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5 years old c/o limping in ct there is a v necrosis ttt is: -surgery-splent-physiotherpy
Hepatitis b ab and ag on the curve
3-Pt have dm and renal impairment when he had diabeti nephropathy:there is curve for albumin-5y-10y-20y-25y
4-Pt has alzahimar disease and halusination and delusion ttt:Halopridole
Generalize antxity disorder best ttt:5-_Ssri-tricyclic a d
Major depression management:6-Intial therapy even sever
Psychiatric pt with un compliance of drugs ttt:7--depro halopredol
8-strongest risk factor for strok:-htn-a fibrillation-9-most risk factor:-htn10-pt with salpingitis and there is swelling in pelvis in posterior fornex and it is fluctuant m:-colpotomyLaproscopic11-child swallowing battery in the oesophegus m:-broncoscoby12_mild diarrhea m:-orsIn the appendisits the histology is:13--leukocyte in muscle-layer lymphoid
-tumor-plasma cell14-water in the body:-40%-diffrence depend on age and sex15_clavicular fracture m:If displaced need open surgery_arm sling and figer 8 is equal in efficncy16_corneal ulcer ttt:-ab and cycloplagia is mydrasis and refer to ophthalmology17-regarding dringe of the abcess one of the following is true:-curbuncle and frunculosis need draing -usually give ciphtriaxon and penicillin post draing18_salpingitis and pid on penicillin but not improve the most likely organism is :-chlamydia-nessiria19-wound at end inflammatory phase when:Epithelial tissue formation-angiogenisis-when the wound cleanScar formation20-juvenile ra ttt:AspirineSteroidPenicillamineHydrocloroquin21-adlosence with osteoporosis ttt:Ca folic acid22_pt has hemorrhoid with 4 degree ttt:Exsion surgery23_pt come with history of tinia capitis ttt:-tar shampoo_fluconazol24_pt with history of copd the most action to prevent complication is:Pnemoccoccal vaccineSmoking stopOral steroidB 2 agonist25_pt with congenital hip dislocation :-abducting at flexed hip can causes click or tali26-colon cancer with stage 3 give the chemotherapy:As soon as possibleI month27-56 y old present with vasomotor rhinitisLocal anti histamineLocal decongestionLocal steroid Systemic ab28-sca give prophlaxis:
Penicillin Iron29-diagnosis of thalasimia minor:-hb a2 and hgfMicrocytosis30-pt with mcv decrease and reticulocyt decrease iron deficiency anaemia investigation:Ferritin level and tibc and serum ironBorn bcg1month hepatitis b oral polio dpt2month s3month s9 to 12 month mmr
وكل مرة (Body mass index) جاني سؤالين:::يعطي رقم ويسأل هل )طبيعي - زيادةوزن - سمنة...الخ( (rh. fever) أي من االدوية التالية في عالج:::..(DMARD) يعتبر أحد:::ttt of acute gouty arthritis:::radiological finding in lateral view for elbow dislocation::: most common cause of ch. renal failure Worldwide:: شخص يسمع صوت يناديه من داخل الثالجة ) يقول له ان االكل مسمم...هل تعتبره(Hallucination or Delusion thinking) هو لو كانوانت Hallucination يسمع صوت وبس تقولمغمض ..لكن جاب لك سالفة ان الصوت يقول له ان االكل مسمم...؟؟؟؟ يعني سؤال خبيث ((من جد myosis and Respiratory) شخص عنده::::depression) هل هو ماخذ (Cocaine or opiate)..
In battered women which is true:1. mostly they come from poor socioeconomic area2. usually they marry a second violent man 3. mostly they come to the E/R c/o………..
4. mostly they think that the husband respond like this because they still have strong feeling for them
46) 17 y.o,she missed her second dose of varecila vaccine,the first one about 1 y ago what you'll do:a. give her double dose vaccine b. give her the second dose onlyc. revaccinate from startd. see if she has antibody and act accordingly
1- Pt with hodgicn lymphoma , and red strunberg cell in pathology and there is esinophil lycocyte in blood so pathological classification is
2- 62 y male with DVT and IVC obstruction deu to thrombosis so most like dd is-neohrotic syndrome-SLE-Chirstm disease
3-Pt with hbdominal pain heamatutea , HTN, and have abnormalty in chromosm 16 , diagnosis is_ POLY CYCTIC KIDNEY
4- 17 year pt with dyspnea Po2 , PCO2 ,Xray normal PH increase so dd is- acute attack of asthma- P E- pneumonia-pnemothrax
5- A long scenario about patient with polydipsia ad polyuria. Serum osmolrity high . desmoprsin inductin no change urine omolarity and plasma osmolrity so dd is_ nphrognic type_ central tupe6- 50 year old Man presented to ER with sudden headach, blurred of vision and eye pain. The diagnosis is:a. Acute glaucomab. Acute conjunctivitisc. Corneal ulcerd. -----7- RTA with hip dislocation and shock so causes of shock is- blood lose- urtheral injery-nryrogenic8- most common causes of hand infection- truma- imunocrombromise -
9- ttt of cholestatoma is- surgery- antibiotic- steroid-Grommet tube10 – twins one male and other female . his father notice that femle become puberty before male so what you say to father
- female enter puberty 1-2 year before male-female enter puberty 2-3 year before male-female enter puberty at the same age male
11- in devolping countery to prevent dental carise , it add to water - florid- zink- copper- iodide
12- 10. 12 y.o boy c/o abdominal pain after plauing football,he denied any h/o trauma ,the pain is in the Lt paraumbilical region what inx you want to do:1. CXR2. ultrasound kidney
13- pt child with back pain that wake pt from sleepSo diagnosis- lumber kyphosis- osteoarthritis- RA- Scoliosis
14- child with papule vesical on oropharnx and rash in palm and hand so dd- CMV- EBV- MEASLS- ROBELLA
15- chid with dental caries and history of bottle feading
So dd- nurse milk caris
5years old c/o limping in ct there is a v necrosis ttt is: -16-surgery total hip replacement--splent-physiotherpy
17 -Pt have dm and renal impairment when he had diabetic nephropathy:there is curve for albumin-5y-10y-20y-25y
18 -Pt has alzahimar disease and halusination and delusion ttt:Halopridole Antipsychotic drugs are modestly useful in reducing aggression and psychosis in Alzheimer's patients with behavioural problems
Generalize antxity disorder best ttt: -19 _Ssri-tricyclic a d-MAOIMajor depression management: -20 - - Intial MONOTHERABY even sever sever deprisson- Ttt should be change if no response during 2wk-psychotherapy, medication, and electroconvulsive therapPsychiatric pt with un compliance of drugs ttt: -21-depro halopredol injection- oral colonazepam22- Pt with scoliosis, you need to refer him to the ortho when the degree is:e. 5 10% ENOGH TO CONFIRM DIAGNOSISf. 10 g. 15h. 20 i. –
23- 5 y.o child with h.o fever and swelling of the face ant to the both ears (parotid gland enlargement) what is the most common complication:j. Labrynthitis k. meningitis l. encephalitis m. orchitis
24- 35 y Woman with cyclic bilateral nodularity in her breast since 6 month, on examination there is 3 cm tender mobile mass in her breast : what you will do nextn. FNA with cytologyo. Mammogramp. Biopsyq. Follow up for next cycleObservation25 -pt with salpingitis and there is swelling in pelvis in posterior fornex and it is fluctuant m:-colpotomy : Culdocentesis refers to the extraction of fluid from the rectouterine pouch[1] posterior to the vagina through a needle > The Rectouterine Pouch is often reached through the posterior fornix of the vagina.-Laproscopic - continouse oral theraby
26- child swallowing battery in the oesophegus m:-broncoscoby- insert foly catheter- observation27 _mild diarrhea m:-ors- IVF- oral antibiotic
In the appendisits the histology is: -28-leukocyte in muscle- lymphoid aggregation mascular layer-tumor-plasma cell in mascular layer
29 -water in the body:-40% of total body wight-diffrence depend on age and sex30 _clavicular fracture m:- If displaced need open surgery_arm sling and figer 8 is equal in efficncyTreatment usually involves resting the affected extremity and supporting the arm with the use of a sling. In older practice, a figure-8 brace was used
31 _corneal ulcer ttt:-ab and cycloplagia is mydrasis and refer to ophthalmologyincluding topical cycloplegics like
32 -regarding dringe of the abcess one of the following is true:-curbuncle and frunculosis need draing -usually give ciphtriaxon and penicillin post draing
33 _salpingitis and pid on penicillin but not improve the most likely organism is :-chlamydia-nessiria-SYPHLIS- HSV
34 -wound at end inflammatory phase when:Epithelial tissue formation-angiogenisis
35. male pt developed corneal ulcer in his Rt eye after trauma what is the Mx:1. topical Ab & analgesia2. topical steroid- antibiotic +cycloplgia + refferd to opthalm
36 -pt with mcv decrease and reticulocyt decrease iron deficiency anaemia investigation to confirm diagnosis:Ferritin level and tibc and serum iron- BONE MARROW IRON STAIN- -prephral smear
- -elctrphorosis37-. 6 mths baby with crying episodes+current jelly stool,looks slightly pale,signs of obstruction wht is your Mx:1. barium enema 2. immediate surgery 3. I.v fluid & wait for resolution
38. 5 y.o child with h.o fever and swelling of the face ant to the both ears (parotid gland enlargement) what is the most common complication:1. Labrynthitis2. meningitis3. encephalitis4. orchitis
39. Mother who is breast feeding and she want to take MMR vaccine what is your advice:1. can be given safely during lactation2. contain live bacteria that will be transmitted to the baby3. stop breast feeding for 72 hrs after taking the vaccine40. which of the following is a disease improving drug for RA:1. NSAID2. Hydroxychloroquine3……………41- Greatest risk of stroke: DMElevated blood pressureFamily history of stroke HyperlipedemiaSmooking42- SCA complications in adultsCerebral infarctionCerebral hemorrhage
43- Child with large periorbital hemangioma , if this hemangioma cause obstruction to vision , when will be permenant decrease in visual acuityAfter obstruction by one dayBy 1 weekBy 3 monthsBy 6 months
44- What is the most common treatment for juvenile rheumatoid
arthritisIntraarticular injection of steroidOral steroidParacetamolD-penicillamineAsprin
-when the wound cleanScar formation45 -adlosence with osteoporosis ttt:Ca folic acid46 _pt has hemorrhoid with 4 degree ttt:Exsion surgery47 _pt come with history of tinia capitis ttt:-tar shampoo_fluconazol oral terbinafine, itraconazole, and fluconazole48_pt with history of copd the most action to prevent complication is:Pnemoccoccal vaccineSmoking stopOral steroidB 2 agonist49 _pt with congenital hip dislocation :-abducting at flexed hip can causes click or tali50-colon cancer with stage 3 give the chemotherapy:As soon as possible51-sca give prophlaxis:Penicillin Iron month
52-diagnosis of thalasimia minor:-hb a2 and hgfMicrocytosis
53-56 y old present with vasomotor rhinitisLocal anti histamineLocal decongestionLocal steroid Systemic ab
54 - Hepatitis b ab and ag on the curvey55-strongest risk factor for strok:-htn
-a fibrillation- 9-most risk factor: -htn, atropine56-
to get more information from the pt-open end question
2- gingivits most likely cause-HSV
3-watery discharge from eye , conjunctivitis treated by- topical corticosteroid
4-blow out fracture eyelid swelling , redness other syptoms- present air fluid level - enopthalmosits enophaloms and other name of blow out fracture orbital floor fracture
5-drinking of dirty water causes-heptitis A-B -C-Di think its heptitis A
6- giemsa stained blood film- malaria
7-regarding peritonitis -can be caused by chemical erosions
8-mid- clavicaular fracture treatment-arm sling and finger 8 is equal in effiency
9-fraucture of humerus associated with- radial N injury
10-there is case i cant remember they asked about diagnosis of acute lymphocytic leukemia ALL
11-diagnosis of hemochromatosis-serum ferritin
12-kawasaki disease associated with-strawberry tongue
13-most common tumor in children-wilms tumor
14- pt c/o of hypopigmentful skin , nerve thicking diagnosis-leprosy
15-regrading COPD to reduce complication we should give- theophyline- pneumococcal vaccini think its pneumococcal vaccin
16- pseud-gout its-CACO3-CACL3its CACO3
17-man with history of alcohol assocation with- high MCV-folic acid deficiency
-B12 deficieny- hepatitisi think its high MCV
18-neanate 9 days on breast fed develop jandice- breast fed jandice
19-newborn we should given to prevent bleeding-vit k
20- pregnant lady 16 wks u/s shows snowstorm appearance- complete hydatiform mole
21-lady c/o headche bandlike pain- tension headache
22-regarding breast screening- self breast examination early detection of tumor- mamogram
23-19 yrs old c/o abdo pain within menestration for last 6 years diagnosis- primary dysmenorrhea-secondary dysmenorrhea
24-bilateral breast mass diagnosis- ductal carcinoma-pagets disease
25- beriberi cause of deficiency- VIT B1- VIT B2
- VIT B3its VIT B1 thiamine
26-chronic uses of estrogen assciation
27- Asystole- adrenalin- atropinasystol has only 3 durgs epinephrine-vasopressine-atropin
28-pt has diarrhea , dermatitis and dementia diagnosis pellagra
29-regarding injectable progestron-can cause skin prob
30-sencodary prevention is -coronary bypass gaft
31-22 yrs old c/o insomina/ sleep disturb treatment-SSRI
32-celluitis in children most commin causes- group A steptoccus
33- antideprssants associated with hypertensive crisis treatment-MAOI
34-pt his MBI = 24 kg he is- norama weight
-over weight- morbid weight- mild weight
35-baby c/o fever , chills , rigors and head rigidity +ve kurnings sign rash on his lower limb diagnosis- meningoccal meninigits
36-48 yrs pt with abdo pain , neusea, vominting tenderness in right hypochondrial- acute cholecysitis
37-29 pt c/o dysurea his microscopic showed G -ve organism is- legonealla
38- 30 yrs pt c/o feeling heaviness in the lower abdomen having pulge papable at the top scrotum that was reducible and icreasing in valsalva maneuver diagnosis- hydrocele-variocele-indirect inguinal hernia-direct inginal hernia
39- 27 yrs girl wih breathing heavily she had numbness and tingling sensation around the mouth and tip of the fingers you will do-let her breat to in a bag
40-anticoagulation prescrib for- one month- 6 months
- 6 weeks- one year
41-cushing syndrome best single test to confirm- palsma cortison-ATCH
42-23 yrs old history of URTI then he developed ecchomysis best treated-local AB-local antiviral-steroid
43-chronic psycotic disorder manged by-heloperidol
44-29 yrs old lady B-HSG 160 c/o vomiting , abdomenal pain which is more accurate to diagnosis-BHCG serial-pelvic US-laprascopy
45-70 yrs old man c/o fever , vesicular rash over forehead mangement-IV AB-IV antiviral
46-celiac disease involves-proximal part of small intestin-distal part of small intestin-proximal part of large intesin-distal part of large intensin
47-6 yes old pt cyanosis past history of simillar attack 6 month ago u will do for him-PFT-CxR-secure airway-CBC
48-side affect of diazepam
49-lady 28 yrs G3+3 C/O infertility-uterin fibroid
-endemic means