SMLE - B

- A hypertensive patient was prescribed Hydralazine 25mg by his physician. Instead he took Hydroxyzine 25mg. Which of the following is the likely type of error? A) Look-a-alike error B) Sound-a-alike error C) Illegal prescription D) Handwriting error

Pediatric ejection systolic murmur Asymptomatic without any complain Imaging normal cardiac anatomy What will you do -Reassurance -Follow up in 3-6 months -Exercise restriction -No need for follow up

hospitalized woman post cs was treated for 6 days with clindamycin and cefuroxime for endometritis then she had watery diarrhea abdominal pain and fever enzyme immunoassay of the stool revealed the presence of a bacterial enterotoxin. Which of the following is the most appropriate treatment? 1. Ciprofloxacin 2. Metronidazole 3. Amoxicillin/clavu 4. Continue the same medication

Pediatrics case maybe 12 year old girl presented with fatigue and tiredness for a few hours (11 hours ), she has spleenomegally ( her spleen is palpable 3 cm below the costal margine). Labs: Hb: low Platlets: low Sickle cell screening: positive What is ? A) aplastic crisis B) sequestration crisis

15 months old has meningitis, gram positive cocci, best treatment option A-Ampicillin B-Ampicillin and gentamicin C-Ceftriaxone and vancomycin D-Ampicillin and vancomycin

72 year Patient with TIA symptoms and Afib, what to give? A. Aspirin B. Warfarin INR goal 2-3 C. Warfarin INR goal 3-4 D. Enoxaparin

-A child is admitted to the PICU with a subdural hematoma. The father reports the child fell from his bed. On physical examination, the child has ecchymosis on the buttocks and back and bilateral femoral fractures*?. What's the most likely diagnosis? A. Hematoma B. Pathological fracture C. Battered child syndrome D. Accidental injury

One weird question about a lady in her 40s who is obese and maybeee diabetic with irregular menses every 3-4 months. Had her periods 2 weeks ago and still bleeding till now. What is the cause of her bleeding? A.Uterine fibroid B.Chronic anovulation C.? D.?

9 y/o pt his mom complaining about he is wetting his bed since one month. He used to be dry since 7 years. The urine is foul smelling His lab showing high wbs and turbid in colour and showed nitrate Diagnosis?  A. UTI ✅ B. normal for his age  C. nocturnal enuresis

Pediatric with autoimmune hepatitis Complain lethargy (dont remember other symptoms) What to avoid in diet -fat -carbs -minerals and vitamins -protein