Wife of 50 years old male patient told the doctor that her husband has large number of mood swings almost daily. It swings between hyperactive state and depression, accompanied by impaired judgement due to distorted thoughts. What is he facing?

• A.Depression
• B.Psychosis
• C.Bipolar disorder
• D.Social phobia

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What are the characteristics of Asian patients?

• A.They follow strict dietary practice, show outward expression of grief, female relative provides medical care
• B.They avoid eye contact, hide terminal illness, do not show outward expression
• C.Both A and B
• D.Neither A nor B

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A 60-year-old male, with a known case of hepatitis C virus infection, presented in medical emergency in altered state of consciousness with an abnormal smell coming from him. On examination he had ascites, palmar erythema, ankle edema, bruises and purpurae all over the body. His testes were small. What diagnosis you make in your mind about the patient?

• A.Decompensated cirrhosis liver
• B.Compensated cirrhosis liver
• C.Acute viral hepatitis
• D.Hepatomegaly

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A patient being managed in in-patient department is suspected to have pulmonary embolism. What is the confirmatory test for this?

• A.ABG analysis
• B.D-dimers
• C.Chest x-ray
• D.V/Q scintigraphy

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The nurse is assessing a client who, admitted due to difficulty breathing, underwent a bronchoscopy. On assessment, the nurse notes absence of the gag reflex. Which of the following interventions is the least appropriate for the client?

• A.Limit oral fluid intake to 1000 mL per day
• B.Assist the client in upright position
• C.Withhold oral medications
• D.Re-assess the client's gag reflex in 2 hours

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