For rahaf

Child 6yrs old presented with history of 6month left knee and wrist pain with limitations of movement and especially morning difficulty movement Otherwise no systemic symptoms What is the most likely diagnosis? A) rheumatic fever B) reactive arthritis C) septic arthritis D) juvenile idiopathic arthritis

D

Child 2 yrs old with fever and reduced feeding and crying excessivly for 1 day no focus of infection mother denies any vomiting or diarrhoea on examination there was redness and no light reflex on ear tympanic membrane which of the following is the most appropriate intial management? A) steroids B) Amoxicillin C) refer to surgery D) other very un relvant option

B

Pt known know case of diabetes Mellites came with abnormal liver function test LFTS were all high: A- hemochromatosis B- viral hepatitis C- autoimmune liver disease D- non -alcoholic fatty liver disease

D

child presented with URTI symptoms two days ago, now has SOB what is the most common organism? A- RSV B- influenza C- parainfluenza D- adeno

a

45yo Women , has abdominal distention . Imaging shows moderate ascites , pleural effusion & bilateral ovarian masses . Ca 125 is elevated 90something . What is the dx? A- Epithelial ovarian cancer B- sex cord tumor C- germ cell tumor

A

42 man came to hospital complain of SOP, fever and fatigue for few days, physical examination rise JPV pulsus paradoxus And distant heart sound Which involve? A. Valves B. Pericardium C. Myocardium D. Coronary artery

B

76 years old male, present with retrosternal chest pain with exertion relieved by rest, on examination S4 was heard. ECG showed T wave inversion in lead V2-VS What is the diagnosis? •A-Stable angina •B-unstable angina •C-NSTEMI •D-STEMI

B, new onset angina

What is the treatment of brucellosis in adult (28 y/o) A. Doxycycline and streptomycin B. Doxycycline and cefriaxone C. Rifampin and trimethprim-sulfamethaxazone D. Rifampin and ciprofloxacin

A

Pregnant lady came with SOB, she have Leg swelling , what is the most appropriate next step? A. CT PA B. Chest x-ray C. Doppler US of LL D. V/Q scan

C

Lady, with bruises and fracture bc her husband beat her, what to do? A- educate about violence B- inform authorities C- talk to the husband

B

56 years old patient had an upper Gl bleeding due to esophageal varices and was given IV fluid. Which of the following should be given to reduce mortality? A. Vasopressin B. Octreotide C. Nadolol D. Ceftriaxone

D

Chronic HBV , elevated enzymes , what to do? A- Screen for delta B- interpheron alpha

B

Patient came with vaginal discharge she have done CS with episiotomy 10 days ago , the obstetrician diagnosed her with UTI and described 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 1st and 2nd obstetrician D. Genuine different assessment or diagnosis of patient case

B

Pt old his regular doctor transfured to another hospital he’s upset and wants medical record and referral to his regular doctor A- Convince him that there’s equally compitant doctors B- Give report and refer him C- Refuse D- Calm him down and tell him to come tomorrow to decid

B

12 months old child came to clinic with his mother for taking hepatitis A vaccine, The mother tells you that he has sickle cell disease and that he received blood transfusion 1 week ago, what to do? A. Give vaccine as per schedule B. Check his hep A serology first C. Delay for one month D. Delay vaccine for 6 months

A

Patient undergoing laprascopic cholecystectomy, as they were inserting the tubes "laprascopy equipment" patient developed severe bradycardia 40 min/hr What could be the cause? A. Cold air inflation B. Streching of the preitoneum

B

Mother came with her child for preschool Vaccination Which of the following is important Vaccine to give : A-RV B-OPV C-Meningococcal ( MCP4 ) D-Hib

B

Female had breast cancer and did surgery for it, now wants to get pregnant What is the minimum time after breast cancer surgery to wait before getting pregnant? A- 3m B- 6m C- 2 years D- 5 years

C

Nisseria meningitidis precaution a- droplet b- contact c- airborne d- cannot remember, maybe no precaution

A

pregnant lady 30 weeks gestation known case of Rh alloimmunization the fetus found to have anemia what the management delivery duplex fetal blood transfusion

C