MCQS 377-379:A 38 year old farmer is seen with severe headache and fever


A 30 year old woman visits her dentist because of a hard swelling in her jaw. An orthopantomograph of the jaw demonstrates two impacted teeth and three contralateral sclerotic lesions in the jaw not contiguous with the root of the tooth. These findings are commonly associated with

a) Muir-Torre syndrome
b) Turcot's syndrome
c) Cowden's disease
d) Adenomatous polyposis
e) Familial adenomatous polyposis [FAP]
f) Familial juvenile polyposis
g) Gardner's syndrome
h) Cronkhite-Canada syndrome
i) Pneumatosis cystoides intestinalis
j) Peutz-Jegher's syndrome



A 38 year old farmer is seen with severe headache and fever. He has a history of a ten day cough with bloody sputum and consolidation on a chest xray showed for which he was given erythromycin by his physician. Physical examination was unremarkable except for bilateral is inspiratory crackles and a lumbar puncture was performed. This demonstrated a highly pleomorphic coccobacillii with gram-negative cell wall. These features are characteristic of

a) Streptococcus pneumoniae
b) Bacteroides fragilis
c) Coxiella burnetii
d) Escherichia coli
e) Haemophilus influenzae
f) Legionella pneumophila
g) Infectious mononucleosis
h) Mycobacterium tuberculosis
i) Mycoplasma pneumoniae
j) Pneumocystis carinii



A insulin dependendent diabetic uses an insulin pump to control his blood sugar levels. He is obsessed with strict control of his blood sugar level and makes sure his blood sugar level never exceeds the normal level. He now presents with a seizure without any prior warning. This complication of diabetes is best described as

a) keto acidosis
b) Nonketotic Hyperosmolarity
c) autonomic neuropathy
d) Hypoglycaemia unawareness
e) peripheral neuropathy
f) infection
g) Amytrophy
h) Focal nerve palsy
i) retinopathy
j) nephropathy


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