19. 2010-April

7/27/2019 19. 2010-April

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2010-APRIL

1. 5 years old c/o limping in ct there is a v necrosis ttt is:

-surgery

-splent

-physiotherpy

2. Hepatitis b ab and ag on the curve

3. -Pt have dm and renal impairment when he had diabeti nephropathy:there is

curve for albumin

-5y

-10y

-20y

-25y

4. -Pt has alzahimar disease and halusination and delusion ttt:

Halopridole

5. Generalize antxity disorder best ttt:

_Ssri

-tricyclic a d

6. Major depression management:

Intial therapy even sever

7. Psychiatric pt with un compliance of drugs ttt:

-depro halopredol

8. strongest risk factor for strok:

-htn

-a fibrillation

9. most risk factor:

-htn

10. -pt with salpingitis and there is swelling in pelvis in posterior fornex and it

is fluctuant m:

-colpotomy

Laproscopic

11-child swallowing battery in the oesophegus m:

-broncoscoby

12_mild diarrhea m:

-ors

13. In the appendisits the histology is:

-leukocyte in muscle-layer lymphoid

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-tumor

-plasma cell

14-water in the body:

-40%

-diffrence depend on age and sex

15_clavicular fracture m:

If displaced need open surgery

_arm sling and figer 8 is equal in efficncy

16_corneal ulcer ttt:

-ab and cycloplagia is mydrasis and refer to ophthalmology

17-regarding dringe of the abcess one of the following is true:

-curbuncle and frunculosis need draing

-usually give ciphtriaxon and penicillin post draing

18_salpingitis and pid on penicillin but not improve the most likely organism is :

-chlamydia

-nessiria

19-wound at end inflammatory phase when:

Epithelial tissue formation

-angiogenisis

-when the wound clean

Scar formation

20-juvenile ra ttt:

Aspirine

Steroid

Penicillamine

Hydrocloroquin

21-adlosence with osteoporosis ttt:

Ca folic acid

22_pt has hemorrhoid with 4 degree ttt:

Exsion surgery

23_pt come with history of tinia capitis ttt :

-tar shampoo

_fluconazol

24_pt with history of copd the most action to prevent complication is:

Pnemoccoccal vaccine

Smoking stop

Oral steroid

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B 2 agonist

25_pt with congenital hip dislocation :

-abducting at flexed hip can causes click or tali

26-colon cancer with stage 3 give the chemotherapy:As soon as possible

I month

27-56 y old present with vasomotor rhinitis

Local anti histamine

Local decongestion

Local steroid

Systemic ab

28-sca give prophlaxis:

Penicillin

Iron

29-diagnosis of thalasimia minor:

-hb a2 and hgf

Microcytosis

30-pt with mcv decrease and reticulocyt decrease iron deficiency anaemia

investigation:

Ferritin level and tibc and serum iron

Born bcg1month hepatitis b oral polio dpt

2month s

3month s

9 to 12 month mmr

::: (Body mass index) (--... )

::: (rh. fever) (DMARD)..

:::ttt of acute gouty arthritis

:::radiological finding in lateral view for elbow dislocation

::: most common cause of ch. renal failure Worldwide

:: ( ... (Hallucination orDelusion thinking) Hallucination ..

... ))

:::: (myosis and Respiratory depression) (Cocaine or opiate).. In battered women which is true:

1. mostly they come from poor socioeconomic area

2. usually they marry a second violent man

3. mostly they come to the E/R c/o………..

4. mostly they think that the husband respond like this because they still havestrong feeling for them

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46) 17 y.o,she missed her second dose of varecila vaccine,the first one about

1 y ago what you'll do:

a. give her double dose vaccine

b. give her the second dose onlyc. revaccinate from start

d. see if she has antibody and act accordingly

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1- Pt with hodgicn lymphoma , and red strunberg cell in pathology and there is

esinophil lycocyte in blood so pathological classification is

2- 62 y male with DVT and IVC obstruction deu to thrombosis so most

like dd is -neohrotic syndrome

-SLE

-Chirstm disease

3-Pt with hbdominal pain heamatutea , HTN, and have abnormalty in

chromosm 16 , diagnosis is

_ POLY CYCTIC KIDNEY

4- 17 year pt with dyspnea Po2 , PCO2 ,Xray normal PH increase so dd is

- acute attack of asthma

- P E

- pneumonia

-pnemothrax

5- A long scenario about patient with polydipsia ad polyuria. Serum

osmolrity high . desmoprsin inductin no change urine omolarity and

plasma osmolrity so dd is

_ nphrognic type

_ central tupe

6- 50 year old Man presented to ER with sudden headach, blurred of

vision and eye pain. The diagnosis is:

a. Acute glaucoma

b. Acute conjunctivitis

c. Corneal ulcer

d. -----

7- RTA with hip dislocation and shock so causes of shock is

- blood lose

- urtheral injery

-nryrogenic

8- most common causes of hand infection

- truma

- imunocrombromise

-

9- ttt of cholestatoma is

- surgery

- antibiotic

- steroid-Grommet tube

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nephropathy:there is curve for albumin

-5y

-10y

-20y

-25y

18 -Pt has alzahimar disease and halusination and delusion ttt:

Halopridole Antipsychotic drugs are modestly useful in reducing aggression

and psychosis in Alzheimer's patients with behavioural problems

Generalize antxity disorder best ttt: -19

_Ssri

-tricyclic a d

-MAOI

Major depression management: -20

- - Intial MONOTHERABY even sever sever deprisson

- Ttt should be change if no response during 2wk

-

psychotherapy, medication, and electroconvulsive therap

Psychiatric pt with un compliance of drugs ttt: -21

-depro halopredol injection

- oral colonazepam

22- Pt with scoliosis, you need to refer him to the ortho when the degree is:

e. 5 10% ENOGH TO CONFIRM DIAGNOSIS

f. 10

g. 15h. 20

i. –

23- 5 y.o child with h.o fever and swelling of the face ant to the both ears

(parotid gland enlargement) what is the most common complication:

j. Labrynthitis

k. meningitis

l. encephalitis

m. orchitis

24- 35 y Woman with cyclic bilateral nodularity in her breast since 6 month,

on examination there is 3 cm tender mobile mass in her breast : what you will

do next

n. FNA with cytology

o. Mammogram

p. Biopsy

q. Follow up for next cycle

Observation

25 -pt with salpingitis and there is swelling in pelvis in posterior fornex and it is fluctuant m:

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-colpotomy : Culdocentesis refers to the extraction of fluid from the

rectouterine pouch[1] posterior to the vagina through a needle > The

Rectouterine Pouch is often reached through the posterior fornix of the vagina.

-Laproscopic

- continouse oral theraby

26- child swallowing battery in the oesophegus m:

-broncoscoby

- insert foly catheter

- observation

27 _mild diarrhea m:

-ors

- IVF

- oral antibiotic

In the appendisits the histology is: -28

-leukocyte in muscle

- lymphoid aggregation mascular layer

-tumor

-plasma cell in mascular layer

29 -water in the body:

-40% of total body wight

-diffrence depend on age and sex

30 _clavicular fracture m:

- If displaced need open surgery_arm sling and figer 8 is equal in efficncy

Treatment usually involves resting the affected extremity and supporting the

arm with the use of a sling. In older practice, a figure-8 brace was used

31 _corneal ulcer ttt:

-ab and cycloplagia is mydrasis and refer to ophthalmology

including topical cycloplegics like

32 -regarding dringe of the abcess one of the following is true:

-curbuncle and frunculosis need draing

-usually give ciphtriaxon and penicillin post draing

33 _salpingitis and pid on penicillin but not improve the most likely organism

is :

-chlamydia

-nessiria

-SYPHLIS

- HSV

34 -wound at end inflammatory phase when:

Epithelial tissue formation-angiogenisis

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35. male pt developed corneal ulcer in his Rt eye after trauma what is the Mx:

1. topical Ab & analgesia

2. topical steroid

- antibiotic +cycloplgia + refferd to opthalm

36 -pt with mcv decrease and reticulocyt decrease iron deficiency anaemia

investigation to confirm diagnosis:

Ferritin level and tibc and serum iron

- BONE MARROW IRON STAIN

- -prephral smear

- -elctrphorosis

37-. 6 mths baby with crying episodes+current jelly stool,looks slightly

pale,signs of obstruction wht is your Mx:

1. barium enema

2. immediate surgery

3. I.v fluid & wait for resolution

38. 5 y.o child with h.o fever and swelling of the face ant to the both ears

(parotid gland enlargement) what is the most common complication:

1. Labrynthitis

2. meningitis

3. encephalitis

4. orchitis

39. Mother who is breast feeding and she want to take MMR vaccine what is

your advice:

1. can be given safely during lactation

2. contain live bacteria that will be transmitted to the baby

3. stop breast feeding for 72 hrs after taking the vaccine

40. which of the following is a disease improving drug for RA:

1. NSAID

2. Hydroxychloroquine

3……………

41- Greatest risk of stroke:

DM

Elevated blood pressure

Family history of stroke

Hyperlipedemia

Smooking

42- SCA complications in adults

Cerebral infarction

Cerebral hemorrhage

43- Child with large periorbital hemangioma , if this hemangioma cause

obstruction to vision , when will be permenant decrease in visual acuityAfter obstruction by one day

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By 1 week

By 3 months

By 6 months

44- What is the most common treatment for juvenile rheumatoid arthritisIntraarticular injection of steroid

Oral steroid

Paracetamol

D-penicillamine

Asprin

-when the wound clean

Scar formation

45 -adlosence with osteoporosis ttt:

Ca folic acid

46 _pt has hemorrhoid with 4 degree ttt:

Exsion surgery

47 _pt come with history of tinia capitis ttt:

-tar shampoo

_fluconazol

oral terbinafine, itraconazole, and fluconazole

48_pt with history of copd the most action to prevent complication is:

Pnemoccoccal vaccine

Smoking stop

Oral steroid

B 2 agonist 49 _pt with congenital hip dislocation :

-abducting at flexed hip can causes click or tali

50-colon cancer with stage 3 give the chemotherapy:

As soon as possible

51-sca give prophlaxis:

Penicillin

Iron month

52-diagnosis of thalasimia minor:

-hb a2 and hgf

Microcytosis

53-56 y old present with vasomotor rhinitis

Local anti histamine

Local decongestion

Local steroid

Systemic ab

54 - Hepatitis b ab and ag on the curvey

55-strongest risk factor for strok:

-htn-a fibrillation

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- 9-most risk factor:

-htn

, atropine

56-

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to get more information from the pt

-open end question

2- gingivits most likely cause

-HSV

3-watery discharge from eye , conjunctivitis treated by

- topical corticosteroid

4-blow out fracture eyelid swelling , redness other syptoms

- present air fluid level

- enopthalmos

its enophaloms and other name of blow out fracture orbital floor fracture

5-drinking of dirty water causes

-heptitis A

-B

-C

-D

i think its heptitis A

6- giemsa stained blood film

- malaria

7-regarding peritonitis

-can be caused by chemical erosions

8-mid- clavicaular fracture treatment

-arm sling and finger 8 is equal in effiency

9-fraucture of humerus associated with

- radial N injury

10-there is case i cant remember they asked about diagnosis of acute lymphocytic

leukemia ALL

11-diagnosis of hemochromatosis

-serum ferritin

12-kawasaki disease associated with

-strawberry tongue

13-most common tumor in children

-wilms tumor

14- pt c/o of hypopigmentful skin , nerve thicking diagnosis

-leprosy

15-regrading COPD to reduce complication we should give

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- theophyline

- pneumococcal vaccin

i think its pneumococcal vaccin

16- pseud-gout its

-CACO3-CACL3

its CACO3

17-man with history of alcohol assocation with

- high MCV

-folic acid deficiency

-B12 deficieny

- hepatitis

i think its high MCV

18-neanate 9 days on breast fed develop jandice

- breast fed jandice

19-newborn we should given to prevent bleeding

-vit k

20- pregnant lady 16 wks u/s shows snowstorm appearance

- complete hydatiform mole

21-lady c/o headche bandlike pain

- tension headache

22-regarding breast screening

- self breast examination early detection of tumor

- mamogram

23-19 yrs old c/o abdo pain within menestration for last 6 years diagnosis

- primary dysmenorrhea

-secondary dysmenorrhea

24-bilateral breast mass diagnosis

- ductal carcinoma

-pagets disease

25- beriberi cause of deficiency

- VIT B1

- VIT B2

- VIT B3

its VIT B1 thiamine

26-chronic uses of estrogen assciation

27- Asystole

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- adrenalin

- atropin

asystol has only 3 durgs epinephrine-vasopressine-atropin

28-pt has diarrhea , dermatitis and dementia diagnosis

pellagra

29-regarding injectable progestron

-can cause skin prob

30-sencodary prevention is

-coronary bypass gaft

31-22 yrs old c/o insomina/ sleep disturb treatment

-SSRI

32-celluitis in children most commin causes

- group A steptoccus

33- antideprssants associated with hypertensive crisis treatment

-MAOI

34-pt his MBI = 24 kg he is

- norama weight

-over weight

- morbid weight

- mild weight

35-baby c/o fever , chills , rigors and head rigidity +ve kurnings sign rash on his

lower limb diagnosis

- meningoccal meninigits

36-48 yrs pt with abdo pain , neusea, vominting tenderness in right hypochondrial

- acute cholecysitis

37-29 pt c/o dysurea his microscopic showed G -ve organism is

- legonealla

38- 30 yrs pt c/o feeling heaviness in the lower abdomen having pulge papable at

the top scrotum that was reducible and icreasing in valsalva maneuver diagnosis

- hydrocele

-variocele

-indirect inguinal hernia

-direct inginal hernia

39- 27 yrs girl wih breathing heavily she had numbness and tingling sensation

around the mouth and tip of the fingers you will do

-let her breat to in a bag

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40-anticoagulation prescrib for

- one month

- 6 months

- 6 weeks

- one year

41-cushing syndrome best single test to confirm

- palsma cortison

-ATCH

42-23 yrs old history of URTI then he developed ecchomysis best treated

-local AB

-local antiviral

-steroid

43-chronic psycotic disorder manged by

-heloperidol

44-29 yrs old lady B-HSG 160 c/o vomiting , abdomenal pain which is more

accurate to diagnosis

-BHCG serial

-pelvic US

-laprascopy

45-70 yrs old man c/o fever , vesicular rash over forehead mangement

-IV AB

-IV antiviral

46-celiac disease involves

-proximal part of small intestin

-distal part of small intestin

-proximal part of large intesin

-distal part of large intensin

47-6 yes old pt cyanosis past history of simillar attack 6 month ago u will do for

him

-PFT

-CxR

-secure airway

-CBC

48-side affect of diazepam

49-lady 28 yrs G3+3 C/O infertility

-uterin fibroid

-endemic means

Documents

19. 2010-April