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SLE 2005COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011MED_ST99@HOTMAIL.COM

- For health education programs to be successful all are true

except :

a- huma !"ha#$%& mu'( !" )"** u+"&'(%%+!- I,%&ma($% 'h%u*+ !" ,&%m u*(u&a* !a/&%u+c- Doctors are only the health educators

+- M"(h%+' $*u+" $(u&"' a+ #$+"%' ma'' m"+$a

"- I#%*#" '%$"(3 m"m!"&' a( "a&*3 '(a/"

- a 2 yrs! "ld female has a breast lump in the upper outer

#uadrant of the left breast $ firm $ 2 cm! in si%e but no L!&

in'ol'ement ( )hat is the most li*ely diagnosis +

a- fibroadenoma

- ,hat is the management for the abo'e patient+

a- mamm%/&am (&u" $, a($"( 4 56 3"a&'!- "7$'$%a* !$%'3c- F&

+- !&"a'( US"- ,%**%) u $ 8 m%(h'

- a 2. yrs! old female /" abdominal pain initially periumbilical

then mo'ed to 1t! Lo)er #uadrant ( she )as /"

anorexia$nausea and 'omiting as )ell !!

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"E : temp!3c $ cough $ tenderness in 1t lo)er #uadrant but no

rebound tenderness!

4n'estigations : slight ele'ation of ,/6s other)ise insignificant !!

7he best )ay of management is:

a- /% (% h%m" a+ %m" a,("& 2 h%u&'b- admission and obser'ation

- ,u&(h"& *a! $#"'($/a($%'+- '(a&( )$+" '"(&um a($!$%($"- a&a"(am%*

- )hat is the most li*ely diagnosis for the abo'e patient +

a- m"'"("&$ *3mh a+"$($('b- acute appendicitis

- "($ u*"&

- a 28 yrs old pt! came for chec* up after a promiscuous relation 9

month ago !! he )as clinically unremar*able$ D1L : 9923 ( he

)as allergic 2 penicillin other line of management is :

a- am$$**$!- am%7$$**$- (&$m"(h%&$md- doxycyclin

- a 28 years old female pt! /" : gray ; greenish discharge $

itching !! microscopic examination of discharge sho)ed :

flagellated organism ( most li*ely diagnosis is :

a- trichomoniasis < trichomonas 'aganalis =

- a 8 yrs! old female pt! presented to E1 )ith >" : paralysis of

both lo)er limbs and parasthesia in both upper limbs since 2

hours ago !! she )as seen lying on stretcher ? unable to mo'e her

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lo)er limbs

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- a young pregnant lady b : 93

$billrubin : 93! ? indirect : 93!8

"E : baby )as healthy and feeding )ell !! the most li*ely

diagnosis is :

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a- physiological Baundice

!- ABO $%ma($!$*$(3- !&"a'( m$*

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- a 5 yrs old female pt! /" : acute inflammation and pain in her

Lt! eye since 2 days !! she ga'e >x of 'isual blurring and use of

contact lens as )ell ( "E : fluorescence stain sho)s dentritic

ulcer at the center of the cornea !! the most li*ely diagnosis is :

a- %&"a* a!&a'$%b- herpetic central ulcer

- "(&a* *"' '(&"'' u*"&+- au(" "$'*"&$($'

"- au(" a/*" *%'u&" /*au%ma

- a 5 yrs old lady came to your clinic )ith >x of 5 days insomnia

and crying < since her husband died = the best 7x! For her is :

a- lora%ipam

!- ,*%7$("$- h*%&&%ma:$"+- ha*%"&$+%*

- a 25 yrs old Saudi man presented )ith >x of mild icterus $

other)ise o* !! hepatitis screen : >sg 'e $ >eg 'e $ anti>c g 'e (this should be core anti body, because core antigen

doesnt leave hepatocyte to the blood "prof. Yasawi" ) $ the

diagnosis :

a- acute hepatitis

!- %#a*"'"( '(a/" %, h". B- &"%#"&3 )$(h '"&%%#"&'$% H" . B+- H" B a&&$"&"- h&%$ a($#" H". B

- 25 yrs! old man presented to ur clinic )ith one month >A of

aching pain in the elbo) $ radiates do)n to the lateral forearm

!!the pt! fre#uently plays s#uash ( "E:

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ain increases )ith dorsiflexion of the )rist performed under

resistance specially )ith elbo) extended ( the most li*ely

diagnosis :

a- %*"&a% '(&"'' ,&a(u&"!- %*"&a% !u&'$($'c- lateral tennis elbo)

"- &a+$a* (u"* '3+&%m""- *$/am"( '&a$

> S"$a* (ha' (% D&.?aha+ A!+u* a!!a& ; h$' %**"a/u" $ K$/A!+u* A:$: U$#"&'$(3- 3 )* rimigra'ida came to you )ith nausea ? 'omiting choose

the statement that guide you to hyperemmesis gra'idarm :

a- *etonia!- EC "#$+"" %, h3%a*"m$a- M"(a!%*$ a$+%'$'+- E*"#a("+ *$#"& ":3m""- au+$"

La!%&a(%&3 ,$+$/' $*u+" "(%u&$a $&"a'"+ u&$" '"$,$ /&a#$(3 "*"#a("+h"ma(%&$( a+ BUN *"#"* H3%a(&"m$a H3%a*"m$a H3%h*%&"m$aM"(a!%*$ a*a*%'$'

> S"$a* (ha' (% D&. Kha*$+ A*-u&a'h$ K?U

- 4nBury of the hand leads to median ner'e inBury:a- *a) ha+

!- )&$'( +&%- '"'%&3 +","( %*3+- $a!$*$(3 (% %%'" (hum!

- 0 year old male )as refer to you after stabili%ation in'estigationsho)

>gb 3$5 gl $ hect! 8H $ 1/ .!3 $ ,/ 95!

? lt! 5.0 Diagnosis :

a- $&% +",. A"m$ab- H/! a(h3c- /LL ++++++++++++++

d- 2&3 %*33(h"m$a

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e- %*33(h"m$a &u!&a "&a

- regnant )omen I89 on I 90 )* came to you )ith 4J/Dinserted ? the string is out from "!S )hat is the most important

measure :

a- *"a#" (h" IUCD ; /$#" A.B!- lea'e the 4J/D ? send to "b Iynaecologist to remo'e- *"a#" (h" IUCD+- +% *aa&%'%3 (% '"" $, (h"&" $' "(%$ &"/."- R"a''u&a" (h" (> +%" !3 D&. Kha*$+ Shaha( K?U

- 9. year old male )hile play football felt on his *nee Ktern o'er K)hat do thin* the inBury happened

a- medial meniscus lig$!- La("&a* m"$'u' *$/.- M"+$a* %**a("&a* *$/.+- La(. %**a("&a* *$/."- A(&. C&u''a(" *$/.

> S"$a* (ha' (% D&. R$:/ A*-am&$ K?U

- For health education programme to be effecti'e all true except :-a- Huma !"ha#$%u& 'h%u*+ !" )"** u+"&'(%%+.

!- &%"+u&"' u'"+ $*u+" $**u'(&a($% ; $(u&".c- Doctors should be the only educator!

+- C%mmu$(3 m"m!"& 'h%u*+ !" $#%*#"+ $ "a&*3 '(a/"."- FFFF.

> S"$a* (ha' (% D&. A!+u*m%"m A*-hu''a$

- lacenta pre'ia excludes :a- a$ *"'' #a/$a* !*""+$/b- 7one increased of uterus

- L%)"& '"/m"(a* a!%&ma*$(3+- Ea&*3 5&+(&$m"'("&

- regnancy test 'e after :

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a- %" +a3 %'( %$(a*!- 10 +a3 a,("& *%'' m"'(&ua* 3*" GG- O" ) a,("& *%'' m"'(&ua* 3*"+- #" 1 )"" !",%&" (h" "7"("+ m"'(&ua($% .

> S"$a* (ha' (% D&. S%u+ A*-Sha*%)$ K?U

- 85 year old female complaining of itching in genitalia for certainperiod$ a febrile$ -'e C>$ li'ing happily )ith here husband since

20 year ago on examination no abdominal tenderness $ erythema

on lo)er 'agina $ mild Iray discharge no hx of J74 !

pyleonephritis $$ Cost probable diagnosis:

a- aginitis!- C3'($($'- CA %, #a/$a+- U&$(h&$($' % /%%%a*

> S"$a* (ha' (% D&. ?a$'* Ba(()$* K?U

- 20 year lady come to E1 )ith >x of 1t se'er lo)er abdominalpain )ith >x of amenorrhea for about )* the most serious

diagnosis of your deff! Diagnosis could reach by:

a- CBC!- ESRc- JS of the pel'is

+- *a$ -&a3"- a/$a* ')a! ,%& C=S

> S"$a* (ha' (% D&. A*$ A*-Kha(ham$

- t had arthritis in t)o large Boint ? pansystolic murmur < carditis=

>x of J174 the most important next step:

a- ESR!- ASO ($(&"c- lood culture

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Du*e /riteria for the Diagnosis of Endocarditis :

CaBor :

- t least t)o separate blood cultures for a typical organism$ persistent

bacteremia )ith any organism$ or a single culture of /oxiella burnetii!

- E'idence of endocardial in'ol'ement S"$a* (ha' (% D&. Ham:a (&a/3

- )omen complain of non fluctuated tender cyst for the 'ul'a !came pain in coitus ? )al*ing $ diagnosed artholin cyst ! )hat is

the ttt:

a- $$'$% ; +&a$a/"!- &","& (% (h" 'u&/"&3 (% "7$'$% a,("& 3%u &"a''u&" h"&- &"a''u&a" (h" (+- /$#" AB

M"+$a* (&"a(m"( %, Ba&(h%*$\' /*a+ a!'"''"'Th"3 a&" *%a("+ a( (h" 6 %\*% a+ ]

%\*% %'$($%' % (h" h3m"a* &$/ )a' +"'&$!"+ "a&*$"&. I, m"+$a* (h"&a3 ,a$*''u&/$a* (&"a(m"( %, Ba&(h%*$\' /*a+ a!'"''"' ma3 $*u+" $$'$% a+ +&a$a/"ma&'u$a*$:a($% %& $ a'" %, &"u&&"" &"'"($% %, (h" /*a+.

> S"$a* (ha' (% D&. Na$, A*-ah(a$

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- 82years old male presented )ith history of sudden appearance of

rash ; maculopapular rash ; including the sole$? the palm$

the most li*ely diagnosis is :

a- '3h$*$'!- "&"(h3ma %+%'um- "&3(h"ma ma&/$a(um+- $(&3a'$' &%a"e- drug induced

> S"$a* (ha' (% D&.Ma$

- mother calls you about her 3 years old son $ *no)n case of

DC-9 fell comatose ! she is not sure if he too* the night . morning

dose of insulin! Pou )ill ad'ice her to :

a- bring the child immediately to the E1

!- a** a am!u*a"- /$#" h$m I /*ua/%'+- /$#" h$m I $'u*$"- /$#" h$m +&$ %(a$' 'u/a& GGGG

> S"$a* (ha' (% D&. R""m

- years old lady on ((!!$ feels di%%y on standing$ resol'es after

90-95 minutes on sitting$ decrease on standing$ most li*ely she is

ha'ing :

a- orthostatic hypotension

!-> S"$a* (ha' (% D&.?a($ma

- )hat is the most appropriate treatment for the abo'e patient :

a- a($"m"($!- a($h$'(am$"c- change the antidepressant to SS14

+- (h$a:$+" +$u&"($'"- au+$%m"(&3

(of course IV glucagons is first

then ER, but Q doesnt indicate

that the mother can do it!!)

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> S"$a* (ha' (% D&.Na+a- 2 years old lady )ith one month history of nasal discharge ?

nasal obstruction$ she complained of pain on the face$ throbbing

in nature $ referred to the supraorbital area$ )orsen by head

mo'ement$ )al*ing$? stopping! "n - -- --------- examination $

tender antrum )ith failure of transillumination < not clear =$ the

most li*ely the diagnosis is:

a- ,&%(a* '$u'$($' )" a NOT (&a'$$*um$a(" $(b- maxillary sinusitis

- +"(a* a!'"''+- h&%$ a(&%h$ &h$$($'"- h&%$ '$u'$($'

> S"$a* (ha' (% D&.Dua\a

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

C%**"("+ ; %&/a$:"+ !3 D&. Kha*$+ Shaha(D&.ha*$+.'@h%(ma$*.%m

COLLECTED AND TRIED TO BE ANSWERD AND SENT BYDR.ABULMALIK ALBAKER

MED_ST99@HOTMAIL.COM`Zb cde fg eiZ V Pj kilJ Xno

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mailto:Dr.khalid.s@hotmail.commailto:MED_ST99@HOTMAIL.COMmailto:Dr.khalid.s@hotmail.commailto:MED_ST99@HOTMAIL.COM