Q- Which one of the following is the best first step of action for a case of posterior myocardial infarction?
A- Aspirin 325 mg administration
B- Metoprolol 60 mg administration
C- Stress test
D- Tissue plasminogen activator
A- Aspirin 325 mg administration- In any suspected myocardial infarction — including posterior MI — the very first and most important immediate step is to give chewable aspirin (325 mg) to inhibit platelet aggregation and limit clot progression. Reperfusion therapy (like tPA) comes after initial stabilization. Beta-blockers (like metoprolol) are not the first step and may be harmful in some MI settings. A stress test is never done during an acute MI.
Q- Which of the following conditions is characterized by painless blisters on the back of the hands with friable surrounding skin and hyperpigmentation of the face?
A- Contact dermatitis
B- Dermatitis herpetiformis
C- Herpes Zoster
D- Porphyria cutanea tarda
D- Porphyria cutanea tarda- Porphyria cutanea tarda presents with painless blisters on sun-exposed areas, especially the backs of the hands, along with fragile skin and facial hyperpigmentation. The other conditions have different clinical patterns and do not produce this combination of findings.
Q-Which one of the following is the most effective treatment for adrenal insufficiency?
A- Adrenaline
B- Fludrocortisone
C- Prednisone
D- Prednisone and fludrocortisone
D- Prednisone and fludrocortisone- Primary adrenal insufficiency requires replacement of both hormones. One of them is not enough to be effective.
You are very welcome. Thank you so much Dr. Musie.
Thank you sir ,
Thank you. God bless you too.
Thank you .may God bless you
Thank you
Good