For rahaf

Patient did major pelvic surgery for ovarian cancer, after 3 days the patient developed hypoxia, what is the cause?

atelectasis

2 week newborn on breastfeeding . Has small amount of watery diarrhea after each feeding? - Reassurance - congenital lactose intolerance

reassurance

Child has intussusception with sausage mass , patient well and stable Most appropriate treatment? -surgical reduction -warm hydrated water enema under US

warm hydrated water enema under US

you have limited influenza vaccine, which of the following demographic will you prioritise? 1- child school 2- pregnant women 3- isolated htn adult 4 - iron defecncy anemia child

pregnant women

Married for 3 years, off contraceptive since 18 months and still didn’t get pregnant A. IVF B. Induction ovulation C. Infertility investigation for both wife and husband D. Continue trying

c

rauma pt diminished breathing opening on the axillary and you can hear squeaking or bubbling from the opening: A- chest tube insertion B- thoracostomy D- Dressing three side

three side dressing

The number of new-born deaths was 4.8 per 1000 in Saudi Arabia during 2020, What was needed to calculate this figure? A) Number of women in the reproductive age B) Number of child deaths in 2020 C) Population in mid 2020 D) Number of new-borns in 2020

d, number of child death is wrong as it isnt the same demographic

11 month old child, brought by his parents they reported a 1 day history of fresh blood in stool associated with foul smell and dark brown stool on examination the child was pale (they didn’t mention pain or any abdominal examination), What’s the best diagnostic tool: A- barium enema B- barium meal C- radioisotope scan D- US abdomen

C

A patient with Crohn’s disease treated with infliximab and azathioprine presented complaining of the perianal pain for 5 days .. on examination there is purulent discharge.. and induration with erythematous. Vital signs are stable and there is no fever. Labs show high WBCs What is the next step? A. Increase dose of infliximab and decrease frequency B. Percutaneous drainage C. Broad IV Antibiotic D. Swab and culture

C

Another recall: Young year old man with appendicitis was treated conservatively with antibiotics. He now presents with an appendicular mass with no collection. How will you manage this case? A. Interval laparoscopic appendectomy after 12 weeks B. Interval open appendectomy after 12 weeks C. No further intervention needed D. Colonoscopy after 6 weeks

A

You have seen a 37 year old female in your clinic with left breast lump. After completing your consult you decided to perform a biopsy. what is the best type of biopsy to be done? A. True-cut biopsy B. Incision biopsy C. Excision biopsy D. FNA

A

15 month old boy came to the ER complaining of abdominal discomfort, emesis, stool with blood and mucus on physical examination he has increased abdominal sound. X-ray report shows obstructive bowel ( written like this ) A- give antibiotic B- Go to OR and do surgery C- Barium enema D- bowel rest, IV hydration and wait until symptoms gone

C

Nullipara with menorrhagia and dysmenorrhea, what is the type of contraceptive appropriate for this patient? A. OCP B. Depo Provera Injection

A, first line in AUB mx

Pregnant women Last menstrual period 7th of May, she has regular period and is sure about it. What is the Expected date of delivery? A. 10 February next year B. 10 December same year C. 25 December next year D. 30 February next year

a, add 9 m 7 d

8 years old boy. Mother complained of poor training to bathroom which muscles is targeted in therapy? A- Perianal B- Pelvic floor C- Rectus muscle D- Detrusor

D , repeated

There was lack of invelonza vaccine which most important group to give? A- school children B- pregnant women C- child with SCA

b

Patient came fracture and compartment syndrome, what’s the first alarming sign? A. Absent pulse B. Toe discoloration C. Paresthesia

parasthesia is the first sign

The government did a health campaign to encourage the consumption of low- fat products and a low salt intake in order to prevent hypertension and diabetes. Why type of prevention is this? A) Primordial prevention B) Primary prevention C) Secondary prevention D) Tertiary prevention

b, can you explain the difference between primordial and primary prevention?

patient with a history of radiofrequency ablation is at risk for hypothyroidism. He comes for a checkup and his labs show a TSH of 5 (Normal is 0.5 - 5.0). What will you do to establish a diagnosis A. Repeat TSH in 4 weeks B. Measure T4 levels C. Thyroid scan D. Thyroid US

previouss radiofrequency therapy is one of the indications to test for hypothyroidism, measuring T4 will help establish ddx

30 y old male came with dyspnea, chest pain, PND and orthopnea. On examination: pansystolic murmur Gallop S3 with displaced apex, no any significant medical history. Most appropriate next step: A- Echocardiography B- Chest x-ray and ECG C- Beta blocker D- Lasix

next step is establishing diagnosis, B