SLE 2010

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011 MED_ST99@HOTMAIL.COM
1-In laboratory investigation shows Yersenia pestis which is true :
2. Pt come with maculopapular rash & nodules which are present in face , neck ,wrist,
in lab study :acid fast bacilli positive lesion include dermis &epidremis what is the
DX :
TB
LEPROSY
3_Pt come with history of flue like symptoms for many days & complain of
periorbital edema , DX :
VIRAL CONJUCTIVITIS ????????????
BACTERIAL CONJUCTIVITIS
KERATITIS
4- Two years child comes with sore throat...... most common organism :
GROUP A STREPTOCOCCI
5_Pt with right upper quadrent pain, fever,sweating,on examination tender
hepatomegally , in investigation : show +ve amaebia : DX
PYOGENIC LIVER ABCESS
AMAEBIC LIVER ABCESS
6_Indication to give prophylactic antibiotic to reccurent sapurative otitis media in
children: 7_ Three years child present with diarreha with blood &mucus for 10 days on
investigation no cyst in stool examination , the most common cause :
ulcerative colitis
giardiasis
rota virus
8-out patient treatment of pneumonia: amox
9-epidemic disease due to poor sanitation & common in children & adult:
Hep A
10_during rape rupture of hymen at ...6 o clock
11_ pt with sore throat & oral sex ... HIV
12 _ pterygium ( in ophthalmology TTT : surgery
13_ ptosis ( nerve : Nerve (3rd cranial nerve (oculomotor nerve)

14-pregnancy with diabates mellitus ... insulin

15_patient with four minute loss of conciousness DX :
CVA
Faintaing
16_stage of colon cancer.....
3 stage
17-prevention of colon cancer ....
by diet fiber
18-young patient feel lump in throat ....
esopheageal cancer IF SEEN
esophegeal diverticulum IF NOT SEEN
treatment of addison disease :
Glucocorticoid replacement, with mineralocorticoid replacement if 1.
20-child with spontaneous epistaxis DX :
Coagulation def
21_ management of pt with epistaxis : pressure with l
22-digoxin toxicity : yellow vision
Ophthalmic: Visual aberration often is an early indication of digitalis toxicity. Yellow-green distortion
is most common, but red, brown, blue, and white also occur. Drug intoxication also may cause snowy
vision, photophobia, photopsia, and decreased visual acuity.

23-48 years female pt come with reccurent ca oxalate nephrolithiasis :

keep dilute urine
decrease ca intake
phosphate
24- nasal pain & rash :
rosea
25-seboorhic dermatitis:
26-degree of burn:
27-pt with paraplegia complain from ulcer in the lower part of back 2*2 which of the
following indicate severity of ulcer :

28-old male pt come with back pain in the morning , during examination there is
muscle spasm &the ct scan has done what we should to do :
excercise

physiotherapy
narcotic analgesic

29-young adolecesnt female come to you for check up you should give him :
vit c & zinc
zinc & Mg
vit c & ca
ca & folic acid
30-lithium toxicity ......
31-treatment of eating disorder : Psychotherapy
32-bipolar depression......

33-recent study about antiphsycotic drugs , the main side effect is:
weight gain
34-obesity ( body mass index,,,,,
35-angioedema & urticaria......
36-rheumatoid arthritis.......

37-septic arthritis.........
38-osteomalacia & osteoporosis........

39-gout......
40-mastoditis.......
41-headache......

cutenessman

1/pictur of wart in hand and asking for diagnosis. HPV

2/ pt. has ear pain and tenderness when moving pinna, asking for diagnosis ( Otitis Externa).

3/ Pregnant with 32 Weeks no any abnormality, asking what the out come should be to this
pt. (Induction at 36 weeks).

4/ before you applying Lithium medication to the pt. you should all thease investigation
Exept:
Liver Function Test
5/ asking for diagnosis of Anorexia Nervosa
6/ , ( . )

7 / old pt. comes with sudden sever occipital headach asking for diagnosis ( subarachniod
heamorrage)
8/ beri beri disease asking witch vitamin defecaint (B1)
9/ 7 years pld pt comes with easy fatiqe and short ness of breath asking for diagnosis (iron
deficaincy anemia)
10/ pt. had done colectomy , colonoscopy follow up shold be done at
( 3 months, 6 months, 9 months, 12 months)
11/ the risk to develop Infective Endocarditis with subaortic stenosis is ( 12% , 50 %
POS OPERATIVE ANTIBIOTIC
12/ candida vaginalis
13/ pt comes with lower abdomenal tenderness no signs of infection and HCG normal (
ovarian cyst torsion )
14/ couples asking for emergancy contraception ( Levonorgestrel 1.5 mg)
15/ side effect of percutanious contraception
16/ 4 years old pt. comes with cystic swealing behind lower lib varing in size has bluish
descoularation ( ranula )
17/ a photo for an ulcer upove the medial mallulas asking for which one of this can help in
managment ( ships biopsy , compresion and elivate the leg ) venous ulcer
18/pt. comes with suden painless loss of vision befor giong to loos the vision see flashs and

high lights asking for diagnosis ( retinal detachment )

19/ pt. with URTI when he couphs or sneez see lashs asking the possible causis ( mechanical
stimuli to retina, erritation of optic disc)
20/ question about optic neuritis , MS , painful loss of vision
21/ hazy vision with subcortical of keratenizing deposition asking for managment ( i put
systamic steriod)
22/ genaralized skin rash associated with lymph node enlargement EBV
23/ lazy cervix with female using condom contraceptive device :
24/ heamuphelus decrorri asking for ( give treatment for all sexual partners, symptomatic
sexual partner , family contact
25/ athlet comes with tender pattela no loss of motions at hib neither knee asking for the
diagnosis . there was some strange name of diseases

26/ uterine hyper adenoma

27/ offensive white ear discharg with wihte rigid tympanici membarane asking for diagnosis (
one of the chioses are spicteccusis )
28/ enlarger unilateral tonsils ( peripharangial abcses)
29/sun burn not responding to antisun creams how you could manage this pt. because he
spent many times near the sea ( take some cold shower after return back , give him
prednizon orally ) i chose antifungal tinea veriscolor
30/ autopsy investigation found to have vegetation on aortic , mitiral valves most probaly
the pt. had ( ENDOCARDITIS )
31/ hypothermic pt. asking for proper managments < ( warm tap water)
32/ barrets esophegus best managmemnt to do ( serial endoscopies with biopsies )
33/ question about GERD , PT WAS TAKING anti acid medications becomes more worsening
pain specaily when he getting lying down.
34/ stressed worker women , feels a headache most of time she felt the during her last
pregnancy the headach stopped asking about the managment ( give her , anti menistral

hormons, biofeadback) i choose biofeadback

35/ internal female organs with infusion labias and huge clitorus asking for diagnosis (
female pseudohermaphroditism , male pseudohermaphroditism )
36/massive overdose of asperin 50 taps 6 hours befor asking for the best managment
( dailaysis)
37/ you will find in asperin toxicity ( respiratory alkalosis with metabolic acidosis)
38/ obese pt. complaining from breath secretion during sleep asking for diagnosis ( sleep
apnea)
39/ one of these medications can cause postural hypotension in eldarly , i think it is
psychaitry quistion i do not remember the the question well
40/ one of these can rais the lipid level in the body ( AVOCADO )
41/ diabatic , smoker comes with cold foot ( leg Ischemia )
42/ good prognostic outcome with pt. has COPD (stop smoking )
43/ pt. has long history of piptic ulcer presenting with profuse vomiting with a lot of food
parts , asking for diagnosis ( gastric outlet obstruction )
44/ antidiabatic GLAZIDE medication , asking for the mechanism of action
45/ pt. comes with dementia with focal neurologiacal problem , dysarthria, asking for
diagnosis (multiinfarct dementia )

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011 MED_ST99@HOTMAIL.COM