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Channel Posts
السلام عليكم
حياكم الله جميعا
ملاحظات بسيطة:
-حليت من فبراير ٢٠٢٢ ألى نوفمبر ٢٠٢٢(تقدرون توصلون لشهور من خلال الرسائل المثبتة)
-الاسئلة مقسمه حسب القسم موجود في كل هاش تاق للي حاب يراجع كل قسم بشكل منفصل
-مو كل الاسئلة موجودة فقط اللي تحتاج مراجعة(اقصد الاسئلة البسيطة جدا مو مذكورة)
-التصحيح غالبا من مصدر موثوق (utd, bmj, Schwartz, Washington)
-بعض الاسئلة تكون مكررة و الاجوبة مختلفه
الجواب اللي في تاريخ اجدد هو الصح
-ما راح اكتب اي شي او اتكلم عن اي شي في هذي القناة راح اتركها كذا لكم
موفقين لكل خير
| 2 | 22 Nov
جاني سؤال جديد
30 man with periorbital Edma with no medical problem on examination there’s 4 + edma
Urine analysis show
Oval fat , RBC cast
Most likely differential diagnosis?
A. Nephritis syndrome
B. Nephrotic syndrome
C. interstitial nephritis
D. ischemic nephropathy
#med 🟡
B | 3 039 |
| 3 | Patient K/C HTN, DM and aortic sclerosis came with Afib
Which of the following is the appropriate anticoagulant?
A. Warfarin
B. Rivaroxoban
C. Aspirin
#med 🟡
B
If mitral A | 2 753 |
| 4 | Case of multiple pregnany, after delivery severe bleeding what the cause ? (the babies weight were something about 2000)
multpl e prgenany
Macro babies age
#ob 🟡
Multiple | 2 391 |
| 5 | Female with benign phyllodes tumor asking about management? A.Wide local excision
B.Wide local excision with radio
C.SIMPLE Mastectomy
#gs 🟡
Wle | 2 166 |
| 6 | 22 Nov
breast mass behind nipple, on US there is hypoecoich lesion, what next?
A-FNA
B-core biopsy
C-exicional biopsy
D-reassess after
#gs 🟡
A if mention cystic
OtherwiseB | 2 062 |
| 7 |  No text... | 1 814 |
| 8 | 23 years female primigravida she did pregnant test at home and become positive then after that she have moderate vagina bleeding and she came to ER they they work for her ultrasound they confirm the pregnancy
what’s the best next management?
-Ultrasound to localize the placenta -Progesterone therapy
#ob 🟡
Us not in first trimester | 1 808 |
| 9 | 64 years old male previous history of ischemic stroke last month he’s known case of diabetes hypertension dyslipidemia presented with cardiac symptoms ECG picture shows ST elevation
What’s the most appropriate management?
Thrombolytic therapy
CT angiography
Urgent ct coronarography | 1 690 |
| 10 | 30 years old male ve diarrhea since 10 months no blood in the stool and the loss of weight 10 kg
lab shows that microcytic anemia and thrombocytosis What’s best management for him
1-PPI
2-Loperamide
3-free gluten diet 4-Omeprazole | 1 689 |
| 11 | Child pugh classification INR 1.9, albumin 30, bilirubin 30 tense ascites and ( Pt was confused ) encephalopathy which class?
A- A
B- B
C- C
#med 🟡
C | 1 572 |
| 12 | Most appropriate test to exclude heart ischemia?
Ct
Enzymes
CTA
Liver cirrhosis screening done at 800 cirrhosis and 800 normal people
Came +ve 200 in the cirrhosis and 100 in the normal
What is the secreening in percentage sensitivity
25
#med | 1 509 |
| 13 | 22 Nov
Patient had severe abdominal pain after playing tennis 3 hours ago. It was progressive with
vomiting localized to RLQ. What is the appropriate investigation?
A CT abdomen
B Endoscopy
Ans A
#gs 🟡 | 1 391 |
| 14 | 22 Nov
Pt came to ER with large ascites, he's on spironolactone 50 mg/day, furosemide 40 mg/day,
Labs showed:
Hyponatremia
Hypochloremia
I think normal K
Otherwise unremarkable Asking about the management:
A- IV diuretic
B- therapeutic paracentesis
C- inc furosemide dose
D- TIPS
#med 🟡
B | 1 411 |
| 15 | 22 Nov
1Q :A child knows the colors and can articulate words properly, what is the age of the child?
A-3 years
B-4 years
C-5 years
D-6 years
=========
2Q : What is the age of a child who can walk with one hand held, says mama/baba and other words, holds seeds by pincer grip but doesn't place them in the container?
A- 9 months
B-12 months
C-15 months
==========
#p 🟡
A cuz know not name
A | 1 350 |
| 16 | 22 Nov
Female admitted to ICU for pneumonia
Then presented with fatigue feeling unwell
Labs shows :
Tsh : moderate increases
T3 increase
T4 normal e high range
Dx
A. Hypothyroidism
B. Sick euthyroid
C. Hashimoto
D. Sub acute thyroiditis
Answer B
#med 🟡 | 1 207 |
| 17 | 22 Nov
Case female with swelling in neck . T4 high ESR high ?
Management ?
A. Prednisone
B. methimazole
C. pTU
D. Radio idoine
#med 🟡
A
Sub acute thyroiditis | 1 086 |
| 18 | 22 Nov
1- Case about baby ingest asprin large dose!! Toxicity what abnormality in acid base balance?
-Respiratory alkalosis followed by metabolic acidosis
-metabolic acidosis followed respiratory alkalosis
-metabolic alkalosis followed respiratory acidosis
2-
pregnant woman presented with massive vaginal bleeding from the
abruption placenta and her Hgb: 8.6, BP 84\40, HR140. What is the best
management to save her life?
A- Admit to ICU
B- Immediate Transfusion of 2 packs FF
C- Call multidisciplinary and rapid response team (RRT)..
3- IOL w prostaglandins contractions started after an hour fully dilated +2 but sudden fetal bradycardia 70 .
A. C/s
B. Start pushing and consider ventose
C. Give oxytocin
3- Female come to ER c/o heavy mensural bleeding for the past 15 d
She had symptoms make me think she severely affected- i forget it - No VS
What you will do NEXT
US
URine pregnancy test
Cbc and bhcg
d/c
C
———-
Pregnant women with pic of pyelonephritis
What you will give
oral abx
iv abc
——-
neurofibromatosis :
- autosomal dominant
#med | 1 116 |
| 19 | Man has gonorrhea what’s the most diagnostic for her?
A. Urethral swap
B. Vesicular rash swap
C. Culture
#med 🟡
A | 944 |
| 20 | No text... | 963 |
