Octuber Q

A 56-year-old patient presents with left lower quadrant pain and a change in bowel motion. Upon examination, the patient has a fever and left lower quadrant tenderness. Imaging showed thickened bowel. What is the Treatment? A. Conservative with broad-spectrum antibiotics. B. Colonoscopy. D. Laparoscopic Colectomy.

There was a case about elderly diabetic pt with 2 day history of abdominal pain , bloody diarrhea imaging was done showed thickning of descending and sigmoid colon with thumb appearance , what is the dx? A- uc B-crohn disease C-ischemic colitis D-acute diverticulitis

Child presented with a picture of croup improved on epinephrine but relapsed in 30 mintues again what to give ; Repeat epinephrine Steroinds Salbutamol Antobiotics

Female with vaginal discharge Grey, fishy odor , smear : show clue cells, diagnosis? A. Trichomoniasis B. Bacterial vaginosis C. Candida

Young in 30s present with HTN for 3 months 160/100 and positive family history of HTN in father and brothers, high creatinine, urine analysis, positive protein, what to give? A) Beta blocker B) Alpha blocker C) ACEI

A patient with cirrhosis asymtpmatic came for regular follow up , he is for SCREENING for HCC. What Is the most DIAGNOSTIC TEST ? :)))) Alphafetoprotein US Triphasic CT

Pt has rest tremor but when he move to pick something the tremor gone, but can’t do finger nose test with his right hand where is the lesion ? A- Right cerebellum B- Left cerebellum C- Right hemisphere

boy circumcised mother said urine smell foul fever 39 for 1d what indicated uti in this pt A.Fever duration B.Being a male C.Fever 39 D.Age

12 yr old boy obese Presented following truma pain and limited movement internal rotation, there is an x-ray picture in the exam. A- Slipped upper femoral epiphysis B- Fracture neck femur C- Avascular necrosis

y/o male on MV in ICU due to intracranial hemorrhage, 7 days later he developed ground coffee vomitus. What is the Dx? A- Stress gastritis B- H.pylori gastritis C- Dyspepsia

Patient hospitalized with pancreatic cancer presented with unilateral leg tenderness erythematous and swelling Dx A- Cellulitis B- DVt C- Acute ischemia

Non-Hodgkin lymphoma on Tx developed tumor lysis syndrome: A. Hypokalemia hypocalcemia B. Hypokalemia hypercalcemia C. Hyperkalemia hypocalcemia D. Hyperkalemia hypercalcema

Pediatric patient presented with generalized seizure, hypoglycemia, ketones in the urine with characteristic odor. What is the dx? A. Galactosemia. B. Phenylketonuria. C. Maple syrup urine disease. D-Fatty acid oxidation defect

Child have dry non purulent conjunctivitis, cracked red lips, erythema (I think trunk, sole, hand) what's the diagnosis? A- Kawasaki disease B- Rubella C- Measles

Child with widening of the joints, and delayed walking with numbers exactly like this: Ca 2.2, Phosphate 2.1, ALP 1030, It was exactly like this, no PTH given. What is the most likely diagnosis? A- Hypophosphatasia B- Renal osteodystrophy C- Vit D deficiency rickets D- Familial hypophosphatemic rickets

ask what causes HYPERKALEMIA in this pt? A- RTA 1 B- RTA 2 C- RTA 3 D- RTA 4

women with a history of insomnia and crying for S days due to sibling death, what is the quick drug to use? A- Lorazepam B-SSRI

Pre gnant at 13 weeks of gestation with history or spontaneous fetal loss at 20 week. What is the most appropriate action to do? A- Regular F/U without specific intervention B- Cervical cerclage now

60y old lady present with lower genital bleeding, she described it as Scanty and barely stain the pad , what is the source of bleeding A- Fallopian tube B- Ovary C- Uterus D- Genital tract

Patient had liver laceration and the patient is hemodynamically unstable. What to do? A- Right hepatectomy B- Perihepatic packing done C- Right hepatic artery ligation D- Ligation of the involved vessels