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 : patent with vaginal discharege ,suprabubic pain for 3 days ,fever and bilateral fornieces tenderness what is the Dx 1-apendicytis 2-acute salpyngitis 3-chronic salpingytis
Last Answer : acute salpyngitis
Description : During blood transfusion , the pt develop fever and pain at infusion site – your action: -slow infusion+antibiotic -slow infusion + acetaminophen -stop infusion + crystalloid fluid - stop infusion+ mannitol+acetaminophen
Last Answer : stop infusion + crystalloid fluid
Description : case of right hypocnodrial abdominal pain for 2 hours after eating for months no fever no jaundice, no radiation and nothing suggistive of cholycytitis what is the investigation a- US b- oral cholystogram c- iv cholystogram
Last Answer : a- US
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 : -pt with pict of bilateral pneumonia , high grade fever , normal WBC . organism causing that: - Chlamydia pneumonae - Leigonella sp. (cause neutropenia) - Staph pneumonae _____________________
Last Answer : Chlamydia pneumonae
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 : Which drug can not be use in acute cholysystits Naproxen Morphine Mepriden Acetamenophin Perdoxyphen
Last Answer : Morphine
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 : A 35 yr old pt she is on phenytoin since she was 29 due to partial epilipsy she didn’t have any attack since. She want to stop taking the drug due to facial hair growth: a. It is reasonable to stop it now b. Stop it after 6 months c. Stop after 10 years d. Don’t stop it
Last Answer : a. It is reasonable to stop it now
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 : 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 : 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 : old man healthy felt in collapse before he collapsed there was epigastric discomfort , came with pain n the back, pulse 114, bp 140L…dx: Perforated peptic ulcer Leakage aortic aneurysm
Last Answer : Leakage aortic aneurysm
Description : An 80 year old male presented with dull aching loin pain & interrupted voiding of urine. BUN and creatinine were increased. US revealed a bilateral hydronephrosis. What is the most probable Dx? a) Stricture of the urethra b) Urinary bladder tumor c) BPH d) Pelvic CA e) Renal stone
Last Answer : c) BPH
Description : Pt. had chest pain and fainting , ECG shows st- elevation and significant Q wave in -v4 and st-depression in inferior leads : Ant. MI Inf. MI Pericarditis Post. MI
Last Answer : Ant. MI
Description : yo presented by hx of syncope when he do excurses and there was hix of same complain when he on rest . and there is chest pain on ex. There was ejection systolic murmur ... t changing and there is lf atrium enlargement Aortic stenosis p.s hypertrophic cardiomyopathy constrictive cardiomyopathy
Last Answer : Aortic stenosis
Description : which of the following antidepressant drugs causes agitation, anxiety : triADtetraAD SSRI
Last Answer : SSRI
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 : 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 : 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 : 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 : 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 : 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 : 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 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 : What you will find in patient with idiopathic autonomic insuffeciency? Orthostatic hypotension Horner syndrome Anhydrosis Palpitation Diaphoresis
Last Answer : Orthostatic hypotension
Description : pt with pycosis on medication developed rigidity and uprolling eyes , afebrile : - Tradive dyskinesia
Last Answer : Tradive dyskinesia
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 : patent is presented with SOB. On Xray he has cardiomegaly and rt. pleural effusion. pleural aspiration reveals: protein is
Last Answer : CHF.
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 : - in pt with RA to preserve joint function and movement: -disease modifying medication is sufficient - fish oil gives subjective improvement - cold (ice) compression and decrease joint movement
Last Answer : disease modifying medication is sufficient
Description : old with bilateral hydronephrosis: - Stricture of uretheral meatus - Prostate enlargement - Bladder tumor
Last Answer : Prostate enlargement
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 : Pt. with perforated tympanic membrane ttt: Topical ABX Topical steroid Systemic ABX Systemic steroid
Last Answer : Systemic ABX
Description : 51child presented with decreased hearing for 1 year, on exam. there is fluid behind the ear drum and adenoid hypertrophy. In addition to adenoidectomy what will you domyringotomy. gromet tube insertion. antibiotics. ____________
Last Answer : gromet tube insertion.
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 : To deffrentiate between sinua arythmia and atrial firbllation a- carotid massage b- Temporal artery massage c- Amidrone d- digoxin
Last Answer : a- carotid massage
Description : pt was PDD –ve , know become + ve , there is no symptoms , normal x ray, the management : Isonized and rifampcin for 6 month Isonized for 6 month Isonized and rifampcin and streptomycin for 12 month
Last Answer : Isonized for 6 month
Description : pt was PDD –ve , know become + ve , there is no symptoms , normal x ray, the management : -Reassure -Rifambicin and INH for 6 month
Last Answer : rifambicin for 6 months _________________________