Public Health

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Glasgow coma scale ( GCS )

A 55 year- old male comes to emergency OPD because of excruciating pain in his right big toe.He was diagnosed to have gouty arthritis. Which of the following is the best intial pharmacotheraphy?
A, Ceftriaxone
B, Allopurinol
C, indomethacin
D,Morphine

A 50-year-old woman has complained of pain and swelling in her proximal interphalangeal joints, both wrists and knees. She complains of morning stiffness. She has had a hysterectomy 10 yea rs ago. Physical exam shows swelling and thickening of the PIP joints.Hemoglobin is 10.3 g/dL, MCV 80 fl, serum iron 8 μmol/L, ironbinding capacity 40 μmol/L (normal: 45 to 66), saturation 20%. The most likely explanation for this woman’s anemia is
A.Occult blood loss
B.Vitamin deficiency
C.Anemia of chronic disease
D.Sideroblastic anemia