For rahaf

GBS vaginal swab screening in pregnant women a. 15 weeks b. 25 weeks c. 35 weeks d. 40 weeks

c

55 years old female came with bilateral breast pain + bilateral green discharge from multiple ducts. Imaging: Multiple dilated ducts, not suspicious. What to do? -us guided needle biopsy -Interval follow up imaging -Galactogram -MRI breast

b

3 year old came to clinic with lethargy and failure to thrive Hg 88 Mcv 65 Normal RBCs Reticulocyte 5 Mch low What is the most appropriate management : A. Blood transfusion B. Im iron C. Oral ferrous sulfate D. Fortified formela

c

Patient came to the ER with signs and symptoms of myocardial infarction he was going for PCI, when the cardiologist was assessing his condition he notice the patient was depressed with low mood, the patient refused the PCI he demonstrated that he was capable good understanding of his conditions and the need for treatment still he refused.what to do A. Treat the patient regardless of the consent B. Refer the patient for psychiatric assessment then take the consent C. Respect the patient choice after discussing the reasons of refusing D. Take the consent from the patient relative

B

A physician was working on a research paper. Before publishing the paper, he made some changes to some of the data and omitted other parts of his results. What is this action referred to? A) Falsification B) Fabrication C) Plagiarism D) Near miss

A

Patient coming from an endemic area for malaria. Later on, he was admitted to the hospital with Heart failure. Doctor did not ask the patient about travel or medication history. Thus, he ordered the nurse to give digoxin. Who is at fault? A) Computerized drug prescription system B) Nurse failed to write drug formularies C) Pharmacist who failed to check prescription D) Patient who did not bring his medicine pack/ report his medicines

A

Warfarin was not stopped by patient despite of the clear instructions, the nurse in the OR noticed that the patient did not stop the drug as instructed and informed the surgeon, so the surgeon postponed the operation: A) Adverse event B) Medical negligence C) Near miss D) Principle of totality Answer: C,

C

Patient came with vaginal discharge she has done Vaginal delivery with episiotomy 10 days ago, the obstetrician diagnosed her with UTI and prescribed Abx, but she did not improve then she went to another obstetrician, and he found infected vaginal swab, What is the medical error done by the first obstetrician? A) Let the midwife assist him and depend on her B) Doctor failed to follow the surgical safety protocol in the OR C) No communication between the second and first obstetrician D) Genuine difference assessment or diagnosis of patient case

b

A 3-year-old child was brought by his mother for a regular check-up. The child behaved badly, continued to shout “NO!” and throw toys. His mother tried to stop him but he continued to ignore his mother. Which of the following would you advise this mother? A) Ignorance B) Counselling C) Positive reinforcement D) Punish the child

c

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  Answer: B

b, repeated

An 18-month child was brought to clinic for a regular checkup. The doctor found out that the child had not taken any of his scheduled vaccines. He asked the mother why and she replied “Vaccines will make my son retarded!”. What is the appropriate action? A) Refer the mother for psychiatric assessment B) Contact child protection services C) Explain the benefits of vaccines to the mother D) Contact the hospital ethics committee

c

One of the goals for Saudi Arabia in 2030 vision is to improve the health by decreasing the preventable causes of death underage of 5 years group, this will be conducted through: A) Specialized hospitals B) Education C) Immunization D) Economic development

c

Child came with a potentially toxic dose of paracetamol. The physician requests an “Acetaminophen level”. The lab technician calls to report results. He says: “two” stops and pauses and then says ”one, three”. The nurse mistakenly writes it as “2.13” while the real result was “213”. The patient went into irreversible liver damage, which of the following explain the error that has happened? A) Doctor did not check B) Lack of communication C) Technician didn't check if the nurse got the number correctly D) Mishandling from the nurse.

b

HIV patient presented with neurological manifestation and diagnosed with toxoplasmosis, most appropriate management? -pyrimethamine and sulfadiazine -Doxycycline and clindamycin -Ceftriaxon and azithromycin

a

Female with vaginal discharge Grey, fishy odor , smear : show clue cells, diagnosis? A. Trichomoniasis B. Bacterial vaginosis C. Candida

B

Child presented with a picture of croup improved on epinephrine but relapsed in 30 mintues again what to give ; Repeat epinephrine Steroinds Salbutamol Antobiotics

A

There was a case about elderly diabetic pt with 2 day history of abdominal pain , bloody diarrhea imaging was done showed thickning of descending and sigmoid colon with thumb appearance , what is the dx? A- uc B-crohn disease C-ischemic colitis D-acute diverticulitis

c

A 56-year-old patient presents with left lower quadrant pain and a change in bowel motion. Upon examination, the patient has a fever and left lower quadrant tenderness. Imaging showed thickened bowel. What is the Treatment? A. Conservative with broad-spectrum antibiotics. B. Colonoscopy. D. Laparoscopic Colectomy.

A

Q37 - Pathophysiology regarding patient with appendicitis complicated by appendicular mass (Abscess), patient was feverish (38.7)? A - Peripheral Vasoconstriction B - Decreased Cardiac Index C - Redistribution of Blood D - Bradycardia

`C

664-10 Yo female presented with RUO.pain for one week. Associated with jaundice, vomiting and diarrhea, she has a recent Mx of eating from outside, She has no Hx of drug. Which of the following test wil contirm her infectin ? A. HAV IgM B. HAV IgG C. HBSAg D. HCV RNA

A-Confirmatory testing

• ↑ Anti-HAV IgM antibodies: present in patients with active infection 
  • Usually detectable 5–10 days after exposure and 5–10 days before clinical symptoms develop