Octuber Q

Pt. Morbid obese + HTN + DM , she has monrrahgeia and Endomterial sample show complex hyperplasia with atypia ? A- give estrogen B- give progesterone C- myomyectomy D- TBSO

hypertensive patient came with signs and symptoms of heart failure, which type of heart failure? diastolic dysfunction systolic dysfunction hypertrophy

جاني هذا 5 month-old baby presents with bilateral groin swelling that has been present since birth. On examination, there are small bilateral inguino-scrotal swellings, which become prominent when the child cries. His abdomen is soft and non-tender. Which of the following is the most appropriate management? A - Herniotomy ✅ B - Lichtenstein repair C - Laparoscopic mesh repair D - Biological mesh placement

1 year old girl with lesions on face scalp trunk and extensors. That are itchy. She also has them on her cheeks, her parents say that it's crusty, cracky and weepy. A. infantile eczema B. idiopathic urticaria C. drug induced allergy D. early childhood eczema

24 Oct Typical presentation of MI. Managed by Aspirin, Clopidogrel, Nitroglycerin, Oxygen. ( Acute coronary syndrome managment ) ECG shows: Sinus tachycardia and Left Bundle Branch Block ( Written ) Cardiac enzymes are pending. Which of the following is most appropriate next step in managment. A- Thrombolytic therapy B- Wait for cardiac enzymes C- Lidocaine infusion D- CT Angiography

24 Oct 70 ols old female mass small in labia majora siZe never gone , bleed on touching, black shape A)basal cell carcinoma *No melanoma in choices *Don’t remember other choices

short case with this lab Low Na Low serum osmolality Normal urine osmolality Normal K : A conn’s syndrome b Addison C cushing D SIADH

24 Oct 59 years old male complaining of of fatigue palpitation and SOB, examination showed pallor and CBC suggestive of iron deficiency anemia, beside giving oral iron supplements, what investigation should be requested? • A- urea breath test • B- fecal occult blood test • C- endoscopy and colonoscopy • D- stool culture

24 Oct Young pt k/c of myeloid leukemia c/o fever for 1 Days PE unremarkable urine analysis normal blood culture and stool still pending, Vitaly stable Fever: 38.8 All lap within normal except Wbc: (1) Plt: (20 ) sure No other findings, What is the most appropriate management? A-Iv antibiotics B-Close observation C-iv antibiotic and viral agent D-Oral antibiotic and antifungal

another case copd patient and she has urine leakage while coughing asking about which type of incontinence in this pt? A- Stress incontinence l B- Urge incontinence C- Mixed incontinence

Case of stress incontinence. The patient want Most effective treatment: A- pessary. B- Burch procedure. C- transvaginal tension free tape.

Patient give birth to Rh positive baby, she took anti-D immune globulin during pregnancy, how much will give her after birth A. 300 B. 1000 C. 2000 D. No need

Patient came normocytic anemia, fever, chest pain. Blood smear showed target cells and inclusion bodies, what’s the diagnosis ? A. Gi infraction B. Lead poisoning C. Sickle cell anemia D. Infection

endometrial hyperplasia with atypia unfit for surgery what’s your management 1) chemo 2) radio 3) continued progesterone 4) forgot but was wrong

جاني سوال جديد 28 years old female tried to get pregnant for many years, did IVF 2 times, now she’s pregnant in i forgot which week but was 2nd trimester and US showed multiple fibroids, how to treat her without harming her pregnancy? A- myomectomy B- GnRH injections forgot the other answers

38 y/o female at her 20th week of gestation presenting with vaginal spotting with no hx of trauma her blood group is O-, she is vitally stable. US showed normal size fetus with long cervix. What will you do for her ? A) Give anti-D B) Discharge home C) observation D) continue on her multivitamins

-pt with MI discharged from the hospital then come back with facial and tongue swelling, which drug is responsible ??? A. ACEI B. BB C. Statin D.Aspirin

female with ovarian cyst what kind of oral contraceptive a-OCP b-progesterone only c-male condom d-vaginal ring

symptoms of GERD endoscopy done and shows esophagitis. What is the initial step? a. lifestyle modification b. Nissen fundoplication c. Esophageal manometry d. Ambulatory pH monitoring