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Part Q
62-year-old K/C DM and IHD came with right side weakness for 4hours, not mentioned ant absolute contraindication of TPA, CT head is normal, what you will do?
case of an ischemic stroke patient. Patient didn’t receive tPA.
What is the target for BP control?
📊 Test your self:
When to use statin for the primary prevention of CVD events and mortality?
45M who had chest infection 4 weeks ago, initially improved on Abx, but he never became normal as before, now worsened again with the same complaint. CXR showed right pleural effusion. What’s the Dx?
CKD parient, C/O numbness. On examination, sensation is absent below the knee level, and ankle reflex is absent. Lab: IDA, creatinine was very high, and mild hyperkalemia. Next step is?
65-year-old man with hypertension is concerned about the level of his blood pressure. What is the goal level of systolic blood pressure according to JNC8?
COPD patient presented with symptoms of excaberation and volume overload (hepatomegaly, JVP distended, ankle edema). What is the most appropiate investigation ?
21-year-old female presents with pain relieved with defecation that started 1 year ago. She sometimes notices mucus with her stools. How to establish a diagnosis?
الصراحه كطبيب امتياز مو مطلوب منك الknowledge ابداً، ولا احد بيحاسبك عليها.
كانتيرن اللي تحتاج تعرفه الاساسيات مثلا medication decreases mortality in HF او بمعنى اخر نفس معلومات الSMLE. في معلومات حلوه وكثير يحبون يسألون عنها الاستشاريين او السينيور للانتيرن، بحاول اسوي ملف يجمع الcommon Q اللي تنسأل للانتيرن
ومره ثانيه ركز على حضورك، اخلاقيات المهنه ومشاركتك الفعاله اكثر من المعلومات.
اذا كنت حاب تقرا من مصادر اقدر ارشح لك:
First aid
DynaMed اقرا الsummaryبس يكفي
Pocket of medicine افضل مصدر حتى للرزيدانت لكن اعتقد بيكون متعب بسبب الاختصارات، اطلع عليه عموما
وباذن الله تنتهي السنه مقبول بالتخصصي والمركز اللي تطمح له🫡🤍
RHD patient presented with SOB and PND, holosystolic murmur which improved on, lisinopril, lasix. Echo: Severe MR and LVH. EF 45%.
What is the most appropiate management?
16F presented with hematemesis, she had recurrent naseua and vomiting before her period. All labs and exams are normal. What is the most appropiate action?
56-year-old male with long-standing heartburn underwent an endoscopy, which showed Barrett's esophagus with low grade dysplasia. What is the initial management ?
55M with long history of smoking presents to ED with exertional SOB & productive cough, worsened over past 3D. Chest reveals decreased breath sounds and scattered rhonchi. what is 1st line inhaler?
A male presents with a peptic ulcer resistant to PPI therapy, and a positive secretin stimulation test. What is the diagnosis?
Intervention improve mortality in HF (mainly HFrEF):
- ACEI / ARBs / ARNI
- BB
- SGLT2 inhibitors
- Spironolactone
- Hydralazine with nitrate
- ICD
**The question is, Does Furosemide have an impact on reducing mortality 🤔?
Which of the following agents has been shown to reduce mortality in patients with congestive heart failure?
📊 Test your self:
If you decide to start the patient on Cyclophosphamide, what is the most important side effect you would inform them about ?
