Description : Patient came with low iron and high AST and high MCV no megaloblasts in the blood wt is the Dx? Alcohol Vitamin B12defeciency Folic acid deficiency Due to drugs
Last Answer : Alcohol
Description : A patient of megaloblastic anaemia was treated with oral folic acid 5 mg daily. After 2 weeks he reported back with cognitive deficit, sensory disturbance, depressed knee jerk, while ... therapy has unmasked pyridoxine deficiency D. Patient has folate reductase abnormality in the nervous system
Last Answer : D. Patient has folate reductase abnormality in the nervous system
Description : A 60-year-old patient presented with anorexia, weakness, paresthesia and mental changes. His tongue was red, tendon reflexes were diminished, haemoglobin was 6 g% with large red cells and neutrophils had ... be responsible for his condition: A. Folic acid B. Vitamin B12 C. Pyridoxine D. Riboflavin
Last Answer : B. Vitamin B12
Description : yr-old baby presented with his parents with pallor his HB is 9, he has microcytic hypochromic anemia, no other complain .. what u'll do for him ?? iron therapy and close observation daily multivitamins with iron _______________________________
Last Answer : iron therapy and close observation daily multivitamins with iron ___________________________________
Description : diffuse abdominal pain , bleeding per rectum and fever 38.3 c , preceded by urinary infection 3 weeks back treated with AB , diagnosis : Ischemic colitis Amoebic colitis Pseudomembranous colitis
Last Answer : Pseudomembranous colitis
Description : years old male diagnosis as case of gastric ulcer , culture -ve h.pylori pathology –ve of cancer ttt: proton pumb inhibitor antihistamine after 6-8 wk do endoscope after therapy referral to surgery
Last Answer : proton pumb inhibitor
Description : Pt has a scaly hypopigmented macules on the chest and arms They seem even lighter under the sunlight,,, what is the ttt? (diagnosis Pityriasis alba or pityriasis versicolor) Topical steroid Na selinum
Last Answer : Na selinum
Description : Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for ... results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.
Last Answer : a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption.
Description : patient came with MI 2 day after addmission develop. Sever abdominal pain and bloody diarrhea وفياشياتانيهنسيتهاDX Ischemic colitis
Last Answer : Ischemic colitis
Description : A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema ... appropriate investigation? a. CXR b. ECG c. Echocardiography d. Duplex ultrasound of lower limb
Last Answer : d. Duplex ultrasound of lower limb
Description : Patient with colon cancer stage 3 and chemotherapy was prefered so when do you start it? As soon as possible When the lab results normalized After psychological preperation No need to start
Last Answer : As soon as possible
Description : What you will find in patient with idiopathic autonomic insuffeciency? Orthostatic hypotension Horner syndrome Anhydrosis Palpitation Diaphoresis
Last Answer : Orthostatic hypotension
Description : male old patient has S&S of facial palsy ( LMNL) ; which of the following correct about it; A- almost most of the cases start to improve in 2ed weeks b- it need ttt by ... anti inflammatory c- contraindicated to give corticosteroid d- usually about 25 % of the cases has permanent affection
Last Answer : A- almost most of the cases start to improve in 2ed weeks
Description : Considerd positive mantux test in Erythema more than 5 mm in HIV patient Induration more than 10 mm in diabetic patient Induratin more than 5 mm in iv drug abuse Induration more than 10 mm in philpine man
Last Answer : Induration more than 10 mm in diabetic patient
Description : Verrryy long scenario of old age pt with DM, HTN, hx of multiple cardiac attack, CVA, came for routine check up in PHC, u found bilateral opacification in both lenses, with decreasing of visual ... glaucoma medication for weeks came with SOB, cough the cause a- timolol b- betoxolol c- pilocarpin
Last Answer : a- timolol
Description : patient with rhumatic heart disease and had mitral valve stenosis Mitral vave diameter less than 1 mm In order to maintain COP what will happen : Left atrial hypertrophy and decrease ... dilatation with decrease pressure of contraction d- ventricle dilatation with decrease pressure of contraction .
Last Answer : Dilatation in the atrium with chamber hypertrophy
Description : patient with bed sore involve skin and extend to fascia and muscle what a grade Grade1 Grade 2 Grade 3 Grade 4
Last Answer : Grade 4
Description : Patient with seasonal watery nasal discharge, sneezing and nasal block. What should you give him as a treatment: • Topical steroid • Decongestants • Antihistamines • Systemic Steriods
Last Answer : Topical steroid
Description : patient has complete ptosis in hih rt eye. pupil is out and down, fixed dilated. restricted ocular movements. dx a. 3rd n palsy. b. 4th n palsy. c. 3rd and 4th. d. 6th n palsy
Last Answer : a. 3rd n palsy.
Description : Patient with hypertension , DM, somking, which the following are most important to be deal with : obesity and HTN ??? smoking and obesity smoking and HTN
Last Answer : obesity and HTN ???
Description : Megaloblastic anemia is caused by the deficiency of (A) Folic acid (B) Vitamin B6 (C) Iron (D) Protein
Last Answer : Answer : A
Description : If a default is made in delivering the annual return to the Registrar , the company is likely to facea) Compulsory winding up by the tribunal. b) Voluntary winding by members. c) Voluntary winding up by creditors. d) None of the above
Last Answer : a) Compulsory winding up by the tribunal.
Description : Methyl malonic aciduria is seen in a deficiency of (A) Vitamin B6 (B) Folic acid (C) Thiamine (D) Vitamin B12
Last Answer : Answer : D
Description : Methyl malonic aciduria is seen in the deficiency of (A) Vitamin B6 (B) Folic acid (C) Thiamine (D) Vitamin B12
Description : Vitamin B12: a. is essential for the metabolism of folic acid in the humans b. is attached to a glycoprotein in the circulation c. its deficiency is characterized by hypersegmentation of the neutrophils d. all above
Last Answer : all above
Description : Megaloblastic anaemia occurs in: A. Vitamin B12 but not folic acid deficiency B. Folic acid but not Vitamin B12 deficiency C. Either Vitamin B12 or folic acid deficiency D. Only combined Vitamin B12 + folic acid deficiency
Last Answer : C. Either Vitamin B12 or folic acid deficiency
Description : Laboratory diagnosis of vitamin B12 deficiency can be made by measuring the urinary excretion of (A) Xanthurenic acid (B) Formiminoglutamic acid (C) Methylmalonic acid (D) Homogentisic acid
Last Answer : Answer : C
Description : A deficiency of vitamin B12 causes (A) Cheliosis (B) Beriberi (C) Pernicious anemia (D) Scurvy
Description : A deficiency of vitamin B12 causes (A) Beri-Beri (B) Scurvy (C) Perniciuos anemia (D) Ricket
Description : ibuprofen is contraindicated in -htn -dm -peptic ulcer
Last Answer : peptic ulcer
Description : best test to detect age of gestation is -LMP -U.S.
Last Answer : U.S.
Description : Most benign cause of postmenopausal bleeding Cervical polyp Atrophic vaginitis 112-Pt came by hx os sudden eye pain burning vision photophobia and by ex. Small pupil and keretic cell on cornea and cell in humorus Ttt Cyclospoine + corticosteroid
Last Answer : Cyclospoine + corticosteroid
Description : CHILD with eczema on 1% hydrocortisone what other medication u can add Dexamethazon Cyclosporine Tacrolimus
Last Answer : Tacrolimus
Description : polycythemia vera ttt: -Myelosupression -Plephotomy -X ray therapy ______________
Last Answer : Plephotomy
Description : Adult P.t recived a vaccine ( i don't remeber the name ) After that he complain of itching , tachycardia and SOB What is the ttt? IV hydrocortizone 500 mg SC epinephrine
Last Answer : SC epinephrine
Description : old, black macule on his back with irregular border and color variation : - Sq cell carcinoma - Basal cell carcinoma - Melanoma - Acanthic keratosis
Last Answer : Melanoma
Description : to increase absorption of oral iron , give with: - Vit C - Vit E - Zinc - Ca - Antacid
Last Answer : Vit C
Description : Pt. with long hix of hyperthyroidism to screen about the complication of hyperthyroidism do: liver us Ct brain Bone scan (for osteoporosis)
Last Answer : Bone scan (for osteoporosis)
Description : months old baby brought by his parents complaining of abd. distention bilious vomiting, constipation, the parents informed that the constipation has been an issue since his birth what is the single diagnostic investigation to do ??barium enema pain xray ??metery rectal examination
Last Answer : barium enema
Description : attributable risk factor is :::??? measurement of exposed and not have the disease mius those exposed and have the disease
Last Answer : measurement of exposed and not have the disease mius those exposed and have the disease
Description : years old male complaining from scaly lesion in his chest , then become hypopigmented , last 2 months in winter he spend his time neat to sea, by examination showed hypopigmented lesion over chest & arms Dx : Vitiligo taenia versicolor
Last Answer : taenia versicolor
Description : pregnant woman with UTI which is the best antibiotics to be given if she has no allergy? nitrofurantoin ampicillin sulfatrimethoprim tetracyclin aminoglycoside
Last Answer : nitrofurantoin
Description : What is true about hormonal contraception? Decrease breast Ca Decrease ovarian Ca Contraindecated in diabetic women Increase risk of ectopic pregnancy
Last Answer : Decrease ovarian Ca
Description : pt with pycosis on medication developed rigidity and uprolling eyes , afebrile : - Tradive dyskinesia
Last Answer : Tradive dyskinesia
Description : Which drug can not be use in acute cholysystits Naproxen Morphine Mepriden Acetamenophin Perdoxyphen
Last Answer : Morphine
Description : Child with high fever and after 2 day develop sorethorate on examination there is congested thorat and pharynx and white to yellowish papule on erthymatus base in mouth and lip what is most likly DX Coxsacki virus Herps simplix virus
Last Answer : Herps simplix virus
Description : pateints with appendicits what is most helpful to make DX Age Fever High WBC High sedmentation rate
Last Answer : High WBC
Description : patent is presented with SOB. On Xray he has cardiomegaly and rt. pleural effusion. pleural aspiration reveals: protein is
Last Answer : CHF.