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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