For rahaf

24 year old female came with abnormal papsmear, what will you do ? Colposcopy, repeat pap in 3 months , reassure

more info

30 year old woman asking for effective and reversible method of contraception which of the following is most effective? Vaginal ring containing hormone, m condom, f condom, spermicide

vaginal ring

Which of the following antidepressants causes constipation? A- SSRI B- Snri C- Tca D- Moa

C

A female underwent caesarean section and consent was obtained. Patient later developed massive bleeding that was not being controlled by medical management and hence a decision for hysterectomy was made by the two consultants. However, no consent for hysterectomy has been obtained. What will the surgeon do? A) Obtain consent from the husband B) Perform the hysterectomy without consent C) Consult the ethics committee D) Do not perform the hysterectomy

b

C to the hospital with a diagnosis of Ebola. After a few hours, the patient wanted to leave to "just buy a drink and come back" you refused to let him out but he insisted. Which of the following is the most appropriate action? A) Call security B) Refer him to the infectious disease department C) Sign him DAMA D) Consult hospital administators Answer: A, Ebola is a life-threatening disease which poses a major risk to the public. He must be kept in isolation until he recovers.

a

5 years old girl, has uti what is most appropriate treatment A amoxciline B iv ciprofloxacin C im ceftraxon

a

Child with absent red reflex 1- mri brain 2- reassurance 3- ophthalmology referal for examination under sedation

3

Pregnant 30 weeks come with regular contraction 4 in 10 min, 2cm dilation 80% effacement, no fluid leakage or bleeding, what most appropriate? A. Steroid and anticipate delivery B. Steroid, tycolytic, GBS prophylaxis

B

Child with productive cough, fever with stony dullness and crepation What is the diagnosis? Pleural effusion Lung colapse Bronchopneumonia

C

Hx of asthma in labor with pph doctor did massage but didnt help she stil in bleeding Which of the following contraindications is the most appropite managment to her at this stage ? A- oxytocin B-misoprstol C-methylergonovine D- Carboprost

d

Typical case of organophosphate toxicity ask about dx and ttt

atropine

Child present with right inguinal hernia Most appropriate management? Herniotomy Open repair with mesh Observe until age 6 y

a

Victim of RTA came with pelvic fracture and there’s blood in the urethra and has retopretonial fluid, next step? A- Folley catheter B- suprapupic catheter C- laparoscopy D- laparotomy

b

typical case of diabetic ketoacidosis with abdominal pain fluid was administered what next? Iv insulin Bicarbonate D5

a

Pregnant 39w with blurry vision and headache and positive protein in urine next ? Admit for labour Steroid

a

Time to get pregnant after breast surgery? 12m 6 m 3 m 2y

d

Adult with Crohn’s disease present with painful perianal mass and tender with positive fluctuations next? Abx Incision and drainge

b

RA patient contry on hydroxychloroquine and steroid with abnormal fasting blood sugar and HA1C? Taper steroid and give methotrexate Taper steroid and give adalimumab Continue Sim management

survey

nurse did PPD test result is 12mm next? INH for 3 months INH for 6 months Rifampin, isoniazid, pyrazinamide, ethambutol

b

At what gestational age we start diabetes screening in a pregnant woman? A. 4 weeks B. 12 weeks C. 24 weeks D. 34 weeks

c