MCQS 192-194 :A ten day old premature neonate is found on routine investigations to have hypercalcemia.

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Question:192
this medication is specifically contraindicated in a hypertensive pregnant patient who is suffering from depression
a) immediate delivery
b) intravenous Hydralazine
c) alpha-blocker
d) Labetolol
e) change current treatment immediately
f) diuretic
g) Methyldopa
h) calcium antagonist
i) angiotensin-converting enzyme inhibitors
j) angiotensin II receptor antagonist


Question:193
A ten day old premature neonate is found on routine investigations to have hypercalcemia. This is likely to be secondary to
a) bronchial carcinoma
b) breast metastases
c) William's syndrome
d) Sarcoidosis
e) primary hyperparathyroidism
f) multiple myeloma
g) excess intake of vitamin D
h) excess intake of milk
i) tertiary hyperparathyroidism
j) phosphate depletion


Question:194
A 65 year old is known to take eye drops for his glaucoma. On examination what is the likely appearance of his pupils?
a) constricted pupils
b) dilated pupils
c) irregular pupils
d) argyll robertson pupil
e) hutchinson pupil
f) holmes-adie (myotonic ) pupil
g) Marcus-Gunn pupil
h) sluggish pupil
i) white pupil
j) tonic pupil


Question:192
Correct Answer: G
Explanation:
Depression: do not use methyldopa. <br> Asthma or a history of bronchospasm: do not use labetalol <br> Severe peripheral vascular disease: avoid labetalol. <br> Diabetes: do not use labetalol (it is not a cardioselective beta-blocker). <br> Liver disease: do not use methyldopa or labetalol. <br> http://www.prodigy.nhs.uk/guidance.asp?gt=hypertension%20in%20pregnancy
 
Question:193
Correct Answer: J
Explanation:
If their dietary intake of phosphorus is inadequate, low birthweight infants may develop hypercalcemia as a result of resorption of phosphorus and calcium from bone
 
Question:194
Correct Answer: A
Explanation:
Opiate miotics in the management of glaucoma eg pilocarpine eye drops cause constricted pupils


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