December Main channel 📍

24 Dec Done ✅

ملفات CAP تعوووود 24th Dec

Bethesda 4 thyroid 2*3 mass on one lobe, TSH and T4 are normal patient is Asymptomatic, what’s next ? A. Hemithyroidectomy B. Nodule excision C. Total thyroidectomy D.RAI

Pt has long history of cardiovascular disease with chest pain, he was anxious. On examination: peripheral cyanosis, JVP around 8 cm above normal, nicotine stain on his fingers, he wants to quit smoking. What is the next step: A- Motivational therapy ✅ B- Bupropion C- Varenicline D- Nicotine replacement therapy 9-month Hx of MI came to clinic for smoking cessation he was in respiratory distress raised JVP nicotine tear in his hand what is the most appropriate drug? - A. Nicotine replacement therapy - B. Varenicline ✅ - C. Bupropion 53 years old male patient heavy smoker presented with SOB,cyanosis and distended JVP. The patient is heavy smoker for many years and wants to quit now. What is the *best* way to help him quit? A. Varenicline ✅ B. Nicotine replacement therapy C. Bupropion D. Behavioral therapy. ابغاكم تعرفون ٣ معلومات بس: 1- Most important initial step in smoking cessation is Motivational support to the patient. 2- Most effective drug is Varenicline and it’s also Safe in Cardiac Patients 3- If written in the Q ( Hospitalized patient ) Best option is Nicotine replacement therapy. زي ماتلاحظون السؤال الثاني كاتب لك Came to the clinic “ He is not Hospitalized. السؤال الثاني جاني في نوڤمبر

19 Dec Child with Bechwith-Wiedmann syndrome the doctor told the parents that this syndrome is associated with cancer. Which of the following is screening marker ? - Uric …acid - alpha fetoprotein(AFP) - … - …

45 years old male or female, has a mass 5 cm in right upper limb, (MRI shows a mass from triceps) what to do next? A. Incisional biopsy B. Excisional biopsy C. Core needle biopsy D. PET scan

24 Dec Fungating mass from cervix highest diagnostic value: A-Pap B-Colposcopy C-Biopsy D-Mri pelvis

neonate with polyhydrminos history and coiled endotracheal tube What's the most common complication of the surgery A-voice change B-GERD C-Bleeding D-Perforation

24 Dec Indication of elective parathyroidectomy -osteoporosis -PTH level Can’t remember other choices

24 Dec 8 years old boy previously healthy, Presented with fever, bruising and pain on both legs. On exam he is pale, has ecchymosis & petechiae all over his trunk, neck & face. His labs: HgB 67 (low) WBC 28 (very high) Plt 40 (low) What is the appropriate diagnostic test? A- Bone Marrow Biopsy B- Coagulation profile C- Liver US (or CT liver not sure) D-electrophoresis