 1 U/L (1-7) Plasma luteinising hormone (LH) 1 U/L (1-10) Plasma prolactin 300 mU/L (<450) Plasma TSH 2 mU/L (0.5-5) Which one of the following is the most likely cause?
A 19-year-old male has gone to his local doctor’s surgery complaining of weight loss, an increased thirst, and urinating more frequently. His father, grandfather, and both of his sisters have all been diagnosed with DM. What type of DM does this patient most likely suffer from?
A 19-year-old previously well male presented with abdominal pain and a reduced level of consciousness. On examination he was drowsy, tachypnoeic and dehydrated with dry mucous membranes. His random blood sugar was 17 mmol/l. Which of the following is the most appropriate next step?
A 21-year-old singer, who had thyroid surgery a few months before, now complains of not being able to raise the pitch of her voice, and suspects it was because of the surgery. What is the most likely diagnosis?