SLE 2010

COLLECTED AND TRIED TO BE ANSWERD AND SENT

BY DR.ABULMALIK ALBAKER 2011
MED_ST99@HOTMAIL.COM

E.histolytica cyst is destroyed by:

Freezing
Boiling
Iodine treatment
Chlorine

Patient after accident , the left ribcage move inward during

inspiration and outward during expiration:
Flial chest

Greatest risk of stroke:

DM
Elevated blood pressure
Family history of stroke
Hyperlipedemia
Smooking

Child has pallor , eats little meat , by investigation :microcytic

hypochromic anemia . what will you do:
Trial of iron therary
Multivitamin with iron daily

Treatment of mania that doesnot cause hepatotoxicity

Lithium

SCA patient , the macula is cherry red , and absence of afferent

papillary light reflex
Retinal artery o cclusion

Inflammatory bowel disease is idiopathic but one of following is

possible underlying cause
Immunological

Patient present with high blood pressure (systolic 200) , tachycardia

Mydriasis , sweating . what is the toxicity:
Antichlenergic
Sympathomemitic
Tricyclic antidepressant
Organophosphorous compounds

i think the answer is sympathomimetic

Treatment of Chlamydia with pregnany:

Azithromycin
Erythromycin base

the maximum body lenght will be reached after menarch by

6 months
1 year
2 years

Patient developed sudden loss of vision bilaterally while she was

walking in the street , followed by numbness , the subjective
symptoms are different from objective , and does not match
anatomical , what is your diagnosis:
Conversion syndrome(i think this is the answer

After inflammatory phase of wound , there will be wound healing by:

If the wound is clean
Angiogenesis
Epithelial tissue

Old male with tender knee , pain , crepitus . the diagnosis:

Osteorhritis
Ankylosin spondylitis
Rheumatoid

Mother has baby with cleft palate and asks you what is the chance
of having a second baby with cleft palate or cleft lip ,
25%
50%
%1
4%

1 liter fluid deficit equals

1 kg

After accident patient with tachycardia , hypotension , what will be

your initial step
Rapid IVF crystalloid
CT
.

6 y child was born to HBS positive mother is HBS positive , he was

only vaccinated by BCG after birth , what you will give him now :
HBV + oral polio + DTP + hib
HBV + oral polio + dt + MMR +hib
Hib + oral polio + Dt + MMR

Treatment of non inflammatory acne

Retinoic 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.

Which is not true In emergency management of stroke

Give IVF to avoid D5 50%
Give diazepam in convulsions
Anticonvulsants not needed in if seizures
Must correct electrolytes
Treat elevated blood pressure

SCA complications in adults

Cerebral infarction
Cerebral hemorrhage

The most common risk for intracerebral stroke

Hypertension
.

The antidepressant used for secondary depression that cause sexual

dysfunction
Sertatlie
Amypramine
Levofluxine

Previously healthy female patient presented to ER with dysnea ,

anexiety , tremor , and she breath heavily , the symptoms began 20
minutes before she came to ER , in the hospital she developed
numbness periorbital and in her fingers , what you will do
Ask her to breath into a bag
Take blood sample to look for alcohol toxicity

What is the most important in councling

Exclude physical illness
Establishing rabbot
Family
Schedule appointement

In breaking bad news

Find out how much the patient know

Find out how much the patient wants to know

Patient with chest pain that aggrevatedby couphing, there is added

sound on left sternal border .in ecg you will find
St changes
Pr prolongation
Hypervoltage

The most common site for visceral hemangioma is

Liver
Child with large periorbital hemangioma , if this hemangioma cause
obstruction to vision , when will be permenant decrease in visual
acuity
After obstruction by one day
By 1 week
By 3 months
By 6 months

The symptoms of soft tissue sarcoma

Progressive enlarging mass

35 year female with bilateral breat pain , that decrease after

menstruation , the breast is nodular with prominent 3 cm mass
subareolar , axillary lymph nodes are not enlarged , what you will do
Mammography followed by us
See her next cycle
Fine needle biopsy followed by tissue studies

Pregnant with bleeding for 12 hours and tissue , the cervix is 1 cm

Complete abortion
Incomplete abortion
Molar pregnancy

2 month infant with vomiting after each meal , he is in 50 centile ,

He passed meconium early and stool , diagnosis is
Midgut volvulus
Meconium ileus
Hischsprung disease

Patient with dysphagia to solid and liquid , and regurg , by barium

there is non peristalsis dilatation of osophagus and air-fluid level and
tapering end . diagnosis is
Osophageal spasm
Achalasia
Osophageal ca

The most common cause of cough in adults is

Asthma
Gerd
Postnasal drip

Girl with amenorrhea for many months . BMI is 20 and is stable over
last 5 years . diagnosis
Eating disorder
Pituitary adenoma

Old female with itching of vulva , by examination there is pale and

thin vagina , no discharge . what is management

Estrogen cream
Corticosteroid cream
Fluconazole

Patient with dysuria , frequency , urgency , but no flank pain , what

is the treatment
Ciprofloxacin po od for 3-5 days
Norfocin po od for 7 14 days

Patient with flank pain , fever , vomiting , treatment is

Hospitalization and intravenous antibiotics and fluid

Patient present with mid face pain , erethematous lesions and

vesicles on periorbital and forehead , the pain ia at nose , nose is
erythematous . what is diagnosis
Roseola
Hsv
Herpes zoster

Male with itching in groin erythematous lesions and some have clear
centers , what is diagnosis :
Psoriasis
Tinea curis
Erythrasma

Vasoconstrictive nasal drops complication

Rebound phenomenon

The useful excurcise for osteoarthritis in old age to maintain muscle

and bone
Low resistance and high repetion weight training
Conditioning and low repetion weight training
Walking and weight exercise
.

Unilateral worsening headach , nausea , excacerbeted by movement

and aggrevated by light in 17 old girl
Migraine
Cluster

Diet supplement for osteoarthritis

Ginger

Old male with abdominal pain , nausea , wbc 7 . what is true about
appendicitis in elderly
Ct not usefull for diagnosis
Wbc is often normal
Rupture is common
If there is no fever the diagnosis of appendicitis is unlikely
Anemia is common

Old patient with bilateral enlarged knee , no history of trauma , no

tenderness , normal esr and c-reactive proteins . the diagnosis is
Osteoarthritis
Gout
Infectous arthritis

Patient has decrease visual acuity bilateral , but more in rt side ,

visual field is not affected , in fundus there is irregular
pigmentations and early cataract formation . what you will do
Refer to ophthalmologist for laser therapy
Refer to ophthalmologist for cataract surgery

What is the most common treatment for juvenile rheumatoid

arthritis
Intraarticular injection of steroid
Oral steroid
Paracetamol
D-penicillamine
Asprin

which of the following decrease mortality after MI

metoprolol
nitroglycerine
thiazide
morphine

the cardiac arrest in children is uncommon but if occur it will be due

to
primary
respiratory arrest
hypovolemic shock
neurogenic shock

sure

old female with recurrent fracture , vit d insufeciency and smoker .

which exogenous factor has the gretest exogenous side effect on
osteoporosis
old age
smoking
vit d insufeciency
continue smoking
recurrent fracture

patient presented with sudden chest pain and dysnea , tactile vocal
fremitus and chest movemebt is decreased , by x-ray there is
decreased pulmonary marking in left side , diagnosis
atelectasis of left lung
spontaneous pneumothorax
pulmonary embolism

boy after running for hours , has pain in knee and mass on upper
surface of tibia
osgood scatter disease
iliotibial band
Osgood-Schlatter disease.

pancreatitis
amylase is slowly rising but remain for days
amylase is more specific but less sensitive than lipase
ranson criteria has severity (predictive) in acute pancreatitis
pain is increased by sitting and relieved by lying down
contraceptive pills is associated

patient has fever , night sweating , bloody sputum , weight loss ,

ppd test was positive . x-ray show infiltrate in apex of lung , ppd test
is now reactionary , diagnosis
activation of primary tB
sarcoidosis

case control is
backward study

COLLECTED AND TRIED TO BE ANSWERD AND SENT

BY DR.ABULMALIK ALBAKER 2011
MED_ST99@HOTMAIL.COM