full term born came with respiratory distress and chest X ray showed fluid in the fissures. He is born by cesarean section. Most likely diagnosis A-Transient tachypnea of newborn
B-Sepsis
C- Meconium aspiration D-Hyaline membrane disease
Answer
A, fluid in fissures in full term infant delivered bxy c section
Card 22
Question
70 years old woman, sexually active, hysterectomy done before, and she complains of prolapse and enlarged vaginal opening, what is the appropriate procedure?
A. sacrospinous fixation
B. Ant and post colpoperineorrhaphy
C. Manchester repair (Fothergill operation)
Answer
a
Card 23
Question
60 YO male patient k/c of DM and HTN presented to ER with: neck pain and sweating for one hour. He has a previous history of recurrent chest pain which resolve spontaneously after resting. ECG done and showed non-specific ST segment and T wave changes. Troponin is normal. What is your next step? •A. Repeat troponin after 6 hours •B. Discharge the patient •C. Do stress ECG test •D. Give aspirin and nitroglycerin
Answer
a um alqura
Card 24
Question
What is true about celiac disease?
A biopsy has no role in diagnosis
B can’t affect adults
C simple blood serology can confirm diagnosis
D successful treatment of gluten free diet consider diagnostic
Answer
a gluten free diet shoud not be facilitated ithout proper diagnosis, biopsy HAS a role in ddx and it can affect adults, c by exclusion
Card 25
Question
A 30 weeks pregnant has lower abdominal pain with no bleeding or leaking. If you suspect preterm labor, which of the following will confirm preterm labor?
A. History will be enough to confirm preterm labor
B. Presence of contractions in the CTG
C. Pelvic examination
D. Cervix length
Answer
c.
Card 26
Question
child chest trauma no air in one side abd distended hypo tensive what next
Trachestomy
Chest tube
Ct or us
Answer
US
Card 27
Question
patient with paracetamol toxicity came to ED after one day
atidote
N acetyle cystein
no need in this stage
Answer
N acetylcestiene
Card 28
Question
patient received immunization against Hep B, what do you expect his serology to be? HBs AB+ HBc AB +
Hbe AB +
HBs Ag +
Answer
HBs AB +
Card 29
Question
child with signs of appendicitis
confirmation by
us
ct
Answer
US
Card 30
Question
head trauma and coma for 5days
best early way for feeding
NGT
central nutrition
parental nutrition
gastrostomy
Answer
NGT
Card 31
Question
female in 28w found no cardic activity and fundal hight 18wk
missed abortion
fetal demise
Answer
a
Card 32
Question
embrical ab used in fever in leukemic patient
meropenum
pepracillin tazobactam
2 others
Answer
both are correct acccording to utd
Card 33
Question
Newly married female came for routine chick up
Most important exame
Pelvic digital examination
Vaginal exam
Abdomenal us
General appearance
Answer
a.
Card 34
Question
Hormone that confirm ovulation
Estogen
Progesterone
Fsh
Lh
Answer
progesterone, LH will indicate timing of ovulation
Card 35
Question
Neoborn with tachypnea , tachycardia and difficulty feeding , on oscultation there was parasternal heave and single S1 heart sound , what is the essential part of the initial management?
A-NSAID
B-Diuretics
C-Dopamine
D-Prostaglandine
Answer
d, based on votes
Card 36
Question
Pic of meningococcemia rash asking what complication will occur?
Hearing loss
Answer
6,7,8 nerve
Card 37
Question
56 year old male with long standing heartburn, did endoscopy and showed barrette esophagus with low grade dysplasia, what is the initial
A Esophageal resection
B Bantoprazole
C Renitadine
D Sucralfate
Answer
B
Card 38
Question
Stage 3 renal disease, which of the following can be prescribe?
A-nitrofuronation
B-metformin
C-lithium
D-Warfarin
Answer
D, all other drugs are contraindicated in CKD
Card 39
Question
Case of stroke and complain of weakness in the arm leg and face, intact speech and sensation where’s the damage?
A. Middle cerebral artery
B. Anterior cerebral artery
C. Mid basilar artery
D. Vertebral artery
Answer
a, based on votes
Card 40
Question
RTA pt with maltipule mandbular fracutere with severe bleeding, uncontious, no vitales menstioned
How would you mange his Airway?
A. Laryngial mask
B. Orotracheal
C. nasotracheal
D.Cricothyrotomy
Answer
D
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