For rahaf

breast feeding mother found unilateral mass on the lower outer quadrant of right breast (i think 3x3 cm) it was erythematous and hot on palpation. Mildly tender. Most appropriate management? A. Antibiotic B. Dressing and drainage C. ....? biopsy D. Aspirationand...?

D

recurrent pregnancy loss in 1st. Trimester with Hx of theomebolism A- warfarin life long B- enoxaparin life long C- aspirin life long D- fandiprix life long

A.

If pregnant or planning to get pregnant switch to enoxaprin

39.Female with vaginal discharge, examination reveals straw cells s A- BV B- CHLamydia C- Trichomonas vaginalis.

C

six year old girl presenting to the pediatric emergency department with unstable gait and progressive difficulty climbing the stairs over the last 10 days the parents reported that the child has been “choking on her own saliva” the symptoms began was prickly sensation in the fingers and toes that developed to ascending and symmetrical there is a history of viral gastroenteritis three weeks before physical examination confirms the absence of the knee-jerk reflex CSF analysis of weighted protein concentration with normal cell count. Nerve conduction test reduced velocity which off the following is most appropriate treatment: A- plasma exchange B- IVIG C- MTX D- steroids.

B

case mentioning that a child has “certain amount of” cafe au lait spots and axillary freckling and many other features and his cousin has this as well, what type of inheritance is that condition? A- autosomal dominant B- autosomal recessive C- x linked

A

mom came to pediatrion with exclusef breast feeding and doctor advise iron advise next month.age of baby now?? A.1 B.2 C.3

C

Pregnant at 38 wk GA.long senario of HTN and hemolysis and low plt and high liver enzyme. Management? A.obseve B.emergancy deliver

B

pregnant in labour on at term. OE (describe breech . As head in funds and filix both hip and knee ) spine pf baby parrele to spine of mother. What is the lie.( Atention ask for lie not presentaion)??? A.longitudinall B.transverse. C.breach D.cephalic

A

20 years old  lady(not 21 years) came for pap smere. Time?? A.now B.after 1 year C.after 3 years D.after 5 years

B

when does stepping reflex disappear? 2 m 4 m 6 m 2 weeks

A

Long case of IBD, investigation show non continous lesion? A.crohns ✅ B.ulserative C.h.pylorai

A

pt with clamidia.tretment? Azithromicine penicillin amoxicillin

A

PROM How to confirm its amniotic fluid? A. Sterile speculum✅ examination B. Abx C. chemical testing D. Fetal hormones

A

pregnant woman presented with massive vaginal bleeding from the abruption placenta and her Hgb: 8.6, BP 84\40, HR140. What is the best management to save her life? A- Admit to ICU B- Immediate Transfusion of 2 packs FF C- Call multidisciplinary and rapid response team (RRT)..✅

C

pt with hx of ectopic pregnancy.now pregnat. asking about the risk of geting ectopic? A.5% B.20%✅

it should be 10%

Ecg of hyperkalemia and the scenario mentioned the level of hyperkalemia asking about initial thing to give ? A- ca gluconate B- Insulin C- na bicarbonate

a

patient presented with lower abd pain 4 days ago he has hx of wood injury at same location examination revealed lethargic patient with purulent discharge from site of injury in lower right abdomen what is next in mx A. ct abdomen✅ B. culture and sensitivity of secretion C. us

A

21.lady with sever dysmenorhea(endometriosis)not lpmrove with NSAD what to give? A.cocp✅ B.gnrh

A

What of the following decreases the risk of eclampsia? A- Antibiotic B- Aspirin C- MgS04✅

C

Pt is presented with sudden Hemoptysis. Endoscopy was done and it shows gastric varices What to give A. IV PPI✅ B. Octeride

B