D’ NOTES

جُمعة مُباركة ♥️🌱 اللهمَّ صلِ على محمَّد وعلى آل محمَّد، كما صليتَ على إبراهيم وعلى آل إبراهيم، إنَّك حميد مجيد. اللهمَّ بارِك على محمَّد وعلى آل محمد، كما باركتَ على إبراهيم وعلى آل إبراهيم، إنَّك حميدٌ مجيد🍀

Which of the following is least likely to be a direct contributor to increased fall risk in elderly individuals? A. Impaired proprioception B. Use of multiple medications (polypharmacy) C. Reduced musculoskeletal flexibility D. Adequate pain control E. Vestibular system dysfunction

A 22-year-old male is found unconscious after an intense workout and suspected drug use. On exam, he is hypotensive and has generalized muscle tenderness. Labs: creatinine 4.1 mg/dL, CK 48,000 U/L, K⁺ 6.3 mmol/L. Urine is dark brown, dipstick positive for blood but no RBCs seen. FeNa 3.1%. Urinalysis shows muddy brown casts. Which of the following best explains the pathophysiology behind this patient’s condition? A- Immune-mediated inflammation of the interstitium B- Direct tubular toxicity with pigment-induced necrosis C- Obstruction of urinary outflow tract D- Immune complex deposition in glomeruli E- Renal hypoperfusion with intact tubular function

An 84-year-old man with congestive heart failure and severe arthritis requires a walker and assistance with cleaning and cooking. He performs personal hygiene and toileting independently. He reports slowing down over the past year and avoids stairs due to fear of falling. According to Clincal Frailty Scale He is A)Mild frailty B)moderate frailty C)severe frailty D)Managing Well E)Vulnerable

الله لا يحير عبده 😔

A 17-year-old male presents with progressive facial puffiness and bilateral lower limb swelling over the past 3 weeks. He was diagnosed two years ago with a rare autosomal recessive disorder characterized by impaired copper metabolism, for which he has been receiving long-term chelation therapy. On examination, he has periorbital edema, pitting pedal edema, and mild ascites. Laboratory investigations reveal: Serum albumin: 2.1 g/dL, 24-hour urinary protein: 4.3 g, Serum cholesterol: 310 mg/dL, Urinalysis: +4 protein, no hematuria or casts Which of the following renal complications is most likely in this patient? A. Minimal change disease B. Acute interstitial nephritis C. Focal segmental glomerulosclerosis D. Membranous nephropathy E. Amyloidosis

شو محد گلي شكرًا 😆♥️

صباح الخير انشاءالله الكل يجاوب اليوم ويسهللنه رب العالمين ونحصل التقديرات الحلوه❤️