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SLE march 2010(prometric)

1.Female pt 8 wks postpartum,not smoker diagnosed to hae asthma,her

asthma was not controlled she attended E! " times last month,on #2 agonist

and oral steroid,she came c$o whee%ing and s.o.& mildl' c'anosed using her

intercostal muscles,whee%' chest,#1*0$100 120 +22 EF"*,there is

oedema in her -oot up to the knee,the most likel' diagnosis

1.+/

2.pulmonar' em&olism

".cute asthma attack

.ngioedema

2.Female pt deeloped sudden loss o- ision(&oth e'es) while she was walking

down the street,also c$o num&ness and tingling n her -eet ,there is

discrepanc' &$w the complaint and the -inding,+$E re-le3es and ankle erks presered,there is decrease in the sensation and

weakness in the lower muscles not going with the anatom',what is 'our action

1.all ophthalmologist

2.all neurologist

".call ps'chiatrist

.reassure her and ask her a&out the stressors

".same scenario in 4.2 what is the diagnosis

1.onersion disorder

2.Somato-orm disorder

.male pt deeloped corneal ulcer in his !t e'e a-ter trauma what is the 53

1.topical & 6 analgesia

2.topical steroid

7.-emale pt with !t e'e pain and redness with water' discharge,no h.o

trauma,itching,+$E there is di--use congestion in the conunctia and water'

discharge what 'oull do

1.gie &2.gie antihistamine

".topical steroid

.re-er her to the ophthalmologist

*.Epidemic disease in poor sanitation areas a--ecting children and 'oung

adults

1.hep

2.#

".

./

.*mths &a&' with cr'ing episodes9current ell' stool,looks slightl'

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pale,signs o- o&struction wht is 'our 53

1.&arium enema

2.immediate surger'

".:. -luid 6 wait -or resolution

8.1'.o adolescent, athletic ,with h$o !t -oot pain planter sur-ace,diagnosis is

1.planter -asciaitis

2.alu3;;

".alu3..;

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1.egg

1.t with as'mptomatic richomniasis

1.treat her an'wa' regardless

2.treat her i- she is s'mptomatic onl'

18.1'.o,she missed her second dose o- arecila accine,the -irst one a&out 1

' ago what 'oull do

1.gie her dou&le dose accine

2.gie her the second dose onl'

".see i- she has anti&od' and act accordingl'

1

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2.70'.o male with di--icult' swallowing -ood with wt loss

1.+esophageal cancer

28.'oung -emale with pain in her el&ow(lateral epichond'litis) &est treatment is

19.;;;; .DS:/

2.electric..;;;;

2

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".electie surger' i- it is reduci&le

..;;;; .

"*.the most e--ectie thing regarding counseling

1.-amil' rapport

2.well adusted appointment &e-ore counseling

".;;;;;; .

".:n a certine stud' the' are selecting the 10th -amil' in each group,ahat is

the t'pe o- stud'

1.s'stemic stud'

2.non randomi%ed stud'

".;;;;;; .

"8./eep laceration in the ant aspect o- the wrist,causing inur' to the median

nere,the result is1.claw hand

2.drop hand

".ina&ilit' to oppose the thum& to other -ingrs

"

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Staph I strept I @ in-luen%a ( in children)

strept I Staph ( in adult)

.the &est indicator -or progression o- la&our 1.descent o- the head

2.uterine contractions

7.&a&' with white papules in his -ace what is 'our action

1.reassure the mother and it will resole spontaneousl'

2.gie her anti&iotic

";;;;; .

*.old man with generali%ed a&dominal pain "8.2,a&scent &owel sound,3

ra'dilated small &owel and part o- the transerse colon,no no -luid leel

1.pancreatitis

2.per-orated peptic ulcer

".&acterial colitis

.;;; .

.pt with pepti ulcer using anti acid,presented with -orce-ul omiting that

contains -ood particle

1.gastric outlet o&struction

2.;;;;;; .

8.pregnant lad' with cardiac disease presented in la&our,'oull do all e3cept1.epidural anesthesia

2.$S

".diuretic

.digitalis

7.+2

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72.old -emale with pu&ic itching with &lood' discharge,then she deeloped

pea shaped swelling in her la&ia,most likel'

1.#artholin c'st

2.#artholin gland carcinoma

".#artholin a&scess

7".male pt with @D on medication,wel controlled,the pt is using garlic water

and he is conenced that it is the reason -or # control,what 'oull do as his

ph'sician

1.tell him to continue using it

2.to stop the medication and continue using it

".tell him that he is ignorant

.to stop using garlic water

7.-orcing the child to go to the toilet &e-ore &edtime and in the morning,'oull

contro the pro&lem o-G1.enuresis

2;;; .

77.the wound will heal when

1.&ecome sterile

2.-ormation o- epithelium

"..;;; .

7*.which o- the -ollowing is a disease improing drug -or !

1.DS:/2.@'dro3'chloroHuine

";;;;;

7.adolescent -emale came to 'ou in the clinic ust -or -ollowup what 'oull

gie her

1.a9-olic acid

2.a9 %inc

".-olic acid9%inc

..;;; .

78.70'.o male with rectal &leeding,+$E there is e3ternal hemorrhoid,'our

action

1.E3cision o- the hemorrhoid

2.rigid sigmoidoscop' and e3cision o- the hemorrhoid

"9..;;;;; .colonscop'

.;;;; .

7

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*0.-emale pt with /5 well controlled and she wants to get pregnant,and she

asked 'ou a&out the risk o- congenital a&normalit',to aoid this dia&etes

control should start in

1.&e-ore pregnanc'

2.1st trimester

".2nd trimester

."rd trimester

*1.pregnant lad', she wants to do a screening tests,she insist that she doesnt

want an' inasie procedure,'oull do

1.>$S

2.amniosenteses

";;;;; .

*".pt complaining that urine is coming out -rom her agina,the cause is1.esico aginal -istula

2.esico cutaneous -istula

";;;; .

*.a mother &rought her 10 '$o o&ese &o' to the -amil' practice clinic ,what is

'our adice

1.same dietr' ha&&its onl' e3ercise

2.-at -ree diet

".multi-actorial interentions

.;;;; .

*7.male pt with a c'anotic heart disease;;;;;.(incomplete 4)

1.S/

2.KS/

"./

.truncus arteriosus

**.pt c$o pain when moing the e'e,-undoscop'normal

1.optic neuritis

2.papillodema

".;;;;;;; .

;;;;;; .

i remem&er one H

case o- sudden death in athlete ans is

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o&structie h'pertophic cardiom'opath'

SLE march 2010(prometric)

E.histol'tica c'st is destro'ed &'Free%ing

#oiling

:odine treatment

hlorine

atient a-ter accident , the le-t ri&cage moe inward during inspiration and

outward during e3piration

Flial chest

=reatest risk o- stroke

/5

Eleated &lood pressure

Famil' histor' o- stroke

@'perlipedemia

Smooking

hild has pallor , eats little meat , &' inestigation microc'tic h'pochromicanemia . what will 'ou do

rial o- iron therar'

5ultiitamin with iron dail'

reatment o- mania that doesnot cause hepatoto3icit'

Lithium

S patient , the macula is cherr' red , and a&sence o- a--erent papillar' light

re-le3

!etinal arter' o cclusion

:n-lammator' &owel disease is idiopathic &ut one o- -ollowing is possi&le

underl'ing cause

:mmunological

atient present with high &lood pressure (s'stolic 200) , tach'cardia

5'driasis , sweating . what is the to3icit'

ntichlenergic

S'mpathomemitic

ric'clic antidepressant

+rganophosphorous compounds

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i think the answer is s'mpathomimetic

reatment o- hlam'dia with pregnan'

%ithrom'cin

Er'throm'cin &ase

the ma3imum &od' lenght will &e reached a-ter menarch &'

*months

1'ear

2'ears

atient deeloped sudden loss o- ision &ilaterall' while she was walking in

the street , -ollowed &' num&ness , the su&ectie s'mptoms are di--erent -rom

o&ectie , and does not match anatomical , what is 'our diagnosis

onersion s'ndrome(i think this is the answer

-ter in-lammator' phase o- wound , there will &e wound healing &'

:- the wound is clean

ngiogenesis

Epithelial tissue

+ld male with tender knee , pain , crepitus . the diagnosis

+steorhritis

nk'losin spond'litis

!heumatoid

5other has &a&' with cle-t palate and asks 'ou what is the chance o- haing a

second &a&' with cle-t palate or cle-t lip,

27C

70C

C1

C

i think the answer is 27

1liter -luid de-icit eHuals

1kg

-ter accident patient with tach'cardia , h'potension , what will &e 'our initial

step

!apid :KF cr'stalloid

.;;

*' child was &orn to @#S positie mother is @#S positie , he was onl'

accinated &' #= a-ter &irth , what 'ou will gie him now

@#K 9 oral polio 9 / 9 hi&

@#K 9 oral polio 9 dt 9 55! 9hi&

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@#K 9 oral polio 9 /t 9 55!

reatment o- non in-lammator' acne

!etinoic acid

Treatment of comedones: Topical retinoids.

2.Treatment of papules or pustules: Topical benzoyl

peroxide plus topical antibiotics, mainly clindamycin

or erythromycin.

3.In severe cases, intralesional steroid injection or

oral antibiotics, such as tetracycline or erythromycin

may be added.

Jhich is not true :n emergenc' management o- stroke

=ie :KF to aoid /7 70C

=ie dia%epam in conulsionsnticonulsants not needed in i- sei%ures

5ust correct electrol'tes

reat eleated &lood pressure

S complications in adults

ere&ral in-arction

ere&ral hemorrhage

he most common risk -or intracere&ral stroke

@'pertension.;;;

;;;;

he antidepressant used -or secondar' depression that cause se3ual

d's-unction

Sertatlie

m'pramine

Leo-lu3ine

reiousl' health' -emale patient presented to E! with d'snea , ane3iet' ,

tremor , and she &reath heail' , the s'mptoms &egan 20 minutes &e-ore she

came to E! , in the hospital she deeloped num&ness perior&ital and in her

-ingers , what 'ou will do

sk her to &reath into a &ag

ake &lood sample to look -or alcohol to3icit'

Jhat is the most important in councling

E3clude ph'sical illness

Esta&lishing ra&&ot

Famil'

Schedule appointement

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:n &reaking &ad news

Find out how much the patient know

Find out how much the patient wants to know

atient with chest pain that aggreated&' couphing, there is added sound on

le-t sternal &order .in ecg 'ou will -ind

St changes

r prolongation

@'peroltage

he most common site -or isceral hemangioma is

Lier

hild with large perior&ital hemangioma , i- this hemangioma cause

o&struction to ision , when will &e permenant decrease in isual acuit'-ter o&struction &' one da'

#' 1 week

#' " months

#' * months

he s'mptoms o- so-t tissue sarcoma

rogressie enlarging mass

"7'ear -emale with &ilateral &reat pain , that decrease a-ter menstruation , the&reast is nodular with prominent " cm mass su&areolar , a3illar' l'mph nodes

are not enlarged , what 'ou will do

5ammograph' -ollowed &' us

See her ne3t c'cle

Fine needle &iops' -ollowed &' tissue studies

regnant with &leeding -or 12 hours and tissue , the ceri3 is 1 cm

omplete a&ortion

:ncomplete a&ortion

5olar pregnanc'

2month in-ant with omiting a-ter each meal , he is in 70 centile,

@e passed meconium earl' and stool , diagnosis is

5idgut olulus

5econium ileus

@ischsprung disease

atient with d'sphagia to solid and liHuid , and regurg , &' &arium there is non

peristalsis dilatation o- osophagus and air-luid leel and tapering end .

diagnosis is

+sophageal spasm

chalasia

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+sophageal ca

he most common cause o- cough in adults is

sthma

=erd

ostnasal drip

=irl with amenorrhea -or man' months . &mi is 20 and is sta&le oer last 7

'ears . diagnosis

Eating disorder

ituitar' adenoma

+ld -emale with itching o- ula , &' e3amination there is pale and thin agina ,

no discharge . what is management

Estrogen creamorticosteroid cream

Flucona%ole

atient with d'suria , -reHuenc' , urgenc' , &ut no -lank pain , what is the

treatment

ipro-lo3acin po od -or "7 da's

Dor-ocin po od -or 1 da's

atient with -lank pain , -eer , omiting , treatment is

@ospitali%ation and intraenous anti&iotics and -luid

atient present with mid -ace pain , erethematous lesions and esicles on

perior&ital and -orehead , the pain ia at nose , nose is er'thematous . what is

diagnosis

!oseola

@s

@erpes %oster

5ale with itching in groin er'thematous lesions and some hae clear centers ,

what is diagnosis

soriasis

inea curis

Er'thrasma

Kasoconstrictie nasal drops complication

!e&ound phenomenon

he use-ul e3curcise -or osteoarthritis in old age to maintain muscle and &one

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Low resistance and high repetion weight training

onditioning and low repetion weight training

Jalking and weight e3ercise

..;;;;;;;;;;

>nilateral worsening headach , nausea , e3cacer&eted &' moement and

aggreated &' light in 1 old girl

5igraine

luster

/iet supplement -or osteoarthritis

=inger

+ld male with a&dominal pain , nausea , w&c . what is true a&out appendicitis

in elderl't not use-ull -or diagnosis

J&c is o-ten normal

!upture is common

:- there is no -eer the diagnosis o- appendicitis is unlikel'

nemia is common

+ld patient with &ilateral enlarged knee , no histor' o- trauma , no tenderness ,

normal esr and creactie proteins . the diagnosis is

+steoarthritis=out

:n-ectous arthritis

atient has decrease isual acuit' &ilateral , &ut more in rt side , isual -ield is

not a--ected , in -undus there is irregular pigmentations and earl' cataract

-ormation . what 'ou will do

!e-er to ophthalmologist -or laser therap'

!e-er to ophthalmologist -or cataract surger'

Jhat is the most common treatment -or uenile rheumatoid arthritis

:ntraarticular inection o- steroid

+ral steroid

aracetamol

/penicillamine

sprin

which o- the -ollowing decrease mortalit' a-ter 5:

metoprolol

nitrogl'cerine

thia%ide

morphine

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the cardiac arrest in children is uncommon &ut i- occur it will &e due to

primar'

respirator' arrest

h'poolemic shock

neurogenic shock

old -emale with recurrent -racture , it d insu-ecienc' and smoker . which

e3ogenous -actor has the gretest e3ogenous side e--ect on osteoporosis

old age

smoking

vit d insufeciency

continue smoking

recurrent -racture

patient presented with sudden chest pain and d'snea , tactile ocal -remitusand chest moeme&t is decreased , &' 3ra' there is decreased pulmonar'

marking in le-t side , diagnosis

atelectasis o- le-t lung

spontaneous pneumothora3

pulmonar' em&olism

&o' a-ter running -or hours , has pain in knee and mass on upper sur-ace o-

ti&ia

osgood scatter disease

ilioti&ial &andOsood!"chlatter disease

Osood!"chlatter #say: $oz!ood shlot!ter$% disease is one of the most

common causes of &nee pain in youn athletes. It causes s'ellin, pain and

tenderness just belo' the &nee, over the shin bone #also called the tibia%.

Osood!"chlatter commonly affects boys 'ho are havin a ro'th spurt

durin their pre!teen or teenae years. One or both &nees may be affected.

pancreatitis

am'lase is slowl' rising &ut remain -or da's

am'lase is more speci-ic &ut less sensitie than lipase

ranson criteria has seerit' (predictie) in acute pancreatitis

pain is increased &' sitting and relieed &' l'ing down

contraceptie pills is associated

patient has -eer , night sweating , &lood' sputum , weight loss , ppd test was

positie . 3ra' show in-iltrate in ape3 o- lung , ppd test is now reactionar' ,

diagnosis

actiation o- primar' t#

sarcoidosis

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case control is

&ackward stud'