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YEAR-1 Course management

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A 2-day-old newborn is diagnosed with pulmonary stenosis, overriding of the aorta, ventricular septal defect and hypertrophy of the right ventricle. 

What is the most likely clinical condition that this child has?

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A 45 years old man develops generalized lymph node enlargement. He also has  dyspnea, cough and wheezes. The physician requests a CT chest scan. You are given this image from the CT chest that was done (mediastinal window). 

What  is the most likely  diagnosis for this man's condition according to this CT image?

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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 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 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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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 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 60 year old man is brought to the emergency department with loss of consciousness, on examination his ABP is 200/120, respiration is irregular and his heart rate is 50 b/min. CT brain reveals extradural hemorrhage.

What is the single most likely underlying cause of his bradycardia?

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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 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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