SLE2007

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011
MED_ST99@HOTMAIL.COM
One of the complication of vaginal hysterectomy the pt start leaking urine vaginally,-1
; this as a result of
Visico vaginal fistula
A 35 weeks pregnant woman with blood pressure is 140/95 and she is a known case -2
;of preeclumpsia, how do u manage her
Admit to the hospital
:One of the following is not a complication of the infectious mononucleosis -3
Active chronic hepatitis
A patient with hepatosplenomegally and skin bruises and cervical mass what is the -4
;initial investigation
Bone marrow
:A pt with high sodium ,low k, and high bicarbonate-5
Primary hyperaldostronism
: The maximum dose of ibuprofen is-6
1600mg if we are using it as antipyretic, analgesic
If using it as anti infalmatory up to 3200mg
.So the answer bifurcate at reason of using the drug
A child with sunken eye, skin turger and depressed anterior fontanel and nausea and-7
:vomiting
dehydration 10%
;In breath holding attack what is correct-8
It might precipitate generalized seizure
:DRUGS not used in preclumpsia -9
Diuretic (not sure about the question and the answer)

A patient comes to you with long time memeory loss and you diagnosed him as -10
:demenitia(alzimer), what to do to confirm the diagnosis
CT scan
:Which of the following not transmitted by mosquitoes -11

.Relapsing fever, this is by tic

A boy waked up from sleeping with sudden lower abdominal pain, which part of -12
:the body its important to examin
The testis
A patient come abdominal pain and tender abdomen with hypernatremia and -13
:hyperkalemia and vomiting and diarrhia, what is the next investigation
Urinanalysis
:Patient with HBs:65% , HBA4%, HBA30% and HbF5% what is the diagnosis-14
Sickle cell triat ( see NELSONE to convince you better )
A man came from India now present with knee joint pain and one other joint, -15
:tapping the joint showed gram negative diploccoci, what is the diagnosis
Nesseria gonorrhea
Patient present with sudden chest pain and we figure out that lower limb swelling -16
:was found what is the diagnosis
Pulmonary embolism
:What is the best diagnosis of Pulmonary embolism-16
Angiogram
:what is most common cause of death in the first trimester-17
Ectopic pregnancy
Patient sustained chest trauma as motor vehicle accident and now he has distended-18
:neck vein, muffled heart sound and low blood pressure, what is the diagnosis
Pericardial effusion
:Glu ear-19
Can be treated by gorment tube
Before an operation to a child we found him having continues murmur in his right -20
:sternal area what is the next step of management
Postpone and reevaluate the patient again

:each of the following murmur will be elicited by the change of position except -21
.Innocent murmur by sitting
patient awaked from sleeping with barking and stridor and he has history of -22
:eczema
Angioedema
Pateint persistent hoarseness for some weeks, all of the following could be the -23
:diagnosis except
Myxodema
:Which of the following is the strong type of study-24
Randomized study
:calculate the relative risk-25
Relative risk: (number of injuries among staff who used scissors) (number of
injuries among staff who did not use scissors) .
:Which of the following reduces the mortality in congested heart failure -26
enalprile
:which of the following is an indication of surgery in crohn's disease-27
Internal fistula , Or int obstruction
;in obstructed labor which is the answer-28
Moulding and .. is prominanat
:Patien with humerus fracture , what nerve might be damaged-29
Radial nerve
:In fracture of the femoral shaft what is the trt-30
Putting plat by surgery

:What is the most accurate physiological mechanism for hypoxia -32

Alveolar exchange impairment
What is the contraindicated mechanism in a child swallowed a bleach cleaner -33
:solution
Gastric lavage
In a patient with RA and we found she has DIP nodule in her hand, what is it -34
:called
Heberden nodule
An infant with high grad fever, bulging anterior fontanel and lethary and he has -35
:congested ear.etc what is the most important investigation
CSF
:Where should we stop the OCC-36
In varicosed veins
: false negative is-37
.Those who are disease tested negative by test
Patent with previous history of OM and now with pain behind the ear, what is -38
:the diagnosis
.Mastoiditits
:Patient with vomiting and diariah and moderate deydratoin, how to treat-39
ORS only
an old woman her husband died 6 years and now she has medical disease so she -40
:start crying and insomnia and etc, what is the diagnosis
Depression
A teacher is afraid of being mistaken in front of the student, what abn does she -41
:has

.Social phobia
:how to treat social phobia-42
Propranlol
.
;A neonate present with vomiting of blood, what is the diagnosis-43
Cracked nipple
A woman with cystic lesion in her breast, we aspirated this and it collapse, how -44
:to manage
.Reassure and discharge with follow up
Patient with decreased HB,MCV,MCH and RETICLOCYTES all were -45
:decreased, what is the diagnosis
IDA
Patient is post rhynorophy, what could be the management of he present with -47
:browny discharge with foully odour from the wound
Debridment + antibiotic
:What is the best indicator to differentiate between viral and bacteria pharyngits -48
Clear nasal discharge
:Patient with severe rash even on the palms and soles, what is the diagnosis-50
Erythema multiformis
Or fixed drug eruption
;What is the osmolarity of NACL-51
155mmlon( because if we multiply 155 by 2 = 310
:When its better to start breast feeding-52
As soon as possible
A teacher was teaching student where one of them developed meningitis and she -53
:is pregnant, how do we prophylaxis her
Rifampacine twice for 2 days

:Side effect of the phynatoin is except-54

A patient came with multiple convulsion and diazepam given up to 20mg so -55
:what are you going to do
Give phynation( as far as I know that diazepam dose is from 5-10mg and you can repeat
the dose up to maximum dose of 30mg, so I wont give 40mg of diazepam as this was one of
the choices, you can repeat the dose after about 15 min)

:What is the definition of status epilepticus-56

.Seizure for more than 30min
;Side effect of steroid all except-57
Pelvic muscle myopathy( sure like my name ), thus steroid causes muscle wasting
.but osteoporisis is commoner
:Infectous mononucleosis causes all except-58
Chronic active hepatitis
A patient came with positive skin test for TB and previously he was negative -59
:what is the tratmentt
INH + rifampacine + streptomycine
: acyanotic CHD increase lung vascular markings .so the correct answer is -60
Pulmonary atresia
:perinatal mortality defined as-61
From stillbirth till one week after birth
I know this is harsh to know it" the current definition used by the WHO is from
stillbirth till 28th day on neonatal life, so if you recently popped into WHO site and
read this information so this is the disadvantage of being TOO CURRENT
.
:All of the following is complication of fracture rib except-62
Esophageal lesion

fracture with overstretch hand and dinner fork sign was found, what is the -63
;diagnosis
Colle's fracture
: coarctaion of the aorta in-64
TURNER syndrome
:A child with bunt sugar odour urine what is the diagnosis-65
Maple syrup disease
:A pt with breast bloody discharge, what is the diagnosis-66
Ductal papilloma
: Important factor in diagnosing glumerulonephrits is 67
Red blood cell casts

:in primary dysmenorrhea which is the best answer-68

NSAID likely to work

:In cystic fibrosis which gene is affected -69

Long term of chromosome 7
:IUGR in all except-70
Type 2 herpise virus
A patient in CCU after MI, they three day developed bloody diarrhea, what is -71
:the diagnosis
Ischemic colitis
:A patient after MI developed lower limb pain and pale , what is the diagnosis-72
Embolism

:What is the first sing in left ventriclar failure-73

,Dysnea on exersion
A patient present with upper right abdominal pain and ..what is the best -74
:investigation
US ( this is cholycystitis)
:complication of lab choly all except-75
.Ascites, Im very sure .-bein solved by R4 surgey specialist
:In a baby with polyhydrominus what could be the cause-76
Duodenal atresia
: What is the most common cause of postpartum hemorrhage -77
Uterine atony
:A patient with urinary acute retention, how do you manage him-78
Insert catheter and admit to diagnose the reason and then possible for
A pt with IVP filling defect and on XR nothing appeared, what could be the -79
;cause
Uric acid stone
A patient with a symptom of pancreatitis, what of the following least to cause his-80
:problem
Hypercalcemai,hyperlipidema,alcohol,cholydocolitheasis = all those are correct so
. choose the fifth choice which I forget it

:Which of the following combination should be avoided-81

Tetracycline and alamonium hydroxide

: A an RTA pt came to you with drowsy and BP 70/40 what is the management -82
Crystalloid
:Post MI pt was found to have PVC 20 times / min, what the trt should we give-83
Nothing
hint previously many studies were exaggerating about the effects of PCVs and )
they were recommending amiodarone for those patient, later on they found that
amiodarone was making the ECG better but thru meta analysis studies they figure
out that the mortality for those controlled grouped(i.e whom they didnt receive the
antiarythmogenic they has less mortality than those who receive the drug, so to sum
up u prefare to be a live with bad ECG rather than a dead with nice ECG), SO GIVE
THE PATEINT NOTHING especially if its few PVCs and the pt is stable and
.asymptomatic

:chalcium channel blocker used in all except-85

Ventricular tachycardia
: A one year boy cant do one of the following-86
Explore drawer
\; short boy with decreased bon age, most diagnosis is-87
Constitutional delay
: Patinet post MI with hemiparisis and drowsy what is the first to do-88
heparine

:patient with 10 days of fissure what to do 89

Conservative treatment
:regarding ectopic pregnancy all are true except 90
Ovarian site occure in 20%

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011
MED_ST99@HOTMAIL.COM