General Medicine — Flashcards

Flashcard 511: Keshan's disease may present with _____ cardiomyopathy along with tumorigenesis and atherosclerosis

Answer: dilated

Flashcard 512: Jaundice is an _____ sign in hepatocellular carcinoma (HCC).

Answer: uncommon (common/uncommon)

Flashcard 513: Third line rx for oral lichen planus is _____ agents

Answer: immunosuppressive

Flashcard 514: Glucocorticoid therapy is usually begun _____ initiating albendazole in Neurocysticercosis

Answer: before

Flashcard 515: What is the first-line ART for women with single-dose Nevirapine exposure in a past pregnancy?

Answer: Tenofovir + Lamivudine + Dolutegravir (TLD)

Extra: Current WHO and NACO guidelines recommend a **Dolutegravir (DTG)-based regimen (TLD)** as the first-line ART for all adults, including pregnant women and those with previous exposure to single-dose Nevirapine (sdNVP). Historically, PI-based regimens (like Tenofovir + Lamivudine + Lopinavir/ritonavir) were used in patients with prior NNRTI exposure due to the risk of resistance, but DTG is now preferred due to its high genetic barrier to resistance and superior efficacy.

Flashcard 516: _____ drop sign is seen in poliomyelitis when hand is placed under the patient s shoulder and the trunk is raised

Answer: Head

Flashcard 517: Right-to-left shunting may be seen across a ductus arteriosus in the presence of _____ductal coarctation of aorta, leading to differential cyanosis

Answer: pre

Flashcard 518: An ABPI of _____ will present with claudication due to arterial obstruction

Answer: 0.5 to 0.9

Flashcard 519: Scrofuloderma is a _____bacillary type of cutaneous tuberculosis

Answer: multi

Flashcard 520: Which vitamin and mineral deficiencies can lead to primary atrophic rhinitis?_____

Answer: Vitamin A, D and iron