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dokumen_pub_hacker_amp_moores_essentials_of_obstetrics_and_gynecology.pdf24.86 MB
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السلام عليكم ورحمة الله وبركاته
حرسلكم بعض الكتب اللي اعتمدت عليها فالتصحيح واتكلمت عليها فوق لأنو كثير بيسألوني عنها
👇🏻
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47 ( or fifty something) with negative family history of colon cancer and breast cancer k/c of hypertension on medication and asking about what to screen for obese her BMI was 38?
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Nurse presents with nocturnal diarrhea and weight loss. She had many visits to her family medicine physician and has taken many sick leaves off work. On examination she has Apthaous stomatisis.
Most appropriate test for diagnosis?
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A patient with gastroenteritis treated by antibiotics, now she present with bloody diarrhea and hematuria . What is the best management to him?
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A 75-year-old diabetic hypertensive man underwent an exploratory laparotomy for a perforated duodenal ulcer. Postoperatively, he was kept in Intensive Care with ventilator support. His cardiac output is 2.5L/min and pulmonary capillary wedge pressure is elevated to 20 mm Hg.
Blood pressure 80/50 mmHg
Heart rate 115 /min
Respiratory rate 22 /min
Temperature 36.6 °C
Oxygen saturation 91 %
Which of the following is the most likely type of shock?
A. Septic
B. Cardiogenic ✅
C. Hypovolemic
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Cardiogenic shock ;
1- decrease CO
2- *High* PCWP
3- High Resistance
Hypovolemic shock ;
1- Decrease CO
2- *Low* PCWP
3- High resistance
Septic shock ;
1- Normal or *increase* CO
2- Normal or decrease PCWP
3- *Low resistance*
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Child runs toward the doctor, cannot use the spoon very well, cannot use 3 words in sentence. Walks up the stairs with one hand, something out of bottle?
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Typical pic of GBS with difficulty in breathing and Bulbar palsy. What is the next step in management ?
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Patient was stabbed in multiple areas, came to the ER and was awake, his clothes were full of blood, his blood pressure is 80/60 mmHg, O2 sat is 88%, which of the following is best next step?
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Middle-aged patient presented post exposure to high dose of radiation (poisoning) with vomiting , malaise , fever
Which of the following is most common complication ?
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Hand shake. Know his age & gender. Ride tricycle. Dress himself with help. Point to red color when he asked to. Difficulty in drawing square. Age in years?
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Man working in industry and exposed Radioactive liquid for all body
Whats the initial action?
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New Q
Elderly women known DM HTN has a history of IHD years before.
Came complaining of increasing shortness of breath, increased when she lay down. No chest pain, no other complains.
Vitals normal
( The question came with 2 clear pictures that I am 100% sure about)
First picture ECG showing ST-elevation in leads 2,3,avf, v5, and v6 only.
The second picture chest x-ray showed pulmonary edema.
What is the cause of this patient complaint
A. Acute coronary disease
B. Pulmonary edema ✅
C. Pulmonary Embolism
Obviously it was case of pulmonary edema with typical Chest x ray and physical examination revealed bilateral crackles
ECG : revealed Q wave in lead 2,3,AFV > due to previous MI attack
Troponin and CK both of them negative
Known case of DM
Also the Pt on aspirin, statin and metformin
There is Tachycardia but not significant, no productive cough nor chest pain
The last choice was pneumonia ❌
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Child with whooping cough, post-tussive vomiting. What is the most diagnostic test?
