SLE 2010-10

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SLE 2010COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011

[email protected]

1- 18 month child with low grade fever , barking cough , inspiratory stridor your

Dx :

Acute trachyobronchitis (croup)

Epiglottitis

2- Continuous murmur at left sternal area :

Patent ductus arteriosus

Mitral reg

Aortic stenosis

3- Which of the following true regarding apgar score :

Total score 12

Discoloration of no importantHeart rate significant

4- Cow milk differ from mature human milk that it's contain more :

Protein

Cho

Iron

Fat

5- 18 month with cough ., diffuse wheezing . intercostals retraction .. etc

Bronchioloitis

Viral pneumonia

6- Opoid antidote :

Naloxone

7- Picture :

Tuberculous lymphadenitis

Lymphoma

8- Pt with symptoms of Mild intermittent asthma , converted to mild persistant

asthma and pt. on albterol

U have to add :

Long acting beta
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Short acting inhaled steroid

9- Scenario for pt. with sever asthma , tight chest , tachypnea and Co2 = 50 , next

step :

Aminophylin .

Intubation Short acting beta and discharge him

10 - pt. came with scenario of chest infection , first day of admission he treated with

cefotaxime , next day , pt state became bad with decrease perfusion and x-ray show

complete rt. Side hydrothorax , causative organism:

Strepto. Pnem

Staph. Aureus true if pnumothorax

Hemophilus influenza

Pseudomonas

11 - Classic scenario of spontenous pneumothorax 30 year female with

hyperresonant rt. Side and decrease breath sound

12 -Relative risk :

138 years boy BMI = 30 weight and hight above 95 percentile , next step :

Appointment after 1 year

Refer to surgeon

Life style modification

14one of the following cause painful vision loss :Central retinal vein thrombosis

Retinal detachment

15one of the following is true regarding metformin :

Inhibit liver gluconewgenesis

Cause weight gain

1615 year girl with unilateral headache , pulstile and photophobia , diagnosis :

Migraine headache

Tension headache

17- one of following true regarding systolic hypertension :

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In elderly its more dangerous than diastolic htn

Occur usually due to mitral regurge

Defined as systolic , above 140 and diastolic above 100 ( combined systolic and diastolic )

18 - female pt with Rt eye pain and redness with watery discharge,no h.o

trauma,itching,O/E there is diffuse congestion in the conjunctiva and watery

discharge what you'll do:

1. give Ab

2. give antihistamine

3. topical steroid

4. refer her to the ophthalmologist

19female pt. with typical presentation of trichomons , ttt :

Metronidazole

20classical case of candidal infection itching , white discharge from vagina

, ttt is :

Miconazole

Amoxicillin

21P2G1 came at 38 weeks , vertex presentation , station +2 , fully dilated

cervix and late deceleration for baby ! next step :

Spontenous dilevery

Vaccum

c/s

22- old female with pubic itching , bloody discharge,then she developed pear

shaped swelling in her labia ,most likely diagnosis :

Bartholin cyst

Bartholin gland carcinoma

Bartholinabscess

23 - 82 year male pt with acute urine retention what is your action:

insert folly's cath and ask him to come back to the clinic

Insert foley catheter and do urine analysis

TURP

24pregnant lady with cystitis , one of the following drugs contraindicated in

her case :

Amoxicillin

Ceftriaxone

Flouroquiolone

25 - In battered women which is true:

mostly they come from poor socioeconomic area

usually they marry a second violent man

mostly they come to the E/R c/o from other symptoms

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mostly they think that the husband respond like this because they still have strong feeling for

them

26right lung anatomy , which one true :

Got 7 segment2 pulmonary veins

No releation with azigous vein

27 - old man with bilateral knee pain and tenderness that increase with walking

and relieved by rest , crepetus , your diagnosis :

RA

OA

28releation of indirect inguinal hernia sac to the cord :Antro medial

Postromedial

Antro lateral

No specific direction

29 - Deep laceration in the ant aspect of the wrist, result is:

claw hand

drop hand

inability to oppose the thumb to other fingers

30 - 50 y.o male with numbness in the little finger and he has degenerativecervicitis with restriction in the neck movement,also there is numbness in the

ring finger and atrophy of the thenar muscle+compression in the elbow,what

you'll do:

surgical decompression

CAT scan for survical spine

physiotherapy

31pt. came to ER with closed head injury and loss of consciousness , first step

to do :

Asses his GCS

Asses airway

32classical scenario of appendicitis

33same like 33 , positive psoas and obturator sign

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Gastric ulcer

Hypertension

36 - pt with rheumatic fever after untreated strep infection after many years

presented with Mitral regurge,the cause of massive regurge is dilatation of:

1. Rt atrium2. Rt ventricle

3. Lt atrium

4. Lt ventricle

38single diagnostic test for glomerulonephritis :

Low C3

Blood pressure above 95 percentile

Slight rise urea and creatinine

39long case of hemochromatosis with liver cirrhosis and decrease weight last

visit = 90 now 84 , next step investigation:

Hepatitis C serology

Alpha phetoprotein

Abdominal ultra sound

40old lady came to clinic as routine visit , she mention decrease intake of Ca

food , doctor suspect osteoporosis , next initial investigation :

DEXA

Ca in serum , thyroid function test , vit.D

41old lady smoker , with osteoporosis and frequent falling down , the highest

exogenous risk factors for decrease mineralization of bone :

Smoking

Fall down

Aging

42GERD diagnosis :

By history only

History and UG EndoscopyHistory and barium anema

43what is rebound phenomenon :

Vasoconstrictive nasal dropscomplication

44case control definition :

45 - one of the following decrease cancer risk :Fiber intake

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46 - all of the following drugs contraindiacted in breast feeding except :

Tetracycline

Chlorophenicol

Erythromycin

47fall in outstretched hand :

Colles fracture .

48meninginencephalitis read about CSF differential

49 - ear pain , headache . purulent discharge , right side weakness and loss of

sensation , diagnosis :

Epidural brain abscess

Subdural hematoma

Spinal column abscess

50- sinus tachycardia and atrial flutter , how to differentiate :

Carotid art message

Temporal art message

Adenosine iv

51 - to get more information from the pt

open end question

Why question

52 - watery discharge from eye , conjunctivitis , red injection but no irritation

treated by :

topical corticosteroid

Antihistamine

Leave him

Refer

53splint for carpel tunnel syndrome , hands should be in following position :

Extension

Adduction

54 -

Mcv 113

So : vit B12 def

55 - asymptomatic pt with (+) ppd , ttt :

Isonized 6 month

Isonized and rifampcin for 6 month3 drugs Regimen for 9 month

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56pt. with respiratory distress , developed tension pneumothorax , the cause :

Central venous line

Negative pressure ventilation

Tachycardia and hypertensionpostive pressure ventilation

57 - group of diseases include , cystic fibrosis , liver failure , the cause is :

Alpha one antitrpsin def

58 - 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

59attak rate for school children whom developed pink eye , first day 10 out of

50 , second day 30 out of 50 :

20

40

60

80

60 - 3weeks old newborn with swelling of scrotum transparent to light &

irreducible:

epidydemitishydrocele

61postpartum lady developed blues , beside psychotherapy :

Encourage family to support pt

62 - Mechanism of vitamine C in wound healing :

Epithiliazation

Aerobic fibroblast synthesis

Collagen synthesis

Enhance vascularization

63thyroid nodule , best investigation :

Fine needle biopsy

Ultrasound

Uptake

64difference between primary and secondary hyperaldosteronism :

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Increase rennin in secondary

65pt. using haloperidol , developed rigidity (dystonia) ttt :

Antihistamine + anticholinergic

66origin of pancreatic carcinoma :

Ductal epithilum

....

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011

[email protected]
mailto:[email protected]:[email protected]:[email protected]

SLE 2010-10

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