Octuber Q

Patient did screening for DM : fasting was 7.4 , HbA1c was 6.3 What to do next : A. Random blood glucose B. Repeat a1c in 6 weeks C. 2hr 75 gram OGTT D. Repeat fasting glucose test after 3 weeks

prophylactic antibiotic for appendicitis duration A. Preoperative then stop immediately B. Preoperative then stop 3 days after surgery C. Preoperative then stop 5 days after surgery D. Preoperative then stop 7 days after surgery

A child presented to your clinic with his mother for regular follow up, the only new complain is epistaxis more than usual of his brothers. His past medical history reveals atopic dermatitis treated with topical steroid and multiple hospital admission due to infection. Which of the following is the diagnosis: A) Wiskott-Aldrich syndrome. B) Idiopathic thrombocytopenia purpura. C) Kartagener syndrome. D) Cystic fibrosis. E) Drugs effect.

Lung Cancer 5CM nodule diagnosed with squamous cell carcinoma after biopsy Next step to do before surgery? Chem Radio PFT CT/PET AFTER 3 Month

CKD 2nd stage scenario, lab show LOW HB + <80MCV WHAT IS APPROPRIATE TEST TO DO IRON LEVEL Erythropoietien Bone marrow Reticulocyte

Case MULTIPLE PLEURA EFFUSION DUE TO squamous CELL CARCINOMA Every time she had a Pleura EFFUSION THORACENTEISS WAS DONE. NOW she present with Huge effusion. Asking for Next step? Chemical pleurodesis Ultrafiltration Low Na human albumin Diuretic

Child known case of Juvenile RA she “only” got pain and swelling of her bilateral knees (Arthritis) what type of it ? Oligoarticular Poly Systemitc

52 y/o , last menstrual 12 month ago..ect, What is the responsible for this condition? A- FSH B- Estradiol C- progesterone

Patient 77 years on 3 antihyperiensive medication, still not controlied, US was done and show Asymmetrical kidney hat is your dx? A - adult PCKD B - Renal artery stenosis C- Other choices unrelated at all

Female pregnant with recurrent late deceleration and fetal bradycardia and dilated 6cm what to do ? - Emergency CS - Reassure - Induction

Prevention of preeclampsia -> aspirin Prevention of eclampsia -> Mgso

Case of fever and sore throat , and there’s exudate membrane cover the tonsils? - Coronavirus - H Infeunza - RSV - EBV

11 month old child, brought by his parents they reported a 1 day history of fresh blood in stool associated with foul smell and dark brown stool on examination the child was pale (they didn’t mention pain or any abdominal examination), What’s the best diagnostic tool: A- barium enema B- barium meal C- radioisotope scan D- US abdomen

Patient came with severe epigastric pain and abdominal tenderness and she heared tearing in her abdomen, the patient is hypotensive with low Hb: A. U/S B. CT angio C. Radioisotope scan D. MRI

Pediatric patient with shigella treatment: A. Amoxicillin B. Azithromycin C. Ceftriaxone

10 Yo female presented with RUO.pain for one week. Associated with jaundice, vomiting and diarrhea, she has a recent Mx of eating from outside, She has no Hx of drug. Which of the following test wil contirm her infectin ? A. HAV IgM B. HAV IgG C. HBSAg D. HCV RNA

Female GBS swap 100000, 2 count in 10 minutes, cervix 7 cm, wt to do: A. Oxytocin B. Ampicillin

Pathophysiology regarding patient with appendicitis complicated by appendicular mass (Abscess), patient was feverish (38.7)? A - Peripheral Vasoconstriction B - Decreased Cardiac Index C - Redistribution of Blood D - Bradycardia