SMLE killers -corrected Qs- 🤖

/trauma

مرحبًا بالجميع 🤍 يؤسفنا نخبركم بتوقف سملي كيلرز عن تصحيح الأسئلة والاكتفاء بأسئلة سبتمبر كختامية لعملنا بهذه الفترة.. نتمنى إننا قدرنا نكون عون جيد لكم ولو بشكل بسيط مثل ما كنتوا عون لنا طوال هالفترة 🤝 ⁃ تم حل أغلب أسئلة الأشهر من ابريل إلى سبتمبر وكلها لها فترة مثبتة برسائل القناة وما نقص منها سقط سهوًا. ⁃ إبراءً للذمة تم حل شهر سبتمبر من الملف اليومي DUF بدون تكرار ما سبق حله ننصحكم تواكبون من ملفات القنوات الأخرى للشمولية. ⁃ لن يتم حذف الأسئلة راح تبقى لنشر الفائدة. ⁃ كل الحلول بالقناة قابلة للتصحيح واختلاف الآراء. ⁃ المعذرة من كل من سبق وأرسل لنا بالخاص راح نحاول نرد عليكم ما استطعنا سبيلًا، ما عدا ذلك توقفنا عن استقبال الأسئلة. ختامًا، إن أصبنا فمن الله وإن أسأنا أو أخطأنا فمن أنفسنا والشيطان الله يوفقكم جميعًا ويبشركم بما يسركم ويسهل كل عسير GOOD LUCK!! 💛

A six year old girl presenting to the pediatric emergency department with unstable gait and progressive difficulty climbing the stairs over the last 10 days the parents reported that the child has been “choking on her own saliva” the symptoms began was prickly sensation in the fingers and toes that developed to ascending and symmetrical there is a history of viral gastroenteritis three weeks before physical examination confirms the absence of the knee-jerk reflex CSF analysis of weighted protein concentration with normal cell count nerve conduction test reduced velocity which off the following is most appropriate treatment: 1-plasma exchange 2-IVIG 3-MTX 4-steroids

18y/o female brought by her parents for evaluation of fine hand tremor, O/E there is jaundice and spleen is just palpable below costal margin, Investigations: Serum copper: low Transaminases are high Ceruloplasmin is low Bilirubin is 38 Direct bilirubin is 22 24 hr urine copper is high What is your treatment? A- ursodeoxycholic acid B- Deferoxamine C- D-penicillamine D- Prednisone

62 years old for routine check up, A1C 6.9, BP 139\79, What to give When to start anti-hypertensive drugs? A- Metformin + antihypertensive B- aNTIHYPERTENSIVE C- Lifestyle modification

.5 months old baby with hypoglycemia and dehydration: A. ORS WITH NaCl to glucose ratio 1:1 B. NS 20 ml/kg C. Pedialyte 10 ml D. 10% dextrose

.Female postpartum patients presented with breast pain on examination. There was local erythema, tenderness and thinning of skin. How will you manage? A -observation B -incision and drainage C - antibiotics

.Marfan features what investigation to do to rule out life threatening complications Echo ✅ Eeg Ecg

Sigmoidoscopy showed ulcerating massand biopsy showed malignancy what to do next? Colonoscopy

91 y/o male with abdominal distention tenderness all over abdomen no specific side not anything significant in lab what is most appropriate next step ? A. Colonoscopy B. Sigmoidoscopy C. US or xray Abdomen i don’t remember D. Digital rectal examination

.Pud managed with 40mg omeprazole stopped md symptoms back and worse . increase dose to 80mg Same does High dose and rantidine Rantidine

Recurrence in malaria which P common ? P vivax

.Asthma which htn med contraindicated bblocker

.Pt admitted to hospital due to trauma and multiple fractures, culture result indicate growth of candida, she denied any symptoms what to do? A- fluconazole✅ B- no treatment

patient with RLQ pain and abdominal distension (no fever or bleeding) investigation with barium swallow showed obstrction at terminal ileum, colonoscopy showed mass (or nodule cant remember) at terminal illeum near ileoceacal valve biopsy showed non-caseous granuloma treatment A) resection B) rifampicin C) steroids

Female with history of positive pregnancy at home 8 week ago, presented with vaginal bleeding. exam and imaging confirmed 9 week intrauterine sac but could not hear the heart beat . Best management 1 (reassure 2 (D/C 3 (misoprestol