PMDC STEP 2 Exam SEQS: 18 March 2014 full and final version

MEDICINE
1) A 40 years old lady comes to you in your general medicine clinic complaining of long standing generalized weakness. Initially the weakness started several months ago with difficulty climbing upstairs and rising out of a chair. Having had enough, she comes to you specifically complaining of 2 weeks history of difficulty combing her hair and rash on face and knuckles.
Hb: 12gm/dl TLC: 6500 platelets: 350000 serum calcium: 9.5 Lfts: normal CPK: 1000
a) what is your diagnosis?
b) what 2 investigations are needed to reach diagnosis?
c) what is the treatment ?
2) A 45 years old, perviously healthy woman presents with jaundice, confusion and fever. Initial physical examination is unremarkable except for scattered petechiae on the lower extremities, scleral icterus, and disorientation on mental status examination. lab examination shows:
Hct: 27% WBC: ......

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Re: PMDC STEP 2 Exam SEQS: 18 March 2014 full and final vers

Thanks for posting ubabar ......

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