For rahaf

55 yrs old male DM type 2 C/o left arms weakness for 5 hour then improved before 2 days Now on examination everything normal no carotid beruit except new cardiac murmur noticed on auscultation( am not sure about the murmur other people said it was stated in the Q) What is the initial investigation ? A- TEE B- Carotid dupler C- Carotid Ct angio D- MRI brain

A

Pregnant female 8 weeks pregnant Present e abdominal pain and bleeding Examination open cervix and tissue in the vaginal seen Dx Complete abortion Threatened abortion Incomplete abortion Inevitable abortion

c

Pregnant 9 weeks come with sever bleeding she says that there was gush of fluid and part on examination os is open and tissue is seen (incomplete abortion)what's most appropriate step? A-Expectant B-D&C

B

After resection of a pedunculated polyp the results was benign adenoma and patient has no family history of colon cancer what to advice for reduction of colon cancer? A. Prophylactic sigmoidectomy B. Prophylactic colectomy C. Annual colonoscopy D. Lifestyle modification (healthy diet and exercise)

D

14 years old came with sever sudden scrotal pain and on examination high riding and sever tenderness on palpate.. dx? A. Testicular torsion B. Orchitis C. Hydrocele

A

1003- Calculate child pugh score: Albumin 30, INR 1.9, Bilirubin 30, Confused 1 week, Ascites A-Child A B-Child B C-Child C

c

calculate fluid for 12 kg

44 ml

pregnant patient known HTN takes acei what to do? Stop, change

change

 

Pleural effusion. Which of the following indicates therapeutic thoracocentesis - Glucose level - Protein level - Loculated pleural effusion

C

Diabetes millitus Risk ratio is 0.83 among patients who drink green tea (exposed) and patients who drink black tea (unexposed). A- green tea drinkers have lower risk of dm  B- black tea drinker have higher risk of dm C- getting dm among both groups is unrelated/accidental D- no different between both are the same

A

about child present with projectile vomiting , on abdminal examination , olive like mass , what is the mx ? Pyleromytomy

Observation

A

A case ask about the electrolyte disturbance post chemo , TLS ? Hypo k , hypo ca Hyper k , hyper ca Hypo k , hyper ca Hyper k , hypo ca

survey

Middle aged,Medically surgically free , came with epigastric pain and abd. Distended, Examination: tympanic abdomin + tenderness. Radiology : pneumobelia ( exactly) Diagnosis? A. Small bowel volvulus. B. gallstone ileus.

b

TTN xray showed fluid in fissure , ask about dx

ttn

Pt with endometriosis failed nsaid , what to give ? Ocp

yes

Pt with breast mass , since 2 years , this mass growing , reach 15*15 cm Cystosarcoma , how to mange ? Simple mastectomy , there was no WLE

A

Elderly has problem in urination ,back pain elevated PSA DX? A -Prostatic CANCER B- incontinence C- UTI

A

Ct hydatid cyst , ask about (most appropriate initial mx )? Ceftriaxone, surgery, albendazole

albendazole

34 y after rta … open eye with pain , makes sounds , localized pain 8 9 10 11

9

patient with rings in his eyes, wilson disease, hemochromatosis

a