For rahaf

Hyperthyroidism pt had 2 nodules, One is hot the other is cold. Most importantly immediate management! A- Antithytoid med B- Radioactive ablation C- lobectomy D- Total thyrodectomy

A

Patient with hyperthyroidism on anti thyroid medications for 10 months, still symptomatic. TSH: 0.1 and T4 was 27 I think. Best next step? A. Continue anti thyroid B. Subtotal thyroidectomy C. Near total thyroidectomy D. RAI or increase the dose of drug

D

Middle age Pt with papillary thyroid cancer , planned for total thyroidectomy how to follow up ? 1- serial post op US 2- calcitonin 3- TSH , T3 , T4 4- Thyroglobulin

4

48 yo lady with diffuse goiter, high T4 low TSH, US show bilateral thyroid nodules , right 3x4 in size , left is 1x2 size what to do? A. FNA both B. FNA the larger one C. total thyroidectomy

A

28 year old female presented following radiation of neck with neck swelling. Ultrasound showed swelling in the left lobe of the thyroid of 3x4cm of papillary thyroid cancer. Which of the following is the best management? A) Left Lobectomy B) Left Lobectomy with Isthmusectomy C) Subtotal Thyroidectomy D) Total Thyroidectomy

D

Hypothyroidism clear Hx and labs with low Na (it was 129) normal 134 What to do next ? 1. Levothyroxine 2. treat the hyponatremia with hyper Na fluid

1

2 weeks post thyroidectomy came with high tsh how to manage? - reevaluate after 2-3 months Increase or decrease the dose

A

Most effective method to decrease stone formation in pt with hypercalcemia ? decrease ptn thiazide allopurinol decrease calcium intake

B

A patient with renal failure presents with low calcium, high alkaline phosphatase, and high PTH. What is the best form of vitamin D to give this patient? A- Calcitriol B- Vitamin D2

A

32 w pregnant lady in 3rd trimester was complaining of palpitations and sweating and heat intolerance along being restless she have notice alarge goiter but no dyspnea or difficult swallowing and change in both orbits that became more prominent. ECG - sinus tachycardia. TSH 0.1 ( low ) , T4 10 ( high ). Thyroid Scan showed diffuse homogenous uptake. Anti-Thyroid Stimulating Antibody is pending. what is your next step for management ?* Thyroidectomy Radio-active Iodine Therapy Methimazole Propylthiouracil

C

Pt with diffuse thyroid enlargement on exam there is 1 nodule in each lobe, labs showed hyperthyroidism what will you do? A. Thyroid scan. B. FNA from both nodule

A

Recommendation that at which age if you present A peanut and eggs to the Child will decrease production of allergy? Age in month A. 10 B. 14 C. 20 D. 24

a

15 month boy came to ER complaining of abdominal discomfort, emesis, stool with blood and mucus on phisycal examination he has increase abdominal sound X-ray report shows obstractive bowel ( written like this ) A- give antibiotic B- Go to OR and do surgery C- Barium enema D- bowel rest, IV hydration and wait until symptoms gone

C

A 2 years old boy who took BCG vaccine came with his mother becuase of his grandfather had open TB and they live in the same house, the boy asymptomatic but the mother worried what should you do? A- nothing since he took BCG vaccine B- PPD, X-ray and wait for the result C- IGRA, X-ray and give INH D- IGRA, X-ray and give 4 TB drug

b

3 year old with mid-shaft femur fracture, angulation 30 degree. What is the Best management? A. Closed reduction & hip spica B. Open reduction & plate C. Open reduction & IMN

a

Patient smoker on chest x ray there was a nodule which of the following will make you suspect malignancy? A- Size more than 1(not say 2.5 ) B- Hypercalcemia C.smoking D.....iam not remember

c

70 y/o male has cognitive impairment reported by his relative , Do MRI with finding (i think say white mater and hyper tense or something) but there is hypo?! A- Vascular cognitive dementia B- Alzheimer’s disease C.lewe body demantia

a

24y/o male presented after chemotherapy for the treatment of colorectal cancer what electrolytes abnormality would you suspect? A- hypokalemia B- hypocalcemia C- hyponatremia D- hypomagnesemia

b

Child with Sx of tracheomalacia. How to confirm the diagnosis? A) chest XR B) bronchoscopy C) Fluoroscopy

B

Post menopausal women present with itchiness and oderless discharge with vaginal excoriation what is the dx A- Candidiasis B- triachomniasis C- vagnosis D- atrophied vaginitis

D