4th stage question_60

19-regarding of induction of labor with oxytocin,one statement is wrong: A_ It is indicated in cord presentation B- water intoxication is one of from complications C-check uterine contraction,fetal heart and pulse rate before induction D- If uterine hyperstimuation occur,discontinue the oxytocin induction E-It is indicated when the cervix is favorable

Regarding the first stage of labor Associated with one of the following : 1 Rupture membrane occur with transeverse fetal lie 2 shorter in nulliparty 3 composed of 3 phases 4 The active phase start when cervical dilitation 10 cm 5 Intrabdominal pressure contribute in this stage

In Puerperium , you advice the patient to return back to hospital when she experience all of these symptoms, Except: 1. Leg swelling and pain 2. Fever more than 37c° 3. Perineal discomfort 4. SOB 5. Sever Vaginal bleeding

23-Pregnant woman with pre eclampsia present with right upper abdominal pain due to? A-Pancreatitis B-Cholecystitis C-Gastric ulcer D-Tension liver capsul C-esophagitis

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All about diagnosis of acute pancreatitis are true except A- serum amylase measurements are preferable to lipase , as they have greater diagnostic accuracy for acute pancreatitis. B- persistently elevated serum amylase concentration suggests pseudocyst formation C. Ultrasound scanning can confirm the diagnosis D. c reactive protein use in prognostic factors E. S amylase PROGNOSTIC FACTORS

All about acute coronary syndrome are true except A.Arrhythmias are uncommon in patients with acute coronary syndrome B.almost always associated with rupture of an atherosclerotic plaque or complete thrombosis C.Inferior infarction is best shown in leads II, III and aVF. D. Chest pain at rest is the cardinal symptom

one of the following is a microvascular complication of diabetes mellitus 1 - angina pectoris 2 - transient ischemic attack 3 - acute MI 4 - peripheral neuropathy 5 - peripheral vascular disease

Apart of smoking ,all of the following contribute to COPD except : 1-indoor polution 2-enviromental exposore 3-airway hyper reactivety 4-genitc 5-allergen

Regarding anaerobic streptococcus bacteria can cause all the following except: Myocarditis Peritonitis Liver abscess Dental abscess Pelvic....

All of following are true regarding dyslipidiemia except : 1/ statin is the most effective treatment of hypercholestrolemia 2/the most common side effects of statin is myalgia &,abnormal liver function test . 3/combination of statin & fibtate caution is taken about myositis . 4/ psck9 inhibitor is effective in reducing plasma LDL. 5/patient on statin should be invistigated monthly for ceratine kinase enzyme & liver functon

Regarding Upper git bleeding , which is false ? 1/Blatchford score have been developed to stasify risk of bleeding before intervention of endoscopic therapy 2/ Oesophageal varices is most common cause of upper git bleeding . 3/ correction of haemodynamic state is necessory because of hypotension.and shock . 4/ 5_

Regarding pleual effusion , which statement us true; 1/in parapneumonic effusion drainage of pleural effusion is mandatory unless the amount is trivial. 2/About 500 ml is required in order to be detected on chest X-ray 3/Pleuaral fluid LDH is greater than two thirds of the upper limit is considerd as transudate. 4/Connective tissue dissease cause pleural effusion transudate. 5/ cholesterol is found in pleural effusion of pancreatitis

51. One of the following is true regarding IgA nephropahy Non visible Hematuria is universal Visible Hematuria is occurs few montha after minor respiratory infection Hepertension is rare Proteinuria is early featur

Regarding lung cancer , all true except : 1_Lung cancer is most common cause of cancer related death worldwide . 2_Smoking is by far the most important cause of lung cancer. 3_Non metastatic extrapulmonary effects can occur . 4_ surgery is apropriate for vast majority of small cell lung cancer sclc 5_

31/ regarding HCV infection , the true statement is : A. HCV is DNA virus B. Vaccination is useful to prevent Transmission of infection C. Infection with acute HCV is usually symptomatic D. Diagnosis of HCV infection is cinfirmed by Detection of HCV antibodies and PCR E. The eradication of HCV infection is poor despite new antiretroviral therapy

23-According to asthma in Pregnant and lactating women all true except ? A-Asthma improve with pregnancy B-Inhaled corticosteroids safe in pregnancy C-Uncontrolled asthma more dangerous to the baby than cortisol medications D-All medications during asthma are safe in pregnancy E-uncontrolled asthma more dangerous from any medication drugs

21- All about TB is true except الجواب كان Interferon gamma release assay have role in diagnosis of active disease a. culture in liquid media more sensitive than acid fast bacilliy b. detection of adenosin deaminase in pleural fluid help in diagonsis of TB pleural effusion c.PCR assay can detect M. tuberculosis complex and rifampicin resistance–associated mutations

29 📍classic presentation of acute mesenteric ischemia 📎constipation 📎abdominal distension 📎bleeding per rectal 📎severe abdominal pain with normal abdominal examination 📎bloody diarrhea