from http://www.rxpgonline.com/postx70110-0-10.html ECG inferior MI 2-Xray 50 yrs old smoker and worked 10 years in a mine ..

presented with cough an d hemoptysis..Broncogenic carcinoma 3-Medicine cause hyperkalemia enalpril 4-Negative ionotropic Dliatizin(march) 5-*very ill child not responding to anti biotic ..admit to hospital.. 6-Bee sting Adrenaline 7-45yr f with tender mass on the breast ..most likely breast Cyst 8 Photo..cellulitise after injury.most common cauae..Strep.pyogense 9-5yr boy with injury in the garden..had just two vaccine..TT and booster after two months(march) 10-Photo-a new pigemnted lesion in the back of old man ..Mx.Surgecal removal 11-Photo-black lesion in check of old man melanotic BCC , 12-progetrone only minipill mechanism Cervix mucosa 13-14yrs asking for OCP dosent wants her family to know wof..Give Ocp and advice recommend condom for her parner.. 14- old lady ulcer in the mouth with margin ..teeth not fitting .Dx..SCC , ulcer , 15- Known case about human bite refuse to give HIV and HCV test ..Community heal th to make an order. 16-hand Pic (page 5 AMCQ) in a homeless .cause? Mite 17- food poising , after 10 days after a camp .cause? 18-back from India with bloody diarrhea..? cam.jejni, giardia, 19-6 wks with undesending testis ? refer to surgery.. 20-malgnent cell ..what will you find.? Ascitis, supraclaviclar LN, palpable lym ph node pretoneal with rectal exam. 21-Photo (page 281 anthology) sotop sacn of thyroid ..what do u expect? Lump in the neck , 22-asymptomatic young female sexually active without protection .Druge user (nev er IV) asking for screening Wof you most likely expect to find ..? HIv, syphilis , meningitis, chlamedia .. 23 child with fever periorbital edema ..eye movement normal ? orbital cellultis, periorbital cellultitis 24-Rh ve mother G5P4 at 30 weeks , child dead , 1000cc blood loss ..mx ? excep No need for Rhogam if she was AB free. 25-blindness with MS what the possibly that with be back? 20%, 30%, 50%,75% 26-Leg ischemia when you need urgent intervention? No pulse , loss of sensation , paralysis, 27-pain and redness in the medial side of leg rx? Ant coagula, analgesic and mov ement, elevation 28-Pnemothroax tube? Fifth ICS ant axillary line 29-trauma and pneumothorax S/S , unstable, first mx, ? needle , intubation, iv l ine 30-burn child with stridor, ? intubate (March) 31-burn , unable to intubate , ? tracheotomy , crich-thyroctomy 32-Women asking about Laproscopy? Better for endo metreriosis 33-Women with incontence and vaginal prolaps. Mx? Vaginal pessry, pelvic exercis e. 34-after delivery and during cord traction , Shock ?vaginal inversion 35-Child with hypogylceamia, paarnet telephone you? Instaceglucose to be rubbed to his mouth , glucogan(farran Q) 36-Mechanism of Glucogan ? liver to make glucose 37-insulinoma ?A-low glucose, high insulin, high pro insulin b-low glucose ,high 38-DDX between hemolysis and chronic disease anemia ?decrease heptadin 39-back from holidy in china , lymphoadenopath ..I don t remember it 40-Viral meningitis

41-Xra with opacities in pelvic? Dermoid cyst, stones in bladder 42-Man with inactive TB in xray , +ve skin test? Triple Rx for 6 month 43-islander with high JVP, Concentrcive pericarditis 44-Photo..Ring worm 45-Photo of black lesion in the little toe ? malignant melanoma 46-DM , neuropathy except ? bradycardia 47-DM with hemochromatosis DX? Trasferiin saturation 48-3rd neve palsy with reserve light reflex? DM 49-s/s Von Willebrand disease and opration Mx? 50-5 days after dialysis Confusion.. intial iv? ECG, Xray, call hemodialysis 51-1 hr after operation , shock? Hemorrhage , morphin overdose 52-Lady with syncope , mid systolic murmur,?AS 53-repeated syncope bradycardia ? heart block, AS 54-Resporatory Distress 36wk relieved by O2 60%? Haylin , transit tachpnea 55- Resporatory Distress 34 wks better by 45% O2 ?Hylain ,TT 56-10 days baby found collapsed cyanotic ,midsystolicmurmur, ?congental As, COA 57-Cyncotic after birh not responding to O2 , No murmur ?transpostion of great v essel, CoA 58-Cynotic after 3 days no response to O2 no mumur? TGV+VSD , hypoplastic ventri cle 59-pt with many medication included digoxin , chlorthiazide Low Na ..cause? Na de plesion 60-psych .pt given $1000 for interview then $200 this called? Inducement 61-Null theory to use two drugs trial? 62-case of lady odd s/s for one yaer .presnted after failing in mid yaer exam? P rodermal schizophrenia 63- case of infatile spasm Rx? Vigabatrin 64-lady after death of hear husband wof is likely that she has depression? Sucid al ideas 65-alcohlic ? CAGE except? Are you alcoholic? 66-common recall , the one with problem with husband no money to travel ,3 kids? interveiw husband 67-simlar case ? interview husband 68- Wife had problem husband and just had mass removed from breast..husband came to your clinic asking about the result of biopsy ? call wife and ask for consen t , give him, ask hime to talk to his wife 69-borderline personality 70-ADHD child with loss of concentration 71-37 yrs first visit last pregnancy died at 28wks and was normal..what test to do? Chromasomal, antiphosphlipid AB 72-Anti phantibody associated with? Arrthmia, liver , 73-37 y/o first visit , asking for the best to definitely confirm trisom with le ss risk? U/s to nuchal thickness ,aminocentesis 74-ROM at 24wks,no infection what to do?Antoboitic tell birth , tocolytic tell b irth 75-advantage of CGT in uncomplicated pregnancy? Btter than intermiitant ausculta tion 76 thyroid mass with hoarseness of voice Ix? FNC , U/s 77-ant neck mass move with swallowing ,? Thyroid nodule, hyroglosal cyst 78-sudden onest of calf pain in 50 yr old man during exercise ? rupture of gasto cnmous , ( Achilles ruture wasn t there? 79-GORD and oesophagitis , obese , alcoholic, and smoker what to advise? Stop,alcohol, smoke and loss wt Stope alcohol , smoking Stop smoking Omeprazol

80- most serious condition that need laprotomy,? Ruture of intestine, rupture of bladder Child with anemia URTI .low Hb , lowMCv, normal fertin DX 82- by asking pt to draw pentagon shape , you are testing which part of the brai n? Dominant frontal, dominant temoparaital, non dominant parital, hicamp 83-prevent dental caries? Florid water, 84-CT weakness cerebral infarct, hemorrhage, SAH 85- CT scan with opacity .. cerebral infarct, hemorrhage, SAH 86-Wernicke encephalopathy 87-Photo with pilonodal cyst 88-recurrent DVT associated with- Pancreatic cancer 89-Viral labrinthitis what do expect to see I don t rember options 90- Vertigo and nausea , last yaer had the same and lost hearing of left ear..Dx ? 91-DVT s/s treatment? Anticoagulant + heparin 92- DVT after operation ? 24hr, 24-72hr,after 72 onward. 93 10 days after operation with dysnea left side chest pain Ix? ECG, CXR 94 s/s of UTI not responding to Rx wof dx? Perirenal abscess 95-s/s of nephrotoc syndrome 96-how differnatiate bet hypercalcemia from Malg and primary hyperpathyrodism.. High Alk.ph, High Calcium, parathrmon 97- 57 yrold bipolar 10 year on lithium , notice she is overweight and slowness ? Lithium toxicity, relapse of bipolar, hyothyrodism [snip]-epilepsy with carbimazipine foe 4 year have more 3 a week episode mx? EEG, change Carbimazipine, CT scan 99-parkinson dis with dementia , started halopridaol for his confusion. Two week s ago..presnted by increase tremor and s/s of parkinson mx? Increase haloperidol , decrease haloperidol, increase anti Parkinson drugs, 100-vegetrain with hx of ancephaly first prenatal visit mx ?no need for folic, 1mg folic, 4-5mg folic , 10 mg of folic 14 yr girl comes for contraception she lives with her mother and doesnt want to to disclose thiis in fo to her mom zax 14 yr is independent whether living with her parents or not A child who is mature enough to understand the nature and consequences may legally consent in their own right. boy aged 5 months present with funny turns .he seems blank and then he has forwa rd flesion and tenses her forarm .he was well before. seems to have stopped deve lopment after these episodes .eeg was done and hypsarrythmia was found .wof is t reatment . 1..na valproate 2 ethosuximide 3 vagabatrin======= 4 carbamaazepine guys am i right a person was on carbamazepine for last 3 yrs i think he has se=izures for last 1 0 yrs and goes to a party and drinks a lot..then fits start what inx do u do nex t. guys help me recall this wether he went to party and drank or not 1 ct 2 eeg==========guys i clicked this any comment

3 increase carbamazepine 4-----------------5------------------a gril comes for routine physical exam . she is asymptomatic she is sexually act ive and has never used condoms i mean her partnes which are multiple.she want to get her tests done wof u think will be positive in her 1 hiv 2 chlamydia =======guys i clicked this correct me 3syphilis 4gonorrhoea a women comes for routine check up almost 45 yrs old .on routine exam u find ca increases and ph04 decresed and -------------------------------guys help me fill gaps parathormone level was high .which of following inx tell u that her hyper ca is due to parathyroid hyperactivity or malignancy 1 parathormone level .========am i right ? 2 weight losss 3-------------4------------5--------------