SMLE 22 تجمعات

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

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

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

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

Female with benign phyllodes tumor asking about management? A.Wide local excision B.Wide local excision with radio C.SIMPLE Mastectomy #gs 🟡 Wle

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

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

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

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

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

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

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 🟡

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

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

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 🟡

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

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

Man has gonorrhea what’s the most diagnostic for her? A. Urethral swap B. Vesicular rash swap C. Culture #med 🟡 A