fa
Feedback
Ifom ( material + recalls all year)

Ifom ( material + recalls all year)

رفتن به کانال در Telegram

Ifom exam

نمایش بیشتر
کشور مشخص نشده استدسته بندی مشخص نشده است
4 031
مشترکین
اطلاعاتی وجود ندارد24 ساعت
اطلاعاتی وجود ندارد7 روز
اطلاعاتی وجود ندارد30 روز

در حال بارگیری داده...

کانال‌های مشابه
هیچ داده‌ای
مشکلی وجود دارد؟ لطفاً صفحه را تازه کنید یا با مدیر پشتیبانی ما تماس بگیرید.
ابر برچسب‌ها
هیچ داده‌ای
مشکلی وجود دارد؟ لطفاً صفحه را تازه کنید یا با مدیر پشتیبانی ما تماس بگیرید.
اشارات ورودی و خروجی
---
---
---
---
---
---
جذب مشترکین
دسامبر '24
دسامبر '24
+8
در 0 کانال‌ها
نوامبر '24
+17
در 0 کانال‌ها
Get PRO
اکتبر '24
+31
در 0 کانال‌ها
Get PRO
سپتامبر '24
+2 102
در 0 کانال‌ها
Get PRO
اوت '240
در 1 کانال‌ها
Get PRO
ژوئیه '240
در 1 کانال‌ها
Get PRO
ژوئن '240
در 0 کانال‌ها
Get PRO
مه '240
در 0 کانال‌ها
Get PRO
آوریل '240
در 0 کانال‌ها
Get PRO
مارس '240
در 0 کانال‌ها
Get PRO
فوریه '240
در 0 کانال‌ها
Get PRO
ژانویه '240
در 0 کانال‌ها
Get PRO
دسامبر '230
در 0 کانال‌ها
Get PRO
نوامبر '230
در 0 کانال‌ها
Get PRO
اکتبر '230
در 0 کانال‌ها
Get PRO
سپتامبر '230
در 0 کانال‌ها
Get PRO
اوت '230
در 0 کانال‌ها
Get PRO
ژوئیه '230
در 0 کانال‌ها
Get PRO
ژوئن '230
در 0 کانال‌ها
Get PRO
مه '230
در 0 کانال‌ها
Get PRO
آوریل '230
در 0 کانال‌ها
Get PRO
مارس '230
در 0 کانال‌ها
Get PRO
فوریه '230
در 0 کانال‌ها
Get PRO
ژانویه '230
در 0 کانال‌ها
Get PRO
دسامبر '22
+154
در 0 کانال‌ها
Get PRO
نوامبر '22
+123
در 0 کانال‌ها
Get PRO
اکتبر '22
+180
در 0 کانال‌ها
Get PRO
سپتامبر '22
+132
در 0 کانال‌ها
Get PRO
اوت '22
+272
در 0 کانال‌ها
Get PRO
ژوئیه '220
در 0 کانال‌ها
Get PRO
ژوئن '220
در 0 کانال‌ها
Get PRO
مه '22
+5
در 0 کانال‌ها
Get PRO
آوریل '22
+464
در 0 کانال‌ها
Get PRO
مارس '220
در 0 کانال‌ها
Get PRO
فوریه '220
در 0 کانال‌ها
Get PRO
ژانویه '220
در 0 کانال‌ها
Get PRO
دسامبر '210
در 0 کانال‌ها
Get PRO
نوامبر '210
در 0 کانال‌ها
Get PRO
اکتبر '210
در 0 کانال‌ها
Get PRO
سپتامبر '210
در 0 کانال‌ها
Get PRO
اوت '210
در 0 کانال‌ها
Get PRO
ژوئیه '210
در 0 کانال‌ها
Get PRO
ژوئن '210
در 0 کانال‌ها
Get PRO
مه '210
در 0 کانال‌ها
Get PRO
آوریل '21
+44
در 0 کانال‌ها
Get PRO
مارس '21
+96
در 0 کانال‌ها
Get PRO
فوریه '21
+99
در 0 کانال‌ها
Get PRO
ژانویه '21
+50
در 0 کانال‌ها
Get PRO
دسامبر '20
+2 671
در 0 کانال‌ها
تاریخ
رشد مشترکین
اشارات
کانال‌ها
09 دسامبر0
08 دسامبر+1
07 دسامبر+2
06 دسامبر+1
05 دسامبر+1
04 دسامبر+2
03 دسامبر+1
02 دسامبر0
01 دسامبر0
پست‌های کانال
1-Picture of pancreas asking about next test to do? -Pet -intravenous cholangiography -liver and spleen imaging 2- Jaundiced patient with pain become confused and picture showing choledocholithiasis what is the next step? Ercp , open surgery 3-Patient came with burning sensation and food going back with pharyneal erythema ddx? -GERD -achalasia •Surgery and trauma and others 1-Pt who had a blunt eye injury, eye movments in all directions is normal, normal cranial nerves examination, normal visual acuity, what to do next? - Head xray - Nothing - recommend him blowing his nose with his mouth closed 2-Pnumothorax 3-pt after rta has widening mediastinum on x-ray what part is more likely to be injured? Thoracic aorta 4-Mother has osteoperosis and daughter is asking how to decrease risk ? Reduce wt Take vit d and ca 5-Old Male pt with coronary heart disease PSA level is 4.1 (normal is 4) and on exam there is a nodule on prostate what is the next step? - biopsy - re-evaluate after 6 months - re-evaluate after 3 weeks 6-Pt has bp of 136/90 and does not have hypertension, how to protect her kidneys? -Control her bp -Control her blood sugar 7-Patient came with confusion found on the street on exam he had opthalmopathy and ataxia ? Alchol withdrawal wernicke syndrome 8-Cancer pt on oxycodone came with lower back pain radiating to lower limbs with tingling and numbness, what to do next? -Increase the dose -add codiene with acetomephine - gabapentin 9-Paget disease of the bone ( bone deformity + high alp ) 10-Patient came with bee sting developed urticaria low blood pressure and difficulty breathing, next step? - remove the sting immediately - im epinephrine 11-Old patient came with blood in the urine and hypercalemia? - glomerulonephritis - renal cell carcinoma

2
Cardio - 1-Pt with chest pain and infeior mi asking about which artery 2- after a surgery a pt has sob and chest pain and other symptoms his ecg shows S1Q3T3 pattern, the question was asking for a diagnosis. -Pulmonary embolism 3-pt presented with chest pain and ecg showed st segment elevation in all leads ( pericarditis) what drug to give? -naproxen 4- cariogenic shock / obstructive shock 5-septic shock 6-Pt wants to stop smoking which drug to give ? Bupropion •Infectious - 1-pt travelling and is asking about how to protect from hep d ? Give hep b vaccine - 2-Pt only having oral sex, he is at risk of developing? - Hiv -hsv -chlamydia 3-Pt 14 year old brought by her mother, in the case it was also mentioned that she miss school regularly with greenish vaginal discharge and the cultured organism has flagellas what to look for next? -Gonnorhea and chlymedia -Hiv -urinalysis 4-Dengue fever case ( positive tourniquet test) 5-Case either typhoid or yellow fever🙄 6- HIV Pt with watery diarrhea what is the organism cd4 count is 20 -cryptosporidium? 7-pt who had ppd test 15cm but negative xray what to do next? -isoniazid for 9 months 8-pt with pain at fore head it runs along the nose with lesions what is the causative organism? -HSV -HZV 9-Pt with meningitis symptoms and has rash what is the organisim? -bacterial -viral 10-Pt with ALL and in isolation due to staph aureus infection how could we decrease his risk of infection? -Washing hands frequently -Air entery in the room in one direction -Gown -Face mask 11- homosexual came with painful urination and bloody stool , causative organism? - chalamydia? •Respiratory 1-pt with uncontrolled asthma, she is on saba. What to give next? -Inhaled steroids 2-patient received blood transfusion next day he had shortness of breath on exam and xray he had bilateral lower lobes opacity ? -ARDS -pulmonary edema 3- acute bronchitis 4-Smoker patient with peripheral lung nodule next step? - Ct - bronchoscopy 5-patient came with shortness of breath decreased fev1 and increase fev1/fvc ratio what is the mechanism? - destruction of alveoli - interstitial fibrosis - bronchial inflammation •Endocrine - 1-Pt with dka what to give with fliuds? -Insulin 2-pt after falling down from 5 m on her head develops hyponatermia and she had basal skull fracture what is the cause? -SIADH 3-pt with elevated t4 and the thyroid is nodular on exam ? -Graves -Multinodular goitre -Hashimoto 4- obese patient proximal myopathy and striae ? -Cushing 5- patient with giant cell arteritis taking many drugs one of them is steroid stopped his drug for a week because he couldn't go and get new ones after that he developed proximal muscle weakness what is the cause ? - stopping predinsone - Stoping metoprolol •Psychiatry (the choices were actual drug names) 1-Child with halucination and abnormal behaviors what is drug of choice? 2-GAD case 3-Depression case, what medication to give medication 4-Medication for GAD 5-Bipolar case 6-Adhd case (pt is talkative , plays with everthing arround him, interrupts the teacher, avoids eye contact.) •Derma 1-melanoma pic ttt , wide excision 2- pt who works in the sun has a lesion on his face that has been growing rapidly - Bcc -scc -amelanotic melanoma 3-pytriasis rosea vs teania versicolour what to give as treatment 4-pt with itching arround his umbilicus (had a picture looked as eczema) -topical steroids -systemic steroids •Rheumatology 1-SLE case 2-pt with wrist pain and metacarpel pain, her RF was positive. What is the diagnosis? -RA -mixed connective tissue disease 3- Ankylosing spondylitis 4- pt has gout and takes NSAIDS but this time the pain is not relived, what to give? -Cholchicine -acetaminophen -Steroids -Allopurinol •Neuro: 1- optic neuritis present who got better after taking steroid what next test to do? -mRI 2- patient after eating outside developed paralysis in upper body part and face mainly , where part is affected? -Neuromuscular junction 3-Alzheimer disease GI
893
3
بدون متن...
698
4
09/05/2022 recalls : Causes of hyperacute T wave Transient synovitis Uterine anony Women&husband delivered baby preterm at 26 , wish to conceive again but are afraid to have similar condition? What advice would you give to them ? - preterm labor can be readily identified and manged - preterm labor increases the risk of having preterm against ( my answer ) - many questions about alzehimer and dementia - many Infectious ds - gardnella vaginalis Parkinson Tx - schizophrenia - general anxiety syndrome - ADHD - vulavar itching in postmenopausal women, Sx of vaginal dryness .. what to give to relief dyspareunia ? ( my answer corticosteroids) - hyperpigmented legion on labia major ( I answered Bx ) - watery diarrhea affected teacher and children at the same time - angina cases ( stress echo ) - Scabies Case - A man is traveling for volunteering in an African country , what preventing measure to prevent malaria ( I answered physical barrier like net ) Another question asked also about malaria, how to reduce the causes ( I answered control of vector ) Cor pulmonale Nipple discharge, erythema, fixed mass, lyph node involvement ( I answered inflammatory carcinoma of breat ) Endometriosis Pt present with dysphagia to solid but not liquid food .. what to do next ( I answered esophageal manometry ) - Many questions about major anxiety syndrome Many questions about major anxiety syndrome A question of a women who started a new job but, can't focus or finish projects , often awakes at night 2 am and couldn't sleep again Lacunar infraction case, what is the offending factor Appendicitis case Ectopic pregnancy case ( explatory laparscopy ) Painful vaginal bleeding after a motor accident I think so ... placental abruption Purulent urethral discharge , no organism on culture but wbc or pus are present ... I answered chlamidya Polymyalgia rheumatic ( proximal muscle weakness, can't get up from Chair , ESR high A pt with history of gout but didn't start any medicine, came with Sx again What to give ( answered steroids ) Pt came with pain in MCP , PIP and knee ... spares DIP ( rheumatoid arthritis) Pt undergoes ERCP , what is the complication ( I answered pancreatitis) Pt pot-op had epidural anasthesia presented with urinary retention.. A catheter trial failed follow by a small catheter insertion after several trials ... days later a catheter was removed and clots of blood were observed ... the patient has urgency now but unable to void .. which of the following best diagnosis ? - urethral trauma - hypotonic bladder - clots in the urinary bladder My answer ( urethral trauma )
703
5
12/05/2022 Cardio PE dx Inf MI TOF IEC Prophylaxis Cardiac tamponade Pulmo Aspiration PN COPD tt ASTHMA tt Cor pulmonal Hematology IDA SICKLE ANEMIA H spherocytosis dx Hodgkin lymphoma dx B12 def HUS tt Renal UTI Endocrine Hyperparathyriodism tt Hypothyroid dx Pheocromocytoma DKA Rheumatalogy OA dx Ms Back pain tt SLE dx Avascular necrosis head of femur RA dx Gout dx Giant cell artheritis Osteomylitis tt Anky spondy Neuro Subdural hematoma dx Dementia dx Delirium dx Alzhemier Dx GIT Barret oseph invst Crohn D Diverticulitis tt Appendicities dx PBS invstg Derma Scabies dx Atopic demratitis dx Pityros rosea dx Squamos canc dx Melanoma dx Psychiatry MDD dx ADHD dx GAD dx tt Schizoph tt Bipolar tt Biostat Prevelance RR Cohort study 5 opthalmology questions I dont remmber them Watery diarrhea for teacher and all students organism? Dengu fever Kwashiorkor D lack of protein in child
657
6
IFOM CSE recalls 2022: 27/04/2022 ⁃ HB serology of a mother who just gave birth (+ve infection) , what to give to the baby ? ⁃ 2 Q legg calve perthes (limping boy, limited internal rotation and abduction of the hip, x-ray is shown) ⁃ Alcoholic with macrocytic anemia , what to give? (They also gave B12 and folic acid levels, it was folic acid deficiency) ⁃ 3-4 about cancer screening..basically cases of patients come for routine exam , FHx is given, PMHx, last Pap results etc ..what do you do next ? ⁃ Ms flare tx ⁃ Typical appendicitis case ⁃ Sicke cell pain crisis, susceptible infection? (What organism) ⁃ Std chlamydia ⁃ A man with purulent urethral discharge gram stain shown gr negative cocci , what to give besides doxacycline ? ⁃ HIV pt with ppd test 5mm and no abnormality detected on xray .. what to do ? ⁃ Otitis media tx ⁃ Sinusitis tx ⁃ Know the treatment and organisms for all infections really well ⁃ Parkinson dx ⁃ Alzehimer’s disease Dx ⁃ Q asking about normal aging vs dementia ..(there is a table about it in the notes try to have a look 🤓) ⁃ Pericarditis Dx with ECG ⁃ Gout tx ⁃ Melanoma dx (with pic) ⁃. Atopic dermatitis pic ⁃ Parapneumonic effusion ⁃ 2-3 Q Amenorrhea ⁃ Abnormal uterine bleeding in a women in her 50’s , what to do next ? ⁃ Case of PPH ..what’s the cause (uterine atony) ⁃ Pre-eclampsia Dx ⁃ Stress inc casue ⁃ Overflow inc dx ⁃ One more Q about inc I can’t remember exactly but it was sth about BPH and overflow inc ..what pharmacological treatment? (Not sure tho 😅) ⁃ Hypothyroidism Case ⁃ Hyperthyroidism case..the patient’s symptoms were kinda’ severe .. what treatment to give ? ( they gave all the treatment options of hyperthyroidism.. so know how to pick what 🥸) ⁃ 2Q Anaphylaxis ( 1 is treatment and the other is Dx ) ⁃ HIV patient with p.jirovecii ,,what is the cause? ( low CD4-T count) ⁃ Hyperosmolar hyperglycemic state case , fluid was given , what else should u give ? ⁃ Opioid toxicity ⁃ Biostat (2 calculation questions) ⁃ Biostat ( a new drug was tested in trials on patients who have the disease and have no history of Gi bleeding, after that it was released to the market, ~10 died due to hepatotoxicity.) why didn’t they know about this side effect of the drug while testing it ? The question seems stupid 😂 but the choices were logical to decide 👍🏻 ⁃ 2-3 ethics questions ⁃ Typical ALS case .. asking about drug (Riluzole) ⁃ Acute pancreatitis case, (amylase elevated, epigastric pain?) what to do next ? ⁃ 2 syncope questions , asking about the possible cause ⁃ Kid with febrile seizure..what to do next ? ⁃ ECG of arrythmia , unstable patient, what to do ? ⁃ Drug that prevent mortality in MI patient. ⁃ Patient with cardiac murmur that increases with squatting etc Dx (AS,MS,HCM, MR,AR) ⁃ Fat embolism case Dx ⁃ Patient with progressive kyphosis PFT parameters ⁃ Patient with symptoms of ILD what to do next ? (Spirometry) ⁃ Testicular ca case dx ⁃Epidydymitis ⁃ Immune deficiency asking what antibody is decreased ⁃ Hypercalcemia ..what to give ? ⁃ Patient wants to quit smoking ..what can u give? (Nicotine patch ?) ⁃ Idiopathic juvenile arthritis ⁃ Malaria Case + blood smear.. Dx ⁃ Lupus case ⁃ Few complicated neuro cases 08/05/2022 Do NMBE as you can .. There are my questions which I remember : Down syndrome Klinefilter syndrome Contraception Many qs about thyroid Increase of PTH related to lung cancer CAH Breast enlargement in male Primary amenorrhea Cushing Hypothyroidism After thyroidectomy —> what you should follow ( about parathyroid) Malaria Picture about Herpes simplex or syphilis ( not sure ) Picture for actinic keratosis Case for immunosuppresstion in recurrent pneumonia,, how to diagnose ? Treatment of BACTERIAL VAGINOSIS Meningitis Coxsacki virus Travelers diarrhoea Hepatitis A Vaccines in child 11 years old Many many qs cardiology Many qs about side effects for drugs 09/05/2022
729
7
بدون متن...
672
8
23/5/22 Derma : - scabies - Melanoma - Diaper rash Statistics: - prevalence - Sensitivity Eithics: - preterm question - Pt with drug trail Psycho: - GAD - MDD - ADHD - Schizophrenia - Mania - Alcohol withdrawal Cardio - MS , MR - TOF - DVT - CHF - Shock parameters - Statin Rx Pulmonary: - asthma - COPD - PE - bronchiectasis - Pneumothorax - Pleural effusion - Lung cancer Endocrine: - hyperparathyroid - Hypothyroid - CAH - DM , DKA - Hypothyroidism in newborn Rheumatology: - ACL - Transient synovitis - A vascular necrosis - OA - SLE indue nephritis - TNF drug screening Inefction: - UTI - HIV diarrhea - Malaria - Hepatitis vaccine CNS : - MS - Parkinson - Alzahimar - Epidural hematoma - Delirium Renal: - HUS - GN - Hyper K - Urine retention - Stones Dx Hematology - SCD - Hemophilia - IDA 3 Q - Folic deficiency - TTP - hereditary spherocytosis OB/GYn: - preeclampsia - Vaginal discharge ( gray ) - OCP - Brest mass
928
9
Sunday 25/4/2021 #Biostat Cohort / Relative risk Positive predictive value #Renal Pyelonephritis UTI Allograft rejection presenting after 8 weeks Of transplant. #Hema Megaloblastic anemia alcoholic girl. deficiency in vit b12 cobalmin.No folate in choices. # Immune Vaccines after splenectomy. Pneumococcal Anaphylaxis ( IM epinephrine) SLE #Pulmonary COPD and its exacerbation Asthma TT know full management Pneumonia PE Allergic rhinitis Sinusitis TT #Endocrine Hypothyroidism Solitary firm nodules mgt PCOS/ amenorrhea cases Addison Cushing ruddy rounded face Congenital adrenal hyperplasia DM. Oral metrormin Diabetes insipidus Primary Polydipsia #Rheumatology Gout calcium pyrophosphate dihydrate (CPPD) Transient synovitis Osteosarcoma Paget MM Ankylosing spondylitis Polymyagia rhumatica CLL/ CML/ AML cases # Musculoskeletal Achillis tendonitis Plantar fasciitis Tendinits #CNS Multiple sclerosis Stoke Parkinson case Levy dementia and its site ( temporal or parietal ) Meningitis 3 cases mgt Low back pain Disk in pt known Ankylosing spondylitis. MGT Low back pain mets in elderly Elderly fall from ladder. He was confused after reaching hosp, 30min he lost con. Intercerbal hemorrhage Epidural(my answer) subarachnoid hemorrhage? #derma Melanoma Psoriasis mechanism of action. Scabies Actinic keratosis #Infectious History of Chlamydia Bacterial vaginosis tt Candida 3 cases STD postive urine sperm? The cause -orchitis ( my answer ) -epididymitis Denuge fever Purtusis harsh cough Malaria chemoprophlaxis Malaria prevention for couple who are travelling TB HIV screening Girada history of travel #Cardio Infective endocarditis in iv drug user causing ( Diastolic murmur ) -mitral regurgitation -mitral stenosis -tricuspid regurgitation -tricuspid stenosis ( my answer ) Pericarditis TT Nsaids Pericarditis ECG Pleural effusion transudate, whats mgt? Fat embolism Questions about cardiac drugs, diltazem beta blockers etc #Psychiatry Major depression GAD Antidepressants antipsychotics drugs mechanism of action( receptors ) noradrenaline Bipolar disorder Mania Cycolthyma *Many cases of motor vehicle collision asking for management. #OBS ⁃ Pregnant presented after car accident painful bleeding ( abruptio placentae ) ⁃ Placenta previa painless bleeding ⁃ Prematurity ⁃ Magnesium sulfate SE on infant ⁃ Cervical and endometrial cancer ⁃ Meconium aspiration ⁃ Pap smear screening questions and the appropriate interventions #Peds ⁃ Best weight measure for obese children BMI ( my answer) ⁃ Trisomy one case ⁃ One development milestone question #surgery Colorectal cancer. Elderly bleeding. Do colonoscopy Anal fissure bleeding case Haemorroids Appendicitis Incontenince elderly 90yrs cause, i think poor pelvic floor anatomy Bilary colic
2 686
10
recalls 8/10/2020 : 33- Diabetic age > 45 and high cholestrol give ? statin , also see other indication of statins 34- pt from Brazil came with hypopigmented macule and parathesia with nerve thickining ? Leprosy 35- pergnanat at 22 wk gestarion and painless bleeding with friable mass at cervix IO closed but EO opened next step ? CS , nonstress test , 36- child with vision prob ( optic glioma) and hyperpigmented macule ? NF1 37- child with bilous vomiting and US show ceacum at the left ? malrotation , CF , intassussiption 38- neonate with vomiting and he didn't pass meconium his sibling has CF and xray showing dilated loop of bowel and dilated colon ? i think it is hurchsbrung ( failure of migration of neural cell ) but there is CF also 39- pt with post streptococcus GN what to do to prevent progression of renal disease ? AB , antihypertensive, no intervention 40- pt with septic shock and heart failure with basal crackles but no edema what to give ? NS , epinephrine , hydrocotison 41- old pt with polyurea , polydepsia and wt loss what will be abnormal ? s.glucose , s.ketones , u. ketones
2 883
11
أنا أتشارك 'Ifom recall' معك
1 471
12
recalls 8/10/2020 👍 1- the most effective emergency contraceptive method? copper IUD 2- cardiogenic shock parameter 3- STEMI in V1-V3 artery ? LAD 4- cloudy discharge from nipple and all examination was normal ? reexamine in 6 weeks , measure prolacine , US 5- smooker with irregular lung mass came with seizures and inhancing brain mass in CT ? primary bronchial Ca , TB , spregillosis, sarcoid 6- Want to vaccinate 92% of Children with MMR and achieve 97% immunity what type of method ? herd imm , passive imm , active imm 7- endometriosis laproscopy pic 8- petryasis rosia pic 9- nurse with small itchy vesicles and scaling in bilateral hands ? hydrophilic eczema , HSV, 10- scabes pathogenesis : hypersesitivity 11- osgood shclater Mx beside NSAID ? exercise as tolerated , surgery , traction 12- transient synovitis : reassurance 13- child with tonsilitis then tender hot edematous joint and fever ? septic artharitis , 14- roghby player had trauma durring the game came with pain above knee exagerated with extention Dx ? quadriceps rupture , ACL , 15- child has otitis media temp 39.5 came with seizures no other abnormality ? febrile seizures , meningitis , encephalitis 16-Iron deficiency anema pic of spoon nail 17-elderly vegetarian with high MCV : B12 deficiency 18-elderly with vitB12 zinc and other nutrients defviciency what is the cause? increase vitB12 utilization , increase immunity and nutrient need , .... 19-hereditory spherocytosis cause of anemia ? RBC destruction 20-How to reduce sickle mortality ? ampicillin 21-TTP Mx : plasmapharesis 22-Multiple sclerosis Dx 23- Mitral stenosis 24- TOF Dx 25- pt with dellusion and long dirty nails ? dellusional disorder , schizophrenia , schizoeffective 26-MDD what is next ? check suicidality 27- couple with preterm labour came for councilling and they were tearful what is your response ? preterm labour become predictable by advance means , the risk of preterm labour now inrcrease and you should have more antenatal visit , the risk of preterm labour low 28-pt with high BP fail to control with lifestyle modification next ? thiazide diuretics 29- pt with BP 140/90 adviced to do regular exercise and decrease wt what is next ? observe , antihypertensive , investigate 30- child with High Na, low K and high renin what is next to confirm Dx ? renal biopsy , check urine metanephrines , 31- postmenupose have dry and atrophied vagina but no more hot flashes experience at this time what to do for dyspiurnia ? vaginal lubricant , oral hormone replacement , vaginal steroid 32- calculate prevalence from diagram
1 372
13
Recall 5/10/2020 # pt with vaginal bleeding at 37 week , she known placenta previa ttt? C/S . # pt has plan to take trip to brazil , prophylaxus against dengue fever id protective clothes , apply reblent . # 5 yrs old present with fever & rash ( photo provided) measle . # photo provided of interdigital hand rash with tense pruritis ??? Ttt permithrin . # pt with intracrianial hemorrhge & hyponatremia ?? SIADH. # lithum overdose ?? Ttt hemodialysis ?? # anaphylaxus ttt epinephrin im. # photo provided of shingles varicella rash dermatomal distribution in elderly pt , the cause of flare up now is reduce cellular immunity??? # 3 yrs oldchild present with chronic diarrhae , diagnosis cystic fibrosis Recall 5/10/2020 # pt with proxymal myopathies , high Ck & mild elevated ESR ?? Diagnosis polymyositis . # pt with recurrent early first trimester mischarge??? Cause is chromosomal abnormality. # pt expose to truma to knee with anter knee pain & effusion , aspirate knee reveal bloody fluid ?? Anterior crucite ligament injury . # pt on antipsychotic medicine , presnt with high fever , muscle rigitity & confusion ?? Malgnant neuroleptic syndrome. # photo provided of eczema ?? Ttt topical steroid. # ECG of inferiir MI # pt known ulcerative colitis on mesalazine & glucocorticoid & ciprofloxcin , risk of ?? Clostridum difficle infection . # pt get RTA & when insert foley urinary catheter passed bloody urine ??? Cystogrophy or retrograd urthrogram ? # female pt with chronic fever and thrombocytopenia ??? SLE . # aldolesent with recurren epistaxus & low platlets ??? Immune mediated platlet distruction . Recall 5/10/2020 # case of generized anoxity disorder. # pt with euphoria , slow thinking & slow respond to answer on examintion , conguctival injection ?? Diagnosis marugwana intoxication. # case of cardiogenic shock. # female pt with lower abdominal pain and Rt hypochondrial pain & vaginal discharge ?? Diagnosis perihepititis. # pt present for routinr care , investigation high chloestrole & LDL ??? Ttt statine . # histology of inflammatory carcinoma of the best with peu d orange apperance ???? Infltration of lyphatic vessel of the breast with malgnant cell ?? # pt with shoulder muscle pain & generalized fatigability & respont well with low dose predinsolone ???? Polymyalgia?? # pt elderly with multiple sycope & s.o.b , o/e systolic murmur in the base of the heart ??? Oartic stenosis . # provided x ray of massive lt side plerual effusion , pleursl tap analysis provided , diagnosis ??? Malgnant causes . # pt with chronic s.o.b , x ray show pleural plaque, he work in shipyard ?? Causes asbestosis
1 430
14
Abdu.pdf
1 985
15
Master The Board Internal Medicine
2 628
16
‏: Pharyng..erythema in examination and cervical lympho : Rhinities .. rhinorohea and either erythromatous (infection ) or pale (allergic ) Pharyn normal mocusa ‏: Viral and bacterial pharyngities always can distinguished by fever .. athralagia ..with bacter : Regarding pharyngitis .. 1.couph 2.conjunctivitis 3.congestion 4.absence of fever 0-1... bacterial 2-3...prefered to do pharyngeal swap 4...can give anti streptococcal or prefered to do swap
7 481
17
14/10 The exam was good as i told you ... but I will tell my note my be helpful for you:  Rheumatology -Paget - Osteoporosis -septic  synovitis -Knee pain in obese woman i choose weight loss -recuurent abortion and lll DVT - Psoriasis mechanis -tx for tenia vidcicolor -Scabies - Pcos risk for... -4 year child hyper active but otherwise normal eye contact and performance -valopric acid risk for .... - tamoxifen risk for -Parkinson -1ry hyperaldosteronism -prophylaxis for gonococal meningitis - High calcitonon ... next step -asthma  27day /w .. 2 time nigh ..on b aganist..next step -45 year reactive air way disease  drug to avoid in tx of htn -. Pneumonia -. Bipolar tx - 80 year at hospital hx of recurrent fall and not able to stay at bed ... what tx to give or just sitter - CLL 30. Malaria for pregnant 1st trimester want to travel to Africa what to do? Give her prophylaxis for malaria .. what other  advice (many options) -post nasal drip with recuurent throat pain at morning  for month.. other wise healthy .... dx? - Vaginitis -. Scleroderma ..fonger tip ulcer - pt tem 31 and lower limb ulcer after he found walked in snowy night .. next step... -. Urge inconvenience -. Bladder cancer -. Purulent discharge from penus in men i choose chlamydia - Clamydia in femal - pt dm type 1 after ours of dinner his roommat found him cold , sweating , not responded .. the diagnosis ? -uti patient with +2 protinural after tx .. protinuria +3 ... the causes? -HUS -PSGN - MS  COUNSELLING - lung contosion what the cause of low o2 -. Frontal lobe infarction -PPC the mechanism of high bili - fatilty rate - cohort study  -rubella conganital  anomalies
5 870
18
One case of recurrent tia ,carotid blockages with some percentages -next best drug
3 440
19
-11obese female 12 questions on TB 14Pic of trichomonas 15Erythema nodosum 15Anovulation 16Anticoagulation prophlylaxis 17RR,CFR,POINT PREVALENCE, 18Malnutrition indicator 19So many questions from psychiatry 20Pic of trichomonas 21Contact dermatitis 22Melanoma 23Herpes 24Question on swelling ant 25mediastinum with drooping of eyelids 26Ear piercing-repeat 27Treatment of Neisseria 28Primary hyperparathyroidism 29Same drowning developing to ards 30Parameters of cardiogenuc shock 31Ulcerative colitis flare treatment 32Multiple sclerosis 33Artery involved with stroke presentation 34Restrictive lung picture of ank spond 35Same question pt of als wants soft food ,does not want feeding tube 36Inefective endocarditis major risk factor 37Upper airway respiratory syndrome 38No ctg 39Sinus tachycardia 40Small girl with recurrent 41headache ,redness , congestion then some aura 42Gout flare 43Question on point prevalence 44Plantar fasciitis 45Question on antipseudomonal antibiotic 46Case of pyelonephritis -treatment was asked 47Ckd what will u expect more- 48How will u rule cause of secondary hypertension patient has come for the first time Serum electrolytes Ct Coagulation profile 49Lithium toxicity -treatment 50Alcohol withdrawal -cause 51A 2yr old found on floor-father was taking benzo and trihexifindyl -mechanism of poisoning in child 52Parkinson frst line treatment Question about screening of parkinsons antenatally options were like available/false positives high /not valid 53One study which had inclusion criteria of 30-50 with dysphagia was looking for esophageal cancer through new blood culture -reported high sensitivity of test -question was is it valid or not 54Testicular cancer 55Testicular torsion In everything was next best step 56Hyperprolactinemia 57Tubo ovarian abscess 58Perihepatitis 59Obese women -an ovulation -hyperplasia -mechanism? 60Ulcer on vagina - weight loss -history of vaginal discharge -lympadenopathy -next step 61Bronchiectasis 62Asbestos risk with pleural calcification with shortness of breath ,no weight loss Nest best step 63Pre renal azotemia -parameters
3 510
20
Treatment of Neisseria ‏: Primary hyperparathyroidism : Ulcerative colitis flare treatment Multiple sclerosis Artery involved with stroke presentation ‏: Restrictive lung picture of ank spond [ ‏: Same question pt of als wants soft food ,does not want feeding tube [ ‏: Inefective endocarditis major risk
2 889