Best of Five 2.139

If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

BOF: 2.139

A middle-aged homeless male is brought into casualty having being found unconscious in the street.

On examination he is unkempt and is very drowsy and is just rousable to painful stimuli.

He is noted to have papilloedema but apart from this there is no gross neurological deficit, he is afebrile, there is no rash and no abnormality of his other systems.

Investigations reveal normal full blood count, urea and electrolytes and liver function tests. Blood glucose 6.2

Blood gases show pH 7.20, pCO2 3.3 kPa, pO2 12 kPa, and bicarbonate 11 mmol/L

In this patient which of the following would lead to a diagnosis:

a)      CT scan of head followed by lumbar puncture

b)      Serum methanol level

c)      Trial of intravenous thiamine

d)      CT scan of abdomen

e)      Paracetamol level in blood

Back
Up
Next

[ Up ] [ Answer BOF 2.139 ]