For rahaf

Pt did let neck surgery then develop numbness (or loss of sensation) in the lower part of pinna + left triangle of mandible. Which nerve is injured? A. Third occipital B. Great auricular C. Great occipital D. Lesser occipital

B

Pt post thyridectomy developed aspiration and hoarsness, which nerve injured ? A. Superior laryngeal nerve B. Recurrent laryngeal nerve

B

Coca cola urine + rash + had congestion throat and lymphadenopathy (didn't specify the duration) Vitals (fever 38, Tachy) Likely dx? IgA nephropathy Acute glumornephritis Acute cholecystitis Not remembered

A

Pediatric patient came with fever and sore throat, the tonsils were congested and he had papular lesion with erythematous base on his mouth and gingivitis: HSV EBV Coxsackie

A

Child with group A strep pharyngitis. What will you do with his brother? A. Observation ✅ B. Throat culture C. Throat swab for rapid antigen test D. Antibiotics

A you give penicillin prophylaxis to Patients with a history of acute rheumatic fever

A female with vaginal discharge and in examination there is "red strawberry cervix" A- Chlamydia B- Neisseria gonorrhoea C- Tricomoniasis vaginalis

C

y/o male on MV in ICU due to intracranial hemorrhage, 7 days later he developed ground coffee vomitus. What is the Dx? A- Stress gastritis B- H.pylori gastritis C- Dyspepsia

A

12 yr old boy obese Presented following trauma pain and limited movement internal rotation, there is an x-ray picture in the exam. A- Slipped upper femoral epiphysis B- Fracture neck femur C- Avascular necrosis

a?

Patient hospitalized with pancreatic cancer presented with unilateral leg tenderness erythematous and swelling Dx A- Cellulitis B- DVt C- Acute ischemia

B

Non-Hodgkin lymphoma on Tx developed tumor lysis syndrome: A. Hypokalemia hypocalcemia B. Hypokalemia hypercalcemia C. Hyperkalemia hypocalcemia D. Hyperkalemia hypercalcema

C

Pediatric patient presented with generalized seizure, hypoglycemia, ketones in the urine with characteristic odor. What is the dx? A. Galactosemia. B. Phenylketonuria. C. Maple syrup urine disease. D-Fatty acid oxidation defect

C

Child have dry non purulent conjunctivitis, cracked red lips, erythema (I think trunk, sole, hand) what's the diagnosis? A- Kawasaki disease B- Rubella C- Measles

A

Child with widening of the joints, and delayed walking with numbers exactly like this: Ca 2.2, Phosphate 2.1, ALP 1030, It was exactly like this, no PTH given. What is the most likely diagnosis? A- Hypophosphatasia B- Renal osteodystrophy C- Vit D deficiency rickets D- Familial hypophosphatemic rickets

C

An 8 year old girl with persistent and continuous diarrhea, she drinks 3 pints of goat milk per day and is a fussy eater. Which of the following conditions explain her presentation? Labs: Hb Low, MCV Low and MCHC High A) psychological Deprivation B) Giardiasis Parasitic Infection C) Aplastic Anaemia D) Hypothyroidism

a, survey

Pt with sjograns disease , ask what causes HYPERKALEMIA in this pt? A- RTA 1 B- RTA 2 C- RTA 3 D- RTA 4

sjogren causes RTA TYPE 1,  hyperkalemia present i RTA type 4

women with a history of insomnia and crying for S days due to sibling death, what is the quick drug to use? A- Lorazepam B-SSRI

A

Pregnant at 13 weeks of gestation with history or spontaneous fetal loss at 20 week. What is the most appropriate action to do? A- Regular F/U without specific intervention B- Cervical cerclage now

B

60y old lady present with lower genital bleeding, she described it as Scanty and barely stain the pad , what is the source of bleeding A- Fallopian tube B- Ovary C- Uterus D- Genital tract

C

Patient had liver laceration and the patient is hemodynamically unstable. What to do? A- Right hepatectomy B- Perihepatic packing done C- Right hepatic artery ligation D- Ligation of the involved vessels

B

16 YO came to ER after vomiting once with blood , she had recurrent N/V before her period in the last time there was slight blood with vomiting , after 4-6 hours they mention also ,all labs and exams are normal what you should so? A- admit her for observation B- reassure and ask to come if it recur again C- prepare for urgent EGD D- Discharge

C