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5/21/2018 SLE March 2010
1/5
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
5/21/2018 SLE March 2010
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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
5/21/2018 SLE March 2010
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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
5/21/2018 SLE March 2010
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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 ""