For rahaf

Pregnant with hx of recurrent uti, asthma on SABA, she is on labour, what is the drug that should be administered during labour and delivery? A- Bethamethasone B- Ampicllin Forget the rest..

B

Best test to see the glycemic control during pregnancy in the routine visit in pregnant with DM? - random glucose - fasting - hba1c

c

case of whooping cough (croup) and ask what u will find on auscultation ? prolonged inspiration prolonged expiration

A

immunocompromised baby, what of the following is contraindicated vaccine : A_ Varicella B_hib B C_dtop (i think)

A

2 years old baby, before 3 weeks had blood transfusion after acute sickle cell attack. His mother bring him for hib A vaccination : A_Give vaccine ber schedule B_ wait 3 months C_ wait 6 months D_ (don't remember)

A

Case of wilson disease typically : A_ penicillamine B_ deferoxamine

A

Case of child falling with open femoral fracture : A_ external fixation B_ internal fixation C_ surgical debridement D_forget 🤷🏻‍♂️

C

13 Y/O female brought by her mother who was concern about her daughter’s height. Upon examination there were know signs of pubic hair or breast development. Hight was 152 and weight was 37. No family hx of similar problem: A. Hormonal delay B. Familial delay C. Constitutional delay D. psychosocial delay

C

Patient in a coma for 5 days. Initial method for feeding A- Gastrostomy B- NGT C- Central something (There was no Jejunostomy in the choices)

B

Young female has a history of multiple miscarriages, came to complaining that she want to conceive and want to receive all types vaccinations. Her B-HCg is positive. What to give her? Measles Rubella Influenza

C

elderly man with CKD DM, HTN Cr 150 normal to 115 k 6.8 Complained of fatigue and nausea Asked what to give Bicarbonate D5 and water Diuretics Ca gluconate There was no ecg or other symptoms

D

Female patient pregnant with history of previous 4 C-section presented with mild bleeding and hypotension, what is the most likely cause of her presentation “This is the full scenario no further details” A- cord prolapse B- Uterine rupture C- abruptio placentae D- fetal vessel rupture

B

Young male patient has a history of exposure to HBV infection , US was done and showed multiple nodular lesions in his liver. His PCR for HBV is negative, what is the next step? No need for follow up Abdominal and Chest xray Alfa fetoprotein test Anti Delta antibodies

d

Child came with a coca-cola urine, he also has a history of fever for 1 week, his throat is congested and cervical lymph nodes are palpable, what is the likely cause? IgA nephropathy Acute glomerulonephritis Alport syndrome

A

4 months* old girl, during Pneumatic otoscope unilateral non-purulent effusion and decrease tympanic membrane motility , no fever pr other symptoms, and no hx of previous infectious diseases, breast feeding very well and no use of pacifier , What’s the best next step? - use amoxicillin tx - use of amoxicillin and clavulanate - Observe and F/U for 48hrs - Refer for ENT to evaluation for tympanostomy tube (للاسف الشديد هذا السؤال جاء نسخ لصق تكرر كثير بالاشهر الماضية وكنت اعتقد انه bad recall )

D

81 year old male presenting with memory loss and difficulty remembering grandsons name, medically free apart from occasional alcohol intake. What is the likely diagnosis of his presentation? A) Multi Infract Dementia B) Alzahimers Disease C) Alcohol Induced encephalopathy D) Parkinsonism with Dementia

B

An old patient with symptoms of fever and productive cough admitted to isolation as a case of T.B, then next day results came out showing him having HIV. What shall you do now? A. Start anti-HIV immediately B. Start anti T.B for 3 months then anti-HIV C. Consider Pneumocystis Carinii D. Start both ant T.B and anti-HIV

B

Women with worsening dysphagia for 9 months for both liquid and solids, she recently have ill defined central chest pain, no other past history. Clinical examination was unremarkable, labs was unremarkable, except of ESR = 13 ( the normal was up to 10 ), what is the diagnosis? A. Pharyngeal pouch B. Achalasia C. Esophageal web D. Squamous cell carcinoma of the esophagus

B

Patient smoker with dyspnea on exertion relieved by rest, he is anxious with nicotine staining on fingers, what is the best drug for quitting smoking? A) verancline Bupropion C) Nicotine replacement D) advice and behavioral

A

Shock patient with chart showing (cardiac output 2.5L) ( PVR is very very high ), what type of shock : A- Cardiogenic B- Septic C- Hypovolemic D- PE

A