NEET-PG 2012 - General Medicine PYQs Practice Questions

Q: What is the daily temperature variation in remittent fever?

> 1.0 °C. ***> 1.0 °C*** - In **remittent fever**, the temperature fluctuates by **more than 1.0 °C** (or 2°F) over a 24-hour period. [1] - Despite the significant variation, the temperature **never returns to normal** during the day. [1] *< 0.5 °C* - A variation of less than 0.5 °C (or 1°F) is more characteristic of a **sustained or continuous fever**, where the temperature remains elevated with minimal fluctuation. [1] - This pattern is seen in conditions like **typhoid fever** or **pneumonia**. * 2.0 °C* - While a variation greater than 2.0 °C would certainly fall under the definition of remittent fever (as it's > 1.0 °C), the defining lower limit for remittent fever is typically **> 1.0 °C (or 2°F)**. - A larger fluctuation might occur, but > 1.0 °C is the minimum threshold. [Practice more General Medicine PYQs on OnCourse]

Question 1

An 86-year-old lady presented with severe constipation. She was a known hypertensive on medications for 10 years. In clinic, her BP was 157/98 mm Hg with a heart rate of 58/min. On taking her BP in the supine position, it was found to be 90/60 mm Hg. She had a recent history of depression. She is taking atenolol, thiazide, imipramine, haloperidol, and docusate. What is the next best step in the management?

Accepted Answer

Change imipramine and haloperidol to fluoxetine and risperidone and add bisacodyl for constipation

Answer

Change atenolol and thiazide to calcium channel blocker and ACE inhibitor and add bisacodyl for constipation

Answer

Only add bisacodyl for constipation and continue rest of the medications

Answer

Discontinue all her medications and start her on steroids

Question 2

What is the daily temperature variation in remittent fever?

Accepted Answer

> 1.0 °C

Answer

< 0.5 °C

Answer

< 1.0 °C

Answer

> 2.0 °C

NEET-PG 2012 — General Medicine