Octuber Q

23 Oct Child presents with fever, vomiting and diarrhea on exam of chest there is reduced air entry to right side and murmur was heard , the child CVS and chest exams were previously normal (prior visits) what is the management of murmur? A. Urgent echo B. Reexamine after these symptoms subsides C. Refer to cardio pediatrician D. ECG

23 Oct Case about  in child with swelling around eye and lower leg edema mostly? A) minimal change disease B) progressive glomrulonwphritis

23 Oct Mediterranean boy with fever of 39, his brother has the same case. What drug is contraindicated? A) Paracetamol B) Ibuprofen. C: ASPRIN D: AMOXIL

23 Oct 4 years old came with URTI, high fever, drooling of saliva and multiple enlarged lymph node. He dod not receive any vaccine Which of following vaccine might prevent this condition? A-Hemophlius B-Streptococcus C-Diphteria D-Polio

23 Oct Elderly healthy medically free came for vaccines ? A. pneumococcal B. Meningococcal C. MMR

23 Oct Case about iron deficiency anemia , asking about which of the following you will expect to be high? A) ferritin B) MCV C) TIBC D) transferrin

23 Oct A six year old girl presenting to the pediatric emergency department with unstable gait and progressive difficulty climbing the stairs over the last 10 days the parents reported that the child has been “choking on her own saliva” the symptoms began was prickly sensation in the fingers and toes that developed to ascending and symmetrical there is a history of viral gastroenteritis three weeks before physical examination confirms the absence of the knee-jerk reflex CSF analysis of weighted protein concentration with normal cell count nerve conduction test reduced velocity which off the following is most appropriate treatment: 1-plasma exchange 2-IVIG 3-MTX 4-steroids

23 Oct 40-year-old male known to have HIV, did Mantoux test (PPD) and it showed 6 mm induration, chest x- ray done and it was normal, what is the most appropriate manegemnt? A) Reassure as negative result B) Isoniazide for 6 months C) Rifampicin for 6 months D) Treat as an active TB

23 Oct case i forget the sinario ask , which of the choices is significant to exudate plural effusion A) the pleural fluid lactate dehydrogenase (LDH) to serum LDH ratio is greater than 0.6 B) plural :serum protein <0.4

23 Oct Female smoker and obese with hepatic hemangioma 4*4 cm. Which of the following advice will you give her? A)Stop smoking B)Decrease weight C) Avoid highly competitive and contact sport

23 Oct Scenario of lung cancer and the patient has SVC syndrome (facial plethora , edema,) Which of the following types most likely has? A- Small cell carcinoma B- Squamous cell carcinoma C- Adenocarcinoma D- Carcinoid tumor

23 Oct Case of Depressed patient and the doctor will prescribe a drug for her. asking which reuptake inhibitors should be prescribed? A ⁃ DOPA B ⁃ GABA C ⁃ serotonin D ⁃ Acetylcholine

23 Oct Pt with hyponatrimia (below 120 ) asking about next step in management ? A- hypertonic saline B- LR

23 Oct Mother in second trimester, have negative rubella , and want vaccine when to give ? A) now B) post partum

23 Oct Mother brought her child complaining of perianal itching and rice like coming out ? A- stronglyloides infection B- enterobius vermicularis

23 Oct A Pregnant woman on the 8th week diagnosed with SCA, *asking about the dose of Folic acid to give*. A- 5mg to the 12th week B- 5mg throughout the pregnancy C- 0.4mg to the 12th week D- 0.4mg throughout the pregnancy

23 Oct A patient with pulmonary embolism that wants contraception ? A) condom B) IUD C) OCP D) POP

23 Oct Young Female patient has severe dysmenorrhea she is taking NSAIDs but still symptomatic...next step in managment? A) oral contraceptives drugs B) Diagnostic Laprospcopy

23 Oct 40 us lady with heavy bleeding came to er, what to do? A) IUD B) D\C C) Hysterectomy D) Mefanemic acid

23 Oct Pregnant lady,41 GA in labor on epidural analgesia, mg sulfate for pre-eclampsia and oxytocin, CTG showed prolonged deceleration and the mother was hypotensive, most likely cause of the CTG finding: A. Mg sulfate B. Oxytocin C. Epidural analgesia