For rahaf

Pediatric patient with shigella treatment: A. Amoxicillin B. Azithromycin C. Ceftriaxone

B

Patient came with severe epigastric pain and abdominal tenderness and she heared tearing in her abdomen, the patient is hypotensive with low Hb: A. U/S B. CT angio C. Radioisotope scan D. MRI

A

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:4 Diseases that usually comes together in the choices Epididymo-orchitis Testicular torsion Appendicular torsion Inguinal hernia How Can I differentiate? Let’s take them one by one. ◻️ Epididymo-orchitis: - Gradual pain in the scrotum Usually >24h. - Tender edematous cord - Red scroutm - Fever, Dysuria, urethral discharge can be present - High WBCs and inflammatory markers. Mx: Antibiotics. ◻️Testicular torsion: - Scrotal pain less than 12 hours ( مهم ) لانه بعد ١٢ ساعه يصير Necrosis ومايحس بالالم. - Previous episode or trauma. - High riding testis ( Horizontal ) - negative phren sign and absent cremasteric reflex. - Low doppler flow Mx: Surgical exploration ASAP. ◻️Appendicular torsion: - Tenderness over the upper pole - Vertical ( Longitudinal ) testis - Blue dot sign Mx: NSAIDs and Rest. ◻️Inguinal hernia: - Mass extended to the groin.

Case of fever and sore throat , and there’s exudate membrane cover the tonsils? - Coronavirus - Infeunza - RSV - EBV

b

Female pregnant with recurrent late deceleration and fetal bradycardia and dilated 6cm what to do ? - Emergency CS - Reassure - Induction

A

52 y/o , last menstrual 12 month ago..ect, What is the responsible for this condition? A- FSH  B- Estradiol C- progesterone

A

Patient 77 years on 3 antihyperiensive medication, still not controlied, US was done and show Asymmetrical kidney hat is your dx? A - adult PCKD B - Renal artery stenosis C- Other choices unrelated at all

B

Male presented with retro chest haveness + sweeting ECG : sinus tachycardia +LBBB that's new and wasn't there before. Troponin pending A- give lidocan B -give thrombotic C -do exercises ecg D -wait for cardiac results

B

Young in 30s present with HTN for 3 months 160/100 and positive family history of HTN in father and brothers, high creatinine, urine analysis, positive protein, what to give? A) Beta blocker B) Alpha blocker C) ACEI

C

A patient with cirrhosis asymtpmatic came for regular follow up , he is for SCREENING for HCC. What Is the most DIAGNOSTIC TEST ? :)))) Alphafetoprotein US Triphasic CT

B

Pt has rest tremor but when he move to pick something the tremor gone, but can’t do finger nose test with his right hand where is the lesion ? A- Right cerebellum B- Left cerebellum C- Right hemisphere

A

boy circumcised mother said urine smell foul fever 39 for 1d what indicated uti in this pt A.Fever duration B.Being a male C.Fever 39 D.Age

C

98-Female GBS swap 100000, 2 count in 10 minutes, cervix 7 cm, wt to do: A. Oxytocin B. Ampicillin Answer:B

b

An elderly with end stage cancer c/o severe pain. The family asked the physician to give a stronger analgesic or to increase the dose. The doctor explains that while it might help alleviate the pain, it also might hasten their father’s death. Which of the following is this referred to? A) Principle of subsidiarity B) Principle of double effects C) Principle of totality D) Principle of informed choice Answer: B,

b

50-year old heavy smoker presented to the clinic for a regular checkup. He showed no interest in quitting smoking at all. Which of the following is the most appropriate action? A) Offer smoking cessation classes B) Nicotine replacement therapy C) Set a deadline to quit smoking D) Offer personalized advice Answer: D,

d

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 Answer: D

d

36) 70 years old, menopause, came seeking hormonal replacement therapy, and you explained that there is no benefit in her case, but she insisted, what you will do? A) Refer her to another gynaecologist B) Prescribe her the medication C) Refuse her the medication D) Consult the ethics department Ans C

c

case of pregnant for C/S. Prior to the operation she told the nurse she doesn’t like to get blood transfusion. Later when they delivered the placenta she bled profusely and started to faint. What will you do next? A) call the husband and take permission from him B) order blood and transfuse to her C) call the hospital ethics committee D) take permission before she loses consciousness

d, survey

Findings in a research report show that the incidence of a particular disease in Saudi Arabia is higher in females than in males but the prevalence is equal in both females and males. How can this be explained? A) Fatality cases are higher in females B) Fatality cases are higher in males C) Females carry the disease for longer D) Males carry the disease for longer Answer: A,

A

A young patient presented complaining of right upper quadrant pain. On examination there is RUQ tenderness and a palpable mass. Investigation showed Entamoeba histolytica, and there is abscess 12 x 14 cm with septation. What is your *initial next step* in management? A. Percutaneous drainage. B. Metronidazole. C. Percutaneous aspiration. D. Surgical removal

B