SLE 2011 JAN

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011 MED_ST99@HOTMAIL.COM

13. male with perianal pain ,tenderness ,fluctuant (perianal abscess)

Incision and drainage
Warm bath
..
16.34y female with HIV pap smear negative, about cervical cancer screening :
After 3m if negative repeat after 6m
After 6m annually
After 1y.annually
PAP screening should begin within three years of the onset of sexual activity
or at the age of 21 in a patient with an uncertain history of sexual activity. HIV+
patients should be screened every six months during their first year of diagnosis
and then yearly if the initial tests are negative.
17. female about 30y with breast cancer (given CBC chem. And reavel low hb and
hematocrite.) what is the next step in mangment:
Staging
Lumpectomy
Mastectomy
Chemotherapy
18. female 35y with bilateral breast nodular masses .. related to menses no LN
What is the next step:
Mammogram followed by u/s
FNAC
SEE NEXT CYCLE
Biopsy
19. femal about 30y c/o abdominal pain related to menses (scenario going with
endometriosis)next step in dx:
Laparoscopy
U/S
CT
20. pt with open angle glaucoma and k/c of COPD and DM ttt:
Timelol

betaxolol
Acetazolamide
21. child with moderate persistant BA On bronch.dilat inhaler. Presented with acute
exacerbation what will you add in ttt:
Corticosteroid inhaler
Ipratropum bromide inhaler
..
22. infant with runny nose and fever after that develop dysnea ,weezing with
working accessory muscles and chest retractions with cyanosis temp38 dx:
Viral pnumonia
Bacterial pneumonia
Bronchiolitis
23. about crohn's disease are true :
Inflammation Involve superfacial layer of intestine
Involve sigmoid and rectum if (skip lesions).
Decrease incidence of colon cancer
.The rectum is often spared. Transmural infl ammation is seen
24. the following more commone with type2 DM than type1 DM:
Weight loss
Gradual onset
Hereditary factors
HLA DR3+-DR4
25. old age male with h/o of gastric acidity relieved by antiacids ,now he c/o forceful
vomiting at night of food content >>>>> dx:
Gastric outlet obstruction?
26.which drug increase incidence of reflux oesophagitis:
Thiophylline ???
Amoxicilline
Metoclopramide
Rantidine
Lansoprazole
27. which drug cause hypertensive crises when used with tyramine:
SSRI
Tricyclic antidepressant
MAOI
28. most effective ttt of cluster headache:
Ergotamine nebulizer
S/C Sumatriptan alternative first-line treatment
100% O2
IV Verapamil

29. old ptn with HTN and migrane ttt:

B blockers
ACE I
Ca blockers
30. about head and neck injury :
Hoarsness of voice and stridor can occure with mid facial injury
Tracheostomies contraindicated
Facial injury may cause upper air way injures
31. lactating women 10 days after delivary developed fever ,malaise, chills tender Lt
breast with hotness and small nodule in upper outer quadrant with axillary LN
.Leucocytic count was 14 *10/L dx:
Inflammatory breast cancer
Breast abscess
Fibrocystic disease
32. young male with sudden testicular pain .
Testicular torsion
33. old male with sever headach , eye pain,blurred vision and dilated pupil dx:
Closed angle glaucoma
34. neoborn with fracture mid clavicle what is true:
Most cases cause serious complication
Arm sling or figure 8 sling used
Most patient heal without complications
35. the most common fracture in osteoporosis : ( I couldnt remember the age )
Colles fracture (if prior 75 y)
Fracture neck of femur
shaft of femur
hip fracture(if over 75y)
36.70y male with osteoporosis the T score of bone densometry would be :
-3.5
-2.5
1
2
3.5
-Above -1 : normal.
-Between -1 and -2.5 : osteopenia
-Below -2.5 : osteoporosis.
37. what is the most complication after hesterectomy:
Ureteral injury
Pulmonary embolism

haemorrhage
38. female after vaginal hesterectomy she complain of urin come from
vaginadx:
Vesicovaginal fistula
Urethrovaginal fistula
Ureterovaginal fistula
39.the most bad prognostic factor about pschizophrenia:
Anxity during psychosis
Acute attack of psychosis
Onset in adolescent
Positive family history??
Failing marriage
40. young female with BMI 18 , fine hair allover body , feeling of she is fat ,doesnt
eat well with excessive exercise..
Anorexia nervosa
Body dysmorphic disorder
Bulimia nervosa
-

Anorexia nervosa :
Body weight is < 85% of that expected.
-patients perceive themselves as fat and amenorrhea.
-Patients restrict (e.g., fasting, excessive exercise) or binge and purge
(through vomiting, laxatives, and diuretics.)
-Signs and symptoms include lanugo, dry skin, bradycardia, lethargy,
hypotension, cold intolerance, and hypothermia (as low as 35C.)

41. young female consuling for she eat fast food what will add to her:
Ca+folic acid
Zinc+folic acid
Vit C + Ca
42.what's advantage of mature human milk over cow's milk:
More protein
More Iron content
More calories
More fat
Calories: 70/dl - cow: 67/dl
Carbohydrate: 7 - cow 4.8 gr/L
Protein: 1.1 gr/dl - cow 3.3 gr/dl
All minerals are much more in cow milk than human milk except iron & copper .
Breast milk contain more Vitamin C & D
43. child with epistaxis.. management:
Compression on nose and leaning forward
.backward

44. forceful vomiting with wavy abdominal peristalsis is :

Bowel obstruction

45.young male c/o of deformity of jaw .past h/o of nasoplasty and blepharoplasty O/E
nothing abnormal ..dx:
Body dysmorphic syndrome

46. scenario about female underwent abdominal operation she went to physician
For check.. U/S reveal metal thing inside abdomen (a.e missed during
operation)
What will you do :
Call the surgeon and ask him what to do
Call attorney and ask about legal action
Tell her what you found
Tell her that is one of possible complications of operation
Don't tell her what you found
47.male ptn with scaly fine papular rash on fornt of scalp,nose and
retroauricular..(i think tinea capitis) ttt is:
Ketoconazole cream
Oral augmentin
cream
tinea capitis : single or multiple patches of hair loss, sometimes with a 'black dot' pattern
(often with broken-off hairs), that may be accompanied by inflammation, scaling, pustules,
and itching.
Treatment : oral antifungal agent; griseofulvin is the most commonly used drug, but other
newer antimycotic drugs, such as terbinafine, itraconazole, and fluconazole have started to
gain acceptance.

dx : Wood's lamp examination

48. the most common cause of non-traumatic subarachnoid haemorrhage:
Rupture aneurysm
Vessels abnormality
Hypertension

Etiologies of SAH include trauma, berry aneurysms, AVM, and trauma to the
circle of Willis.
CN III palsy with pupillary involvement is associated with berry aneurysms.
dx:- Immediate head CT without contrast - Immediate LP if CT is -ve to look for RBCs, xanthochromia
.
ttt :Prevent rebleeding , Prevent vasospasm and associated neurologic deterioration , ICP

49. child k/c of sickle cell disease with recurrent UTI which is treated >>> . Now
he is stable (cbc,chem. Within normal) you can discharge him with :
Prophylactic Penicillin
. I couldn't remember the rest
50. child with diagnosed as beriberi what is the deficient factor:
Vit B1
Vit b6
Vit c
Beriberi is a nervous system ailment caused by a thiamine deficiency (deficiency of vitamin B1) in the diet.

51. ptn with chest pain and SOB , decreased by leaning forword . O/E friction rub and
increased JVP >>>> (a case of pericardial effusion) ECG will show:
ST changes first one appear
Low voltage
Increase PR interval

52.The causative organism of psudomembranous colitis is:

Clostridium difficile

53. scenario about arthritis (I couldn't remember the details ) but Joint aspirate reveal Gram
negative diplococci ..dx:
Nisseria gonorrhea
.

54. another case . Gram stain reveal gram negative diplococcic (you must
know about causative org. of this type).
Ceftriaxone IM or cefepime PO one dose..

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY DR.ABULMALIK

ALBAKER 2011 MED_ST99@HOTMAIL.COM