Dr.Sajid Ideas

Dr.Sajid Ideas Dr.Muhamma Sajid
MBBS,MD,General Physician

24/06/2025

A 40-year-old woman presents with ophthalmoplegia, ptosis, and sensory loss over the forehead. MRI shows a cavernous sinus thrombosis.

Which of the following nerves is least likely to be affected?
A. Oculomotor nerve
B. Trochlear nerve
C. Mandibular division of trigeminal nerve
D. Abducent nerve

24/06/2025

A 65-year-old hypertensive patient suddenly stands up from a lying position and feels dizzy. His BP drops to 90/60 mmHg.

Which mechanism is responsible for immediate correction of BP?
A. Renin-Angiotensin system
B. Baroreceptor reflex
C. ADH secretion
D. Aldosterone release

24/06/2025

A 24-year-old motorcyclist presents after a road traffic accident. His right arm hangs limply by his side, medially rotated, and the forearm is pronated. He cannot abduct or laterally rotate the arm.

What is the most likely site of injury?
A. Lower trunk of brachial plexus
B. Upper trunk of brachial plexus
C. Posterior cord
D. Axillary nerve

23/06/2025

An 18 year old student is referred to your clinic with the complaint of weakness and fatigability. Physical examination is unremarkable. Routine lab investigation revealed a HB of 9.2 mg/dl , MCV 55fL , RBC of 4.8 millions and peripheral film showed microcytic hypochromic picture with anisocytosis and poikilocytosis. Which is the most appropriate diagnosis?
1) anemia of chronic disease
2) Glucose 6 phosphate dehydrogenase deficiency
3) iron deficiency anemia
4) thalassemia

22/06/2025

A 56-year-old man with hypertension presents with chest pain radiating to the back. BP: 180/100 in right arm, 150/90 in left arm. CXR shows widened mediastinum.
Next best step?

A. Troponin I
B. CT angiogram chest
C. Echocardiography
D. Cardiac catheterization

22/06/2025

35-year-old male, IV drug user, presents with fever, chills, and a new pansystolic murmur at the left lower sternal border. Echo shows vegetations on the tricuspid valve.
What is the most likely organism?

A. Streptococcus viridans
B. Staphylococcus aureus
C. Pseudomonas aeruginosa
D. Enterococcus faecalis

22/06/2025

A 24-year-old woman presents with episodes of sudden onset of right-sided weakness and slurred speech lasting 10-15 minutes. She has a history of recurrent oral ulcers and occasional ge***al ulcers. No cardiovascular risk factors.
What is the most likely diagnosis?

A. Transient Ischemic Attack
B. Multiple Sclerosis
C. Behçet’s disease
D. Migraine with aura

20/06/2025

A 26-year-old woman with infertility has oligomenorrhea, acne, and facial hair. US shows multiple peripheral ovarian cysts.

Most appropriate first-line treatment?

A. Clomiphene citrate ✅
B. Metformin
C. Oral contraceptives
D. GnRH agonist

20/06/2025

A 32-year-old woman with a history of epilepsy presents with gingival hypertrophy and coarse facial features.

Which drug is the most likely cause?

A. Valproic acid
B. Phenytoin
C. Carbamazepine
D. Lamotrigine

20/06/2025

A young woman with dysuria, frequency, and suprapubic pain. Urinalysis shows leukocyte esterase positive.
First-line treatment?
A. Nitrofurantoin
B. Ciprofloxacin
C. Azithromycin
D. Doxycycline

📢 *Very Important Announcement* 🎯 Crack NRE-2 – 2nd Edition (Recorded Lectures Now Available!)A golden opportunity for s...
20/06/2025

📢 *Very Important Announcement*

🎯 Crack NRE-2 – 2nd Edition (Recorded Lectures Now Available!)

A golden opportunity for students to study from the comfort of their homes!
Those who wish to enroll can now join and access the paid recorded lectures of the Crack NRE-II program.
✅ Subscription fee is very low and affordable, especially for the FMG community.

🔴 *Also join our ongoing NRE-2 Live Session* !

This package includes:
•Coverage of all 20 stations
•All mandatory important stations
•Past paper discussions
•Clinical viva questions
•High-yield images for exam preparation
•Complete examination methods

🌟 Join AHM Platform and Brighten Your Future!
InshaAllah, we aim for 100% success in NRE-2.

Regards:
Dr. Muhammad Sajid
📱 WhatsApp: 0370-7136145

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Islamabad

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