1.Which patient is at potential risk of digoxin toxicity?

• A patient with Cushing’s syndrome taking Lasix 20 mg IV twice a day.

• A patient with a calcium level of 8.9

• A patient with a potassium level 3.8

• A patient presenting with painful muscle spasms and positive Trousseau’s sign

2.โรคใดไม่เข้าพวก

• Graves’ disease

• Toxic MNG

• TSHoma

• Thyroiditis

3.What finding is earliest radiographic finding in rheumatoid arthritis? 

• Marginal erosion

• Juxta-articular osteopenia

• Uniform joint space narrowing

• Radial deviation of wrist joint

4. F 64 yr, UD HT, presented with recurrent shaking of left leg while standing especially in the morning for 4 d

PE : BP 110/55, HR 80, Alert, no motor weakness when examined in bed

What is the most likely cause of this patient?

• Internal carotid artery stenosis

• Anterior cerebral artery stenosis

• Vetebrobasilar artery stenosis

• Seizure

5. In determining prognosis for a patient with CKD , progression of the disease is predicted in most cases by?

• Kidney size on an ultrasound

• Abnormalities in sodium-water balance

• Chronically elevated hemoglobin A1C levels

• The degree of proteinuria

6. ข้อใดใช้ในการรักษาผู้ป่วย acute ischemic stroke?

• 
• 
• 
• 

7. รูปนี้เป็นสัญลักษณ์ (logo) ขององค์กรใด?

• AACE

• Endocrine society

• WHO

• KDIGO

8. What day is Rheumatoid Arthritis Awareness Day?

• 1 January

• 2 February

• 3 March

• 4 April