Ethiopians Public Health Officer
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频道帖子
| 2 | Lect 7 Hypothesis Testing-1.ppt | 0 |
| 3 | Lect 6 Probability & Probability Distribution-2013.ppt | 0 |
| 4 | Lect 5 Sample Size Estimation-2013.ppt | 0 |
| 5 | Lect 4 Sampling and Sampling Techniques.ppt | 0 |
| 6 | Lect 3 Numerical Summary Measures-2013.ppt | 0 |
| 7 | Lect 2 Data organization and Presentation-2013.ppt | 0 |
| 8 | Lect 1 Introduction to Biostatistics- 2013.ppt | 0 |
| 9 | https://t.me/GoldUs30killer3 | 0 |
| 10 | https://t.me/GoldUs30killer3 | 0 |
| 11 | Normal Lab Value.docx | 0 |
| 12 | Normal Lab Value.docx | 0 |
| 13 | Giant cellulitis-like Sweet syndrome mimicking cellulitis: a case report
Selamawit T. Muche , Lishan D. Tefera, Nigatu A. Gerba, Kibrom M. Gebremedhin, Abdusamed A. Abdusamed, Melkamu K. Nidaw, Abenezer A. Kebede and Edom T. Degefa
Corresponding Author: Selamawit T. Muche | 0 |
| 14 | Giant cellulitis-like Sweet syndrome mimicking cellulitis: a case report
Selamawit T. Muche , Lishan D. Tefera, Nigatu A. Gerba, Kibrom M. Gebremedhin, Abdusamed A. Abdusamed, Melkamu K. Nidaw, Abenezer A. Kebede and Edom T. Degefa
Corresponding Author: Selamawit T. Muche | 0 |
| 15 | +1 Share MedStar Internal Medicine 2nd Edition.pdf | 0 |
| 16 | Gaffiilee.pdf | 0 |
| 17 | #. A 21yo girl looking unkempt, agitated, malnourished and nervous came to the hospital asking
for painkillers for her abdominal pain. She is sweating, shivering and complains of joint pain.
What can be the substance misuse here?
a. Alcohol
b. Heroin
c. Cocaine
d. LSD
e. Ecstasy
Ans. The key is B. Heroin. [agitation, nervousness, abdominal cramp, sweating, shivering and piloerection, arthralgia these are features of heroin withdrawal].
#. A child presents with increasing jaundice and pale stools. Choose the most appropriate test?
a. US abdomen
b. Sweat test
c. TFT
d. LFT
e. Endomyseal antibodies
Ans. The key is A. US abdomen. [This is a picture suggestive of obstructive jaundice. LFT can give clue like much raised bilirubin, AST and ALT not that high and raised alkaline phosphatase but still USG is diagnostic in case of obstructive jaundice].
#. A 32yo man presents with hearing loss. AC>BC in the right ear after Rhine test. He also
complains of tinnitus, vertigo and numbness on same half of his face. What is the most
appropriate inv for his condition?
a. Audiometry
b. CT
c. MRI
d. Tympanometry
e. Weber’s test
Ans. The key is C. MRI. [features are suggestive of acaustic neuroma, so MRI is the preferred option].
#. A 56 yo lady with lung cancer presents with urinary retention, postural hypotension, diminished
reflexes and sluggish pupillary reaction. What is the most likely explanation for her symptoms?
a. Paraneoplastic syndrome
b. Progression of lung cancer
c. Brain metastasis
d. Hyponatremia
e. Spinal cord compression
Ans. The key is A. Paraneoplastic syndrome. [Features given are well known features of autonomic neuropathy which can be a result of paraneoplastic syndrome].
#. An old woman having decreased vision can’t see properly at night. She has changed her glasses
quite a few times but to no effect. She has normal pupil and cornea. What is the most likely dx?
a. Cataract
b. Glaucoma
c. Retinal detachment
d. Iritis
e. GCA
Ans. The key is B. Glaucoma. It is a wrong key. Correct key should be A. Cataract. [Age and normal pupil and cornea are suggestive of cataract. If it was glaucoma pupil would be a bit dilated and/or oval in shape].
#. A pt comes with sudden loss of vision. On fundoscopy the optic disc is normal. What is the
underlying pathology?
a. Iritis
b. Glaucoma
c. Vitreous chamber
d. Retinal detachment
Q. 1. What is the key?
Q. 2. What are the causes of sudden painless loss of vision?
Ans. 1. The Key is D. Retinal detachment.
Ans. 2. Causes of sudden painless loss of vision:
Retinal detachment
Vitreous haemorrhage
Retinal vein occlusion
Retinal artery occlusion
Optic neuritis
Cerebrovascular accident
#. A child was woken up from sleep with severe pain in the testis. Exam: tenderness on palpation
and only one testis was normal in size and position. What would be your next step?
a. Analgesia
b. Antibiotics
c. Refer urgently to a surgeon
d. Reassurance
e. Discharge with analgesics
Ans. The key is A. Analgesia. [According to some US sites it is analgesia but no UK site support this!!! So for Plab exam the more acceptable option is C. Refer urgently to a surgeon].
#. A child suffering from asthma presents with Temp 39C, drooling saliva on to the mother’s lap,
and taking oxygen by mask. What sign will indicate that he is deteriorating?
a. Intercostal recession
b. Diffuse wheeze
c. Drowsiness
Ans. The key is A. Intercostal recession. This is wrong key. Correct key is C. Drowsiness. [Intercostal recession is a sign of severe asthma but it can be seen at a lesser degree as well. So drowsiness is more appropriate answer].
#. A 12yo boy presents with painful swollen knew after a sudden fall. Which bursa is most likely to
be affected?
a. Semimembranous bursa
b. Prepatellar bursa
c. Pretibial bursa
d. Suprapatetaller bursa | 0 |
| 18 | # A 6wk child is very sick-looking. Bloods: Na+=124, K+=2.8. Dehydrated. What would you choose
to resuscitate?
a. 0.18% NS + 4% dextrose + 20mmol KCl
b. 0.9% NS
c. 0.45% NS
d. 0.45% NS + 5% dextrose
e. 0.45% NS + 5% dextrose + 20 mmol KCl
Ans. The given key is E. But it is wrong key! The correct key is B. 0.9% NS. Explanation: Rsuscitation is mostly done with 0.9% NS or ringers lactate, or hartmans solution. Here is hypokalemia. To treat hypokalaemia the cut off value is below 2.5 mmol/L and absence of anuria during resuscitation. Maintenance is with fluid E.
344. A 68yo man gets repeated attacks of LOC and TIA. What is the most likely cause for this?
a. Atrial fib
b. Mitral stenosis
c. Aortic stenosis
d. HOCM
e. Carotid artery stenosis
Ans. The key is E. Carotid artery stenosis.
# Pt presented with hemoptysis 7d post-tonsillectomy. What is the next step?
a. Packing
b. Oral antibiotics + discharge
c. Admit + IV antibiotics
d. Return to theatre and explore
e. Ice cream and cold fluids
Ans. The key is C. Admit + IV antibiotic. [infection is a common cause of secondary haemorrhage. Patient should be admitted to observe the course of bleeding and treatment is given with IV antibiotics].
# A child was admitted following a RTA with initial GCS=15. Then during the night the noticed GCS
reduced to 13. What is the management?
a. Refer to neuro-surgeon
b. IV fluids
c. Oxygen
d. CT brain
e. Skull XR
Ans. The key is D. CT brain. [probable intracranial haemorrhage].
# A 57yo woman who is suffering from HTN, presented to the hospital with complaints of
recurrent falls when trying to get out of bed or getting up from sitting. She is on some anti-HTN
therapy with no other med prbs. What is the cause of her fall?
a. CCB
b. Vertibrobasiliar insufficiency
c. Thiazide
d. Hypoglycemia
e. Infection
Ans. The key is C. Thiazide. [It causes postural hypotension by volume depletion].
# A 56yo woman with MS presents with drooping of the left side of her lips. She also has loss of
sensation over her face, hearing impairment and some in-coordination of her movements. What
is the most likely anatomical site affected?
a. Cerebellum
b. Cerebrum
c. Spinal cord
d. Brain stem
e. Optic nerve
Ans. The key is D. Brain stem. Features of 5, 7, 8th cranial nerve and cerebellum involvement suggestive of brainstem lesion.
# A 68yo male presented with swelling in the lower pole of the parotid gland for the last 10yrs.
Exam: firm in consistency. What’s the most probable dx?
a. Pleomorphic adenoma
b. Adenolymphoma
c. Mikulicz’s disease
d. Parotiditis
e. Frey’s syndrome
Ans. The key is A. Pleomorphic adenoma. [Pleomorphic adenoma (most common) - also called benign mixed tumour: is the most common tumour of the parotid gland and causes over a third of submandibular tumours. They are slow-growing and asymptomatic, having a malignant potentiality].
# A 28yo shipyard worker was admitted for pain in calf while at work which has been increasing
over the last 3m. There is no hx of HTN or DM but he is a smoker. Exam: loss of posterior tibial
and dorsalis pedis pulsation along with a non-healing ulcer at the base of the right 1st MTP joint.
What is the most probably dx?
a. Thromboangitis obliterans
b. Sciatica
c. DVT
d. Baker’s cyst
e. Embolus
Q. 1. What is the key?
Q. 2. What are the points in favour?
Ans. The key is A. Thromboangitis obliterans.
Ans. 2. i) young age ii) smoker iii) pain in cuff iv) loss of posterior tibial and dorsalis pedis pulsation v) non-healing ulcer at the base of the right 1st MTP joint all are suggestive of Buerger’s disease. | 0 |
| 19 | Public Health_Information Booklet_2024 (2).pdf | 0 |
| 20 | +3 obgyn mcq | 0 |
