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The most common symptom in placenta abruption is 1) Vagi nal bleeding 2) Ut er in e tendernes s 3) Ut er ine con tra ct ions 4) Fe tal distress I think answer 1 Female presented with aginal discharge! itching" #n microscopic e$aminati on showed mycoleou s cells and spores "" The medical conition most likely to be associated with this is 1) T% 2) &iabete s 3) 'heumatoid (rthriti s  Im not sure !maybe (nsw er 2 ! this is candiasis * +rimigraid a in her , th  week o- gestation! presented to your clinic wanting to do genetic screeing! she declined inasie procedure " the best in this situation is 1) (mniocentesis 2) 1 st  trimester screening 3) 2 nd  trimester screening 4) Ultrasound  Trichomoniasis is classically hae 1) .lue cells 2) /reenish -rothy dis cha rge  (nswer2 #bsessie neurosis0 1) Tr ea tmen t i s eas t 2) .lomi pra mine doesn t not work 3) ostl y as soci ated with see re d epre ssio n 4) .an be cured spo ntaneously  (nswer 3 +atient came to you complaini ng o- hearing oices! later he started to complain o- thought get into his mind and can be taken out 1) . 2) ood 3) ania 4) (g ora ph obi a  (nswer 1 Female had history o- seere depression ! many episodes! she got got her remession -or three months with +aro$itine 5 'Is) "" now she is pregnant "" your adise 1) top 'is becau se it c ause -etal mal- ormation 2) top 'i s because it ca use p rema ture labor 3) .ontinue and monitor her depr ession 4) top 'Is  (nswer 1

SLE March 2010

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    The most common symptom in placenta abruption is1) Vaginal bleeding2) Uterine tenderness3) Uterine contractions4) Fetal distress

    I think answer 1

    Female presented with aginal discharge! itching" #n microscopic e$aminationshowed mycoleous cells and spores "" The medical conition most likely to beassociated with this is

    1) T%2) &iabetes3) 'heumatoid (rthritis

    Im not sure !maybe (nswer 2 ! this is candiasis *

    +rimigraida in her ,thweek o- gestation! presented to your clinic wanting to do

    genetic screeing! she declined inasie procedure " the best in this situation is1) (mniocentesis2) 1sttrimester screening3) 2ndtrimester screening4) Ultrasound

    Trichomoniasis is classically hae

    1) .lue cells2) /reenish -rothy discharge

    (nswer2

    #bsessie neurosis0

    1) Treatment is east2) .lomipramine doesnt not work3) ostly associated with seere depression4) .an be cured spontaneously

    (nswer 3

    +atient came to you complaining o- hearing oices! later he started to complain o-thought get into his mind and can be taken out

    1) .2) ood3) ania4) (goraphobia

    (nswer 1

    Female had history o- seere depression ! many episodes! she got got her remession-or three months with +aro$itine 5 'Is) "" now she is pregnant "" your adise

    1) top 'is because it cause -etal mal-ormation2) top 'is because it cause premature labor3) .ontinue and monitor her depression4) top 'Is

    (nswer 1

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    6allucinations and +aranoia01) .2) ood3) ania4) +hobia

    Answer 1

    Female presented with thirst and polyurea"" al medical history is negatie and she isnot know to hae medical issues"" she gae history o- being diagnosed and %ipolarand on 7ithium but her .r and %U8 is normal" 9hat is the cause o- her presentation

    1) (derse a--ect o- lithium2) 8ephrogenic &I3) .entral &IAnswer 1

    ost common medical problems encountered in +rimary care is1) .ory:a2) UTI3) 6T8

    'egarding diabetes mellitus in pregnancy 01) +reelance o- diabetes mellitus in pregnancy is 1;ctitis2) Viral con>ctitis

    Answer 2

    #ne o- the (nti=psychotics causes ?./ changes ! 7eukopenia! drooling 01) 'espiredone2) .ol:apine3) (misulpride

    Answer 2

    #ne o- the -ollowing decrease chance o- colon cancer 01) inc2) Vit" ?3) Vit .4) Folic acid

    %est sentence to describe speci-ity o- screening test !is the population o- peoplewho 0

    1) (re negatie o- disease! and test is negatie @@

    2) (re positie o- disease! and test is negatie3) (re positie comparing to total other people4) 8egatie disease ! positie test

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    A) +ositie disease ! negatie test

    6eay smoker came to you asking about other cancer! not 7ung cancer! thatsmoking increase its risk0

    1) .olon2) %ladder3) 7ier

    I think Answer 2

    id claicle -racture 01) urgery is always indicated i- -racture is displaced2) Figure=,=dressing has better outcomes than simple sling3) Figure=,=dressing is strongly indicated in patient with un=union risk4) %oth -igure=, and simple sling has similar outcomes

    +atient complains o- cant breath air in one nasal nostril ! on e$amination! showed

    edematoud mucos structure ! best to gie initially is 01) .orticosteroids2) &econgestants3) (l-a=adrenergic blockers

    +ediatric came to you in ?' with whee:ing! dyspnea! muscle contraction 5 mostprobably asthma)! best to gie initially is 0

    1" theophillin2" (lbuterol neubeli:ors3" oral steroids

    Female presented with complain o- neck pain and occipital headache ! no other

    symptoms ! on B=ray has cerical spine osteophyes and narrow disks 0

    1) cerical sponylosis C

    +atient complaining o- pain at night when he eleated his arm! tingeling on lateralarm side and lateral three -ingers ! &$

    1) brachial ple$us neuropathy2) shoulder impengment syndrom3) brachial artery thrombophebitis4) thoracic outlet problem

    male came to you complaining o- sudden progressie decreasing in ision o- le-t eyeoer last twoDthree days! also pain on the same eye! on -undoscopy optic diskswelling was sees ! &$ 0

    1) central retinal artery occlusion2) central retical ein occlusion3) optic neuritis4) macular degeneration

    Answer 3

    unilateral headache ! e$aggerated by e$cersice and light ! &$ 0

    1) migraine

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    2)cluster headach3) stress headache

    E; years old with progressie demntia ! no personality changes ! neurologicale$amination was normal but there is isuode-icit ! on brain .T shower corte$ atrophyand entricular dilatations 0

    1) multi micro in-ract dementia2) al:ehimer demenita3) parkinsonism dementia

    E; years old with progressie dementia ! on brain microscopy amyloid plaues andneuro-ibrillary tangles are clearly isible also +laues are seen 0 &$

    1) lewy dementia2) +arkisonism

    3) al:ehimerAnswer 3

    a-ter bite ! pediatric patient presented with abdominal pain and omiting ! stool occultblood ! rash oer buttock and lower limbs ! edema o- hands and soles ! urine -unctionwas normal but microscopic hematurea was seen

    1) 7yme2) henosh =schenolinee

    -or the aboe disorder ! which one is considered pathological

    1) gross hematurea2) microscopic hematurea3) rashes4) ""

    Goung adult presented with painless penile ulcer rolled edges "" what ne$t to do 01) .%.2) &ark-eild microscopy3) culturing

    Answer 2 ( syphilis)

    &iabetic -emale ger 24h=urine proteinn is 1A;mg !!1) start on (.?Is2) re-er to nephrologist3) do nothing ! this is normal range

    Answer 3 (normal range

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    3) Varicella accination

    H 0(dult +olycystic kidney mode o- inheretence 0

    1) (utosomal dominant

    H 0Goung adul presented with pain on lateral elbow! tingeling o- lateral arm ! he playscuatch 0

    1) carbel tunnel2) tennis elbow3) ""

    H0 Female came wit complain o- diahrrea in the last months! she lost some weight!she reported that mostly was bloody ! when you pre-ormed sigmoidoscopy you -ound-ragile mucosa with bleeding !&$

    1) colon cancer2).hrons3) Ulceratie colitis4) /astroenteritisA) hemrrohids

    H 0(nal -issure commonest site

    1) posteriorly

    JKLMNOP ""