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A known asthmatic presents to the GP complaining of gradually worsening of her symptoms. She is already taking a regular β2 agonist inhaler. What is the next most appropriate step in management? a. Long-acting β 2 agonist inhaler b. Low-dose inhaled steroid c. High-dose inhaled steroid d. Oral prednisolone e. Intravenous hydrocortisone

A teenager presents to the GP with symptoms indicative of cystic fibrosis. A sweat test is performed. Which of the following is diagnostic? a. A chloride value between 40 and 60 mmol/L b. A chloride value less than 40 mmol/L c. A sodium value of less than 60 mmol/L d. A sodium value above 60 mmol/L e. A sodium value between 40 and 60 mmol/L

You suspect bronchiectasis in a young patient. Which of the following investigations is most likely to confirm the diagnosis? a. Sputum culture b. Sweat test c. Bronchoscopy d. Chest X-ray (CXR) e. High-resolution CT

A 60-year-old man with severe COPD is admitted with an acute exacerbation. What is the most appropriate initial investigation? a. Computed tomography (CT) chest scan b. Spirometry c. Arterial blood gas d. Peak flow e. Pulmonary function tests (PFTs)

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11 month old girl. She presents to the Emergency Department with a 2-day history of fever, vomiting and She has no significant medical history and is not on any medication. On examination she has a temperature of 39° C and has a heart rate of 126 beats/min. Without source of infection What is the best way to collect a urine sample from her? Select one answer only. A. Bag sample B. Clean catch C.Pad/cotton wool balls in nappy D. Suprapubic aspirate The urine culture reveal UTI What is the most common organism ? بعد اكو نقطتين

A 40-year-old male presented to the emergency department with sudden onset cough, hemoptysis of copious amounts of blood, and generalized itching. On examination, the patient had a generalized rash, his blood pressure was 60/40 mmHg, and his heart rate was 128 bpm. The patient was confused and had reduced vision. A. What is the first step in management? - Steroids, resuscitation, antihistamines, and adrenaline if necessary - Thoracotomy - Bronchial lavage and aspiration B. What is the likely diagnosis? - Lung cancer - Chest infection - Pulmonary TB - Ruptured Hydatid cyst C. What is the likely cause of the visual problem and the patient's confusion? - Cerebral vascular accident - Brain hydatid - Brain tumor