A diabetic patient in the waiting room develops giddiness, sweating and confusion, he is suffering from:

 # A diabetic patient in the waiting room develops giddiness, sweating and confusion, he is suffering from:

A. Hypertension

B. Ketoacidosis

C. Hypoglycemia

D. Hyperglycemia

The correct answer is C. Hypoglycemia.

Signs and symptoms of low blood sugar (happen quickly)

Feeling shaky.

Being nervous or anxious.

Sweating, chills and clamminess.

Irritability or impatience.

Confusion.

Fast heartbeat.

Feeling lightheaded or dizzy.

Hunger.

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Carcinoma due to chronic irritation is:

 # Carcinoma due to chronic irritation is:

A. Kangri cancer

B.  Countryman’s injury

C. Chimney-sweepers cancer

D. All of the above

The correct answer is D. All of the above.

Kangri cancer is a type of squamous-cell carcinoma of the skin. It is found only in Kashmir in the northwest of the Indian subcontinent. It occurs on the lower abdomen and inner thighs and is due to the use of a kanger, a ceramic pot covered with wicker-work, carried as a source of warmth during cold weather. 

Actinic cheilitis is cheilitis (lip inflammation) caused by long term sunlight exposure. Essentially it is a burn, and a variant of actinic keratosis which occurs on the lip. It is a premalignant condition, as it can develop into squamous cell carcinoma (a type of mouth cancer). This is also known as sailor's lip or farmer's lip or countryman's lip.

Chimney sweep's cancer, also called soot wart, is a squamous cell carcinoma of the skin of the scrotum. It has the distinction of being the first reported form of occupational cancer, and was initially identified by Percivall Pott in 1775. It was initially noticed as being prevalent amongst chimney sweeps.

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Therapy of choice for diffuse toxic goiter in a patient over 45 years is:

 # Therapy of choice for diffuse toxic goiter in a patient over 45 years is:

A. Surgery

B. Antithyroid drugs

C. Radioiodine

D. Antithyroid drugs first, followed by surgery

The correct answer is C.  Radioiodine

Diffuse toxic goiter Treatment: 

a) Above 45 years - Radioiodine

b) Below 45 years

- Surgery - for large goitre

- Antithyroid drugs or radioiodine - for small goiter

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Which of the following is the first sign that appears in hemorrhagic shock?

 # Which of the following is the first sign that appears in hemorrhagic shock?

A. Hypotension

B. Tachycardia

C. Vasoconstriction

D. Syncope

The correct answer is B. Tachycardia

• Hypovolemic shock develops after the loss of 40% of blood.
• Tachycardia is earliest sign of hemorrhagic shock.
• Hypovolemic shock is the most common type of shock in the victim of maxillofacial trauma.

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