CASE 1 A 6 months old boy came to the hospital with the complaints of fever with chills and rigors,

headache and vomiting. He was poorly feeding. There was no history of diarrhea and shortness of breath. 1. 2. 3. 4. 5. 6. CASE 2 A 60 years old man came to hospital with the complaints of radiculopathy pain in the right loin to the right groin and testis. He was diagnose to have Urinary stone 1. 2. 3. CASE 3 A 38 years old woman presented to clinics with complaining of swollen finger joints over the past 6 months. Physical examination reveals subcutaneous nodules over both of her elbows. She was diagnosed to have Rheumatoid Arthritis. 1. 2. 3. 4. CASE 4 A boy came to Accident and Emergency department with Motor Vehicle Accident 1. 2. CASE 5 A 67 years old woman presents to your clinic with complaint of stiffness and pain in her left knee. Physical examination reveals a swollen, tender left knee with joint effusion. She was diagnosed to have Osteoarthritis and had been administered NSAID for the time being 1. 2. 3. 4. State the pathogenesis of Osteoarthritis (3 marks) State the pathological findings in this patients left knee (3 marks) Explain 2 differences between Osteoarthritis and Rheumatoid Arthritis (2 marks) Describe the action of NSAID briefly (2 marks) State briefly about the Glasgow Coma Scale (2 marks) State the management for the patient with MVA (2 marks) State the pathogenesis of the Rheumatoid Arthritis (4 marks) State 2 histopathological finding of Rheumatoid Arthritis (2 marks) State 1 cardinal sign of rheumatoid arthritis (1 mark) State 2 treatments of rheumatoid arthritis (2 marks) State 2 relevant investigation you would like to performed (2 marks) State 2 other history you would like to ask the patient regarding his diagnoses (2 marks) State 3 types of stones that can form urinary calculi (3 marks) State your differential diagnoses (4 marks) List 3 other history you would like to ask to the patient and state the reasons (3 marks) Explain the pathophysiological finding based on the symptoms presented (6 marks) List 2 suitable investigations you would like performed and gives the expected findings (2 marks) State 3 defense mechanism of urinary tract List 3 types of antibiotics you would like to administered to this patient (3 marks)

Prepared by

Checked by