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E.histolytica cyst is destroyed by:FreezingBoiling
Iodine treatmentChlorine
Patient after accident , the left ribcage move inward during ins irationand outward during e! iration:
Flial chest
"reatest ris# of stro#e:$%
Elevated blood ressureFamily history of stro#e
&y erli edemia'moo#ing
Child has allor , eats little meat , by investigation :microcytichy ochromic anemia . what will you do:
(rial of iron therary%ultivitamin with iron daily
(reatment of mania that doesnot cause he atoto!icity)ithium
'C* atient , the macula is cherry red , and absence of afferent a illarylight refle!
+etinal artery o cclusion
Inflammatory bowel disease is idio athic but one of following isossible underlying cause
Immunological
Patient resent with high blood ressure systolic - / , tachycardia
%ydriasis , sweating . what is the to!icity: *ntichlenergic'ym athomemitic
(ricyclic antide ressant0rgano hos horous com ounds
i thin# the answer is sym athomimetic
(reatment of Chlamydia with regnany:*zithromycin
Erythromycin base
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the ma!imum body lenght will be reached after menarch by1months
2year -years
Patient develo ed sudden loss of vision bilaterally while she waswal#ing in the street , followed by numbness , the sub3ective sym toms
are different from ob3ective , and does not match anatomical , what isyour diagnosis:
Conversion syndrome i thin# this is the answer
*fter inflammatory hase of wound , there will be wound healing by:If the wound is clean
*ngiogenesisE ithelial tissue
0ld male with tender #nee , ain , cre itus . the diagnosis:0steorhritis
*n#ylosin s ondylitis+heumatoid
%other has baby with cleft alate and as#s you what is the chance of having a second baby with cleft alate or cleft li,
-454 55265
i thin# the answer is -4
2liter fluid deficit e7uals2#g
*fter accident atient with tachycardia , hy otension , what will be your initial ste
+a id I8F crystalloidC(
.99
1y child was born to &B' ositive mother is &B' ositive , he was onlyvaccinated by BC" after birth , what you will give him now:
&B8 oral olio $(P hib&B8 oral olio dt %%+ hib
&B8 oral olio $t %%+
(reatment of non inflammatory acne+etinoic acid
Treatment of comedones: Topical retinoids.
2 .Treatment of papules or pustules: Topical benzoyl peroxide plus topical antibiotics, mainly clindamycin
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or erythromycin.3.In severe cases, intralesional steroid injection or
oral antibiotics, such as tetracycline or erythromycinmay be added .
;hich is not true In emergency management of stro#e"ive I8F to avoid $4 4 5
"ive diaze am in convulsions*nticonvulsants not needed in if seizures
%ust correct electrolytes(reat elevated blood ressure
'C* com lications in adultsCerebral infarction
Cerebral hemorrhage
(he most common ris# for intracerebral stro#e&y ertension
.9999999
(he antide ressant used for secondary de ression that cause se!ualdysfunction
'ertatlie*my ramine)evoflu!ine
Previously healthy female atient resented to E+ with dysnea ,ane!iety , tremor , and she breath heavily , the sym toms began -
minutes before she came to E+ , in the hos ital she develo ednumbness eriorbital and in her fingers , what you will do
*s# her to breath into a bag(a#e blood sam le to loo# for alcohol to!icity
;hat is the most im ortant in counclingE!clude hysical illness
Establishing rabbot
Family'chedule a ointement
In brea#ing bad newsFind out how much the atient #now
Find out how much the atient wants to #now
Patient with chest ain that aggrevatedby cou hing, there is addedsound on left sternal border .in ecg you will find
't changesPr rolongation
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&y ervoltage
(he most common site for visceral hemangioma is)iver
Child with large eriorbital hemangioma , if this hemangioma cause
obstruction to vision , when will be ermenant decrease in visual acuity*fter obstruction by one day
By 2 wee#By < monthsBy 1 months
(he sym toms of soft tissue sarcomaProgressive enlarging mass
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0ld female with itching of vulva , by e!amination there is ale and thinvagina , no discharge . what is management
Estrogen creamCorticosteroid cream
Fluconazole
Patient with dysuria , fre7uency , urgency , but no flan# ain , what isthe treatment
Ci roflo!acin o od for orfocin o od for ? @ 26 days
Patient with flan# ain , fever , vomiting , treatment is&os italization and intravenous antibiotics and fluid
Patient resent with mid face ain , erethematous lesions and vesicleson eriorbital and forehead , the ain ia at nose , nose is erythematous .
what is diagnosis+oseola
&sv&er es zoster
%ale with itching in groin erythematous lesions and some have clear centers , what is diagnosis:
Psoriasis(inea curisErythrasma
8asoconstrictive nasal dro s com lication+ebound henomenon
(he useful e!curcise for osteoarthritis in old age to maintain muscle andbone
)ow resistance and high re etion weight trainingConditioning and low re etion weight training;al#ing and weight e!ercise
..9999999999
Anilateral worsening headach , nausea , e!cacerbeted by movement andaggrevated by light in 2? old girl
%igraineCluster
$iet su lement for osteoarthritis"inger
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0ld male with abdominal ain , nausea , wbc ? . what is true abouta endicitis in elderly
Ct not usefull for diagnosis;bc is often normal
+u ture is commonIf there is no fever the diagnosis of a endicitis is unli#ely
*nemia is common
0ld atient with bilateral enlarged #nee , no history of trauma , notenderness , normal esr and c=reactive roteins . the diagnosis is
0steoarthritis"out
Infectous arthritis
Patient has decrease visual acuity bilateral , but more in rt side , visualfield is not affected , in fundus there is irregular igmentations and early
cataract formation . what you will do+efer to o hthalmologist for laser thera y
+efer to o hthalmologist for cataract surgery
;hat is the most common treatment for 3uvenile rheumatoid arthritisIntraarticular in3ection of steroid
0ral steroidParacetamol
$= enicillamine*s rin
which of the following decrease mortality after %Imeto rolol
nitroglycerinethiazide
mor hine
the cardiac arrest in children is uncommon but if occur it will be due to
rimaryres iratory arresthy ovolemic shoc#neurogenic shoc#
old female with recurrent fracture , vit d insufeciency and smo#er .which e!ogenous factor has the gretest e!ogenous side effect on
osteo orosisold age
smo#ingvit d insufeciency
continue smo#ingrecurrent fracture
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atient resented with sudden chest ain and dysnea , tactile vocalfremitus and chest movemebt is decreased , by !=ray there is decreased
ulmonary mar#ing in left side , diagnosisatelectasis of left lung
s ontaneous neumothora!ulmonary embolism
boy after running for hours , has ain in #nee and mass on u er surface of tibia
osgood scatter diseaseiliotibial band
Os ood!"chlatter diseaseOs ood!"chlatter #say: $oz! ood shlot!ter$% disease is one of the most
common causes of &nee pain in youn athletes. It causes s'ellin , painand tenderness just belo' the &nee, over the shin bone #also called the
tibia%. Os ood!"chlatter commonly affects boys 'ho are havin aro'th spurt durin their pre!teen or teena e years. One or both &nees
may be affected .
ancreatitisamylase is slowly rising but remain for days
amylase is more s ecific but less sensitive than li aseranson criteria has severity redictive/ in acute ancreatitis
ain is increased by sitting and relieved by lying downcontrace tive ills is associated
atient has fever , night sweating , bloody s utum , weight loss , dtest was ositive . !=ray show infiltrate in a e! of lung , d test is now
reactionary , diagnosisactivation of rimary tB
sarcoidosis
case control isbac#ward study