SLE 2010COLLECTED AND TRIED TO BE ANSWERD AND SENT BY DR.ABULMALIK ALBAKER 2011 [email protected] E.histolytica cyst is destroyed by: Freezing Boiling Iodine treatment Chlorine Patient after accident , the left ribcage move inward during inspiration and outward during expiration: Flial chest Greatest risk of stroke: DM Elevated blood pressure Family history of stroke Hyperlipedemia Smooking eats little meat . and absence of afferent papillary light reflex Retinal artery o cclusion Inflammatory bowel disease is idiopathic but one of following is possible underlying cause Immunological Patient present with high blood pressure (systolic 200) . what will you do: Trial of iron therary Multivitamin with iron daily Treatment of mania that doesnot cause hepatotoxicity Lithium SCA patient . the macula is cherry red . by investigation :microcytic hypochromic anemia . tachycardia Mydriasis . what is the toxicity: Antichlenergic Sympathomemitic Tricyclic antidepressant Organophosphorous compounds i think the answer is sympathomimetic Treatment of Chlamydia with pregnany: Azithromycin Erythromycin base . sweating .Child has pallor . the subjective symptoms are different from objective . crepitus . and does not match anatomical . followed by numbness . 25% 50% %1 4% 1 liter fluid deficit equals 1 kg . the diagnosis: Osteorhritis Ankylosin spondylitis Rheumatoid Mother has baby with cleft palate and asks you what is the chance of having a second baby with cleft palate or cleft lip .the maximum body lenght will be reached after menarch by 6 months 1 year 2 years Patient developed sudden loss of vision bilaterally while she was walking in the street . pain . there will be wound healing by: If the wound is clean Angiogenesis Epithelial tissue Old male with tender knee . what is your diagnosis: Conversion syndrome(i think this is the answer After inflammatory phase of wound . mainly clindamycin or erythromycin. hypotension . what will be your initial step Rapid IVF crystalloid CT ……. In severe cases. he was only vaccinated by BCG after birth . 6 y child was born to HBS positive mother is HBS positive . intralesional steroid injection or oral antibiotics. such as tetracycline or erythromycin may be added. Which is not true In emergency management of stroke Give IVF to avoid D5 50% Give diazepam in convulsions Anticonvulsants not needed in if seizures Must correct electrolytes Treat elevated blood pressure . 3. Treatment of papules or pustules: Topical benzoyl peroxide plus topical antibiotics.After accident patient with tachycardia . what you will give him now : HBV + oral polio + DTP + hib HBV + oral polio + dt + MMR +hib Hib + oral polio + Dt + MMR Treatment of non inflammatory acne Retinoic acid Treatment of comedones: Topical retinoids. 2. ………… The antidepressant used for secondary depression that cause sexual dysfunction Sertatlie Amypramine Levofluxine Previously healthy female patient presented to ER with dysnea .SCA complications in adults Cerebral infarction Cerebral hemorrhage The most common risk for intracerebral stroke Hypertension ………. the symptoms began 20 minutes before she came to ER . tremor . anexiety . what you will do Ask her to breath into a bag Take blood sample to look for alcohol toxicity What is the most important in councling Exclude physical illness Establishing rabbot Family Schedule appointement In breaking bad news . in the hospital she developed numbness periorbital and in her fingers . and she breath heavily . Find out how much the patient know Find out how much the patient wants to know Patient with chest pain that aggrevatedby couphing. the breast is nodular with prominent 3 cm mass subareolar . what you will do Mammography followed by us See her next cycle Fine needle biopsy followed by tissue studies . there is added sound on left sternal border . axillary lymph nodes are not enlarged . when will be permenant decrease in visual acuity After obstruction by one day By 1 week By 3 months By 6 months The symptoms of soft tissue sarcoma Progressive enlarging mass 35 year female with bilateral breat pain .in ecg you will find St changes Pr prolongation Hypervoltage The most common site for visceral hemangioma is Liver Child with large periorbital hemangioma . if this hemangioma cause obstruction to vision . that decrease after menstruation . and regurg . He passed meconium early and stool . what is management . diagnosis is Osophageal spasm Achalasia Osophageal ca The most common cause of cough in adults is Asthma Gerd Postnasal drip Girl with amenorrhea for many months . diagnosis Eating disorder Pituitary adenoma Old female with itching of vulva . no discharge . the cervix is 1 cm Complete abortion Incomplete abortion Molar pregnancy 2 month infant with vomiting after each meal .Pregnant with bleeding for 12 hours and tissue . BMI is 20 and is stable over last 5 years . by barium there is non peristalsis dilatation of osophagus and air-fluid level and tapering end . by examination there is pale and thin vagina . he is in 50 centile . diagnosis is Midgut volvulus Meconium ileus Hischsprung disease Patient with dysphagia to solid and liquid . what is the treatment Ciprofloxacin po od for 3-5 days Norfocin po od for 7 – 14 days Patient with flank pain . frequency . urgency .Estrogen cream Corticosteroid cream Fluconazole Patient with dysuria . vomiting . what is diagnosis Roseola Hsv Herpes zoster Male with itching in groin erythematous lesions and some have clear centers . nose is erythematous . erethematous lesions and vesicles on periorbital and forehead . what is diagnosis : Psoriasis Tinea curis Erythrasma Vasoconstrictive nasal drops complication Rebound phenomenon . treatment is Hospitalization and intravenous antibiotics and fluid Patient present with mid face pain . fever . but no flank pain . the pain ia at nose . The useful excurcise for osteoarthritis in old age to maintain muscle and bone Low resistance and high repetion weight training Conditioning and low repetion weight training Walking and weight exercise ……………. no tenderness . excacerbeted by movement and aggrevated by light in 17 old girl Migraine Cluster Diet supplement for osteoarthritis Ginger Old male with abdominal pain . nausea . nausea . the diagnosis is Osteoarthritis Gout Infectous arthritis . what is true about appendicitis in elderly Ct not usefull for diagnosis Wbc is often normal Rupture is common If there is no fever the diagnosis of appendicitis is unlikely Anemia is common Old patient with bilateral enlarged knee . Unilateral worsening headach . wbc 7 . normal esr and c-reactive proteins . no history of trauma . but more in rt side . what you will do Refer to ophthalmologist for laser therapy Refer to ophthalmologist for cataract surgery What is the most common treatment for juvenile rheumatoid arthritis Intraarticular injection of steroid Oral steroid Paracetamol D-penicillamine Asprin which of the following decrease mortality after MI metoprolol nitroglycerine thiazide morphine the cardiac arrest in children is uncommon but if occur it will be due to primary respiratory arrest hypovolemic shock neurogenic shock sure . visual field is not affected . in fundus there is irregular pigmentations and early cataract formation .Patient has decrease visual acuity bilateral . which exogenous factor has the gretest exogenous side effect on osteoporosis old age smoking vit d insufeciency continue smoking recurrent fracture patient presented with sudden chest pain and dysnea . diagnosis atelectasis of left lung spontaneous pneumothorax pulmonary embolism boy after running for hours . has pain in knee and mass on upper surface of tibia osgood scatter disease iliotibial band Osgood-Schlatter disease. vit d insufeciency and smoker . pancreatitis amylase is slowly rising but remain for days amylase is more specific but less sensitive than lipase ranson criteria has severity (predictive) in acute pancreatitis pain is increased by sitting and relieved by lying down contraceptive pills is associated .old female with recurrent fracture . tactile vocal fremitus and chest movemebt is decreased . by x-ray there is decreased pulmonary marking in left side . night sweating .COM نرجو الدعاء لكل من ساهم في هذه السئلة لطل ب كليات الطب و المواقع الطبية خاصة أعضاء موقع الكاديمية الطبية . ppd test is now reactionary . weight loss . x-ray show infiltrate in apex of lung .patient has fever . diagnosis activation of primary tB sarcoidosis case control is backward study COLLECTED AND TRIED TO BE ANSWERD AND SENT BY DR. ppd test was positive .ABULMALIK ALBAKER 2011 MED_ST99@HOTMAIL. bloody sputum .