كل يوم case 🫀🩻🩺

4. Her urine culture is positive at 24 hours. Which of the following is the most likely organism? Klebsiella Escherichia coli Staphylococcus saprophyticus Proteus Enterococcus

Which of the following is the most appropriate management plan? Treat only if the culture is positive. Admit for intravenous (IV) hydration and IV antibiotics. Treat with intramuscular ceftriaxone and have her follow-up in the ofce the following day. Treat with trimethoprimsulfamethoxazole, and have her followup in the ofce the following day. Prescribe amoxicillin and start oral hydration.

2. An 11-month-old girl presents to your ofce with a fever of 39°C she has had for 2 days. She has also vomited frequently and had decreased uid intake. She looked tired and ill but on examination, had no apparent source of infection. She appeared to be 5–10% dehydrated. You decide to obtain a urine specimen for analysis and culture. Which of the following is the best method? Collect a midstream “clean catch” specimen. Collect a catheterized specimen. Place an adhesive bag to collect urine. Obtain urine from a diaper. Collect urine after she urinates in a potty chair.

من اسئلة اليوم للخامسة

A 24-year-old male presented to the emergency department after being picked up from his car seat following a front car-to-car collision. He was not wearing a seatbelt. The patient is in severe pain in the front chest with difficulty in respiration, with the pain increasing with movement and respiration. Otherwise, the patient is vitally stable. A. What is the initial management step? - Oxygen - Left chest tube - Thoracotomy B. What is the most likely cause of chest pain that increases during movement and respiration? - First rib fracture - Sternum fracture - Haemothorax C. Mention an easy investigation to confirm this abnormality? - Ultrasound of chest - CT scan - Lateral chest X-ray - Chest X-ray (PA view) D. The patient’s condition deteriorates suddenly and his SpO2 drops, what is the likely cause? - Flail chest - Tension pneumothorax - Open pneumothorax

After the infection has been treated, which one of the following tests should be considered? no tests are needed renal ultrasound voiding cystourethrogram (VCUG) renal ultrasound and a VCUG radionucleotide renal scan

4. Her urine culture is positive at 24 hours. Which of the following is the most likely organism? Klebsiella Escherichia coli Staphylococcus saprophyticus Proteus Enterococcus

Which of the following is the most appropriate management plan? Treat only if the culture is positive. Admit for intravenous (IV) hydration and IV antibiotics. Treat with intramuscular ceftriaxone and have her follow-up in the ofce the following day. Treat with trimethoprimsulfamethoxazole, and have her followup in the ofce the following day. Prescribe amoxicillin and start oral hydration.

2. An 11-month-old girl presents to your ofce with a fever of 39°C she has had for 2 days. She has also vomited frequently and had decreased uid intake. She looked tired and ill but on examination, had no apparent source of infection. She appeared to be 5–10% dehydrated. You decide to obtain a urine specimen for analysis and culture. Which of the following is the best method? Collect a midstream “clean catch” specimen. Collect a catheterized specimen. Place an adhesive bag to collect urine. Obtain urine from a diaper. Collect urine after she urinates in a potty chair.

طلاب المرحله الخامسه ياريت تكتبوه اسئلتكم اليوم لل بري اوبرتف حولوها لطلاب الخامس ..

What is the most appropriate management for the patient described above? a. Furosemide 36. b. Hypertonic saline c. Hypotonic saline d. Dimethylchlorotetracycline e. Fluid restriction

A 30-year-old woman is admitted to accident and emergency (A&E) complaining of nausea and headaches. She appears mildly confused and is unaware of her surroundings. On examination her blood pressure is 125/80 mmHg with no postural drop. Investigations show a serum sodium of 122 mmol/L, a low plasma osmolality, a urine osmolality, which is much higher than plasma, and a urinary sodium level, which is greater than 30 mmol/L. What is the most likely cause of her symptoms? a. Renal tubular acidosis b. Glucocorticoid deficiency c. Syndrome of inappropriate antidiuretic hormone (SIADH) d. Renal failure e. Salt-wasting nephropathy

دكتور ميسم بالنضري كالت احنه ماعدنه غير الكوشنك والكروث هرمون والثايرود والكيس الرابع من باقي السشنات اقرو كلشي وركزو على ذني…

الحياة اكبر بكثير من ان تحرك نفسك ونفسيتك قبل الامتحان .. كل المطلوب منك تسوي العليك وتتوكل على الله والباقي مقدّر الك ويقينا كلّه خير 🙏

Omar is a 64 year old man. He has become unwell over the past couple of days, tired, feverish and has a productive cough of green sputum. He ignored this for a couple of days as he often has a smokers cough. He has a 100 pack year history and has continued to smoke despite recent increased shortness of breath on exercise. He has seen his GP recently and he has referred him to hospital for further investigations. After a course of antibiotics and steroids, the patient improves. However, his cough remains and he continues to be short of breath on exercise. He is continuing to smoke. What is the most important follow up investigation? a) Spirometry b) Blood culture c) Chest Xray d) Arterial blood gas e) No investigations needed

You see a 70-year-old woman in clinic with COPD. She is breathless when walking around her house and garden and is a current smoker of 10 cigarettes per day. She has an FEV1 of 1.2 litres (40% predicted) and an FVC of 2.0 litres (50% predicted). She had minimal bronchodilator reversibility following nebulised salbutamol. Her oxygen saturations are 93% on air and she takes salbutamol only as needed. What would be the next treatment option for her? • A- Anticholinergic inhaler • B-Inhaled steroids • C-Oral leukotriene-receptor antagonist • D-Oral theophylline • E-Long-term domiciliary oxygen

موجود بملازم العام

A 70-year-old man with chronic bronchitis is admitted with dyspnoea and peripheral cyanosis. On auscultation, there are scattered wheezes. Arterial blood gases show: pH 7.38, Pao2 5.3 kPa (40 mmHg) and Paco2 6.0 kPa (45 mmHg). • He is given 40% oxygen by face mask. Within 10 minutes his condition worsend and his respiratory rate falls. Repeat arterial blood gases show: pH 7.24, Pao2 9.6 kPa (72 mmHg), Paco2 8.4 kPa (63 mmHg). What is the next step in his management? • A-Obtain a chest X-ray • B- Do a ventilation/perfusion scan • C-Decrease the fraction of inspired oxygen • D- Initiate mechanical ventilation Your answer • E- Administer intravenous aminophylline