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    - pneumococcal vaccini think its pneumococcal vaccin

    16- pseud-gout its

    -CACO3

    -CACL3its CACO3

    17-man with history of alcohol assocation with

    - high MCV-folic acid deficiency

    -B12 deficieny- hepatitis

    i think its high MCV

    18-neanate 9 days on breast fed develop jandice

    - breast fed jandice

    19-newborn we should given to prevent bleeding-vit k

    20- pregnant lady 16 wks u/s shows snowstorm appearance- complete hydatiform mole

    21-lady c/o headche bandlike pain

    - tension headache

    22-regarding breast screening- self breast examination early detection of tumor

    - mamogram

    23-19 yrs old c/o abdo pain within menestration for last 6 yearsdiagnosis

    primary dysmenorrhea--secondary dysmenorrhea

    24-bilateral breast mass diagnosis

    - ductal carcinoma-pagets disease

    25- beriberi cause of deficiencyVIT B1-

    - VIT B2- VIT B3

    its VIT B1 thiamine

    26-chronic uses of estrogen assciation

    27- Asystole- adrenalin

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    - atropinasystol has only 3 durgs epinephrine-vasopressine-atropin

    28-pt has diarrhea , dermatitis and dementia diagnosis

    pellagra

    29-regarding injectable progestron

    -can cause skin prob

    30-sencodary prevention is-coronary bypass gaft

    31-22 yrs old c/o insomnia/ sleep disturb treatment

    -SSRI ??

    32-celluitis in children most common causes

    - group A streptococcus( in immunocompetent adult)

    (in children)Staph aureus-

    33- antideprssants associated with hypertensive crisis treatment-MAOI

    34-pt his MBI = 24 kg he is

    norama weight--over weight

    - morbid weight- mild weight

    35-baby c/o fever , chills , rigors and head rigidity +ve kurnings sign

    rash on his lower limb diagnosis- meningoccal meninigits

    36-48 yrs pt with abdo pain , neusea, vominting tenderness in right

    hypochondrial- acute cholecysitis

    37-29 pt c/o dysurea his microscopic showed G -ve organism is- legonealla

    38- 30 yrs pt c/o feeling heaviness in the lower abdomen having pulgepapable at the top scrotum that was reducible and icreasing in valsalva

    maneuver diagnosis- hydrocele-variocele

    -indirect inguinal hernia-direct inginal hernia

    39- 27 yrs girl wih breathing heavily she had numbness and tinglingsensation around the mouth and tip of the fingers you will do

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    -let her breat to in a bag

    40-anticoagulation prescrib for- one month- 6 months

    - 6 weeks- one year

    41-cushing syndrome best single test to confirm

    - palsma cortison-ATCH

    evening serum and salivary cortisol level))

    42-23 yrs old history of URTI then he developed ecchomysis best treated-local AB

    -local antiviral-steroid

    43-chronic psycotic disorder manged by

    -heloperidol

    44-29 yrs old lady B-HSG 160 c/o vomiting , abdomenal pain which ismore accurate to diagnosis

    -BHCG serial-pelvic US

    -laprascopy

    45-70 yrs old man c/o fever , vesicular rash over forehead mangement-IV AB

    -IV antiviral

    46-celiac disease involvesproximal part of small intestin--distal part of small intestin

    -proximal part of large intesin-distal part of large intensin

    47-6 yes old pt cyanosis past history of simillar attack 6 month ago uwill do for him

    -PFT-CxR

    -secure airway-CBC

    48-side affect of diazepam

    49-lady 28 yrs G3+3 C/O infertility

    -uterin fibroid

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    -endemic means

    march 2010