My Exam DHA 25/10

1. Old woman with history of piles for 10 years never prolapsed or

thrombosed mangement : fiber diet- ligation- hemorroidectomy

2. Q about which vaccine is oral: polio-bcg- hep b

3. Which vaccine given at 0,2,4,6 mon : polio- hep b - measles

4. Mechanism of glibize

5. X ray L.L of child fracture just above the ankle joint with of both tibia and
fibula and severe pain and edema which to do first : iv morphine -high dose of
paracetamol- elevate the leg to decrease edema- immobilze the leg bg splint

6. 10 years child hearing assessment by doctor by whispering which two

words : they mention 4 options each of two words pancake , tea , car and so

7. Old man with family history of IHD both father and uncle with 50% fat diet
15% cho and high triglecrides and cholesterol so : pt has no risk for disease -
decrease calories decrease risk - ator can decrease the risk

8. Young male iv drug abuser which to screen : hep b - staph aureus - HIV(
they didn't mention hep c)

9. Tarsal tunnel compression affect which nerve posterior tibial

10. 2 patients in nuclear exposure what you advise them first: change their
contaminated clothes- isolate them and ask them not to move - warm them in
dry blankets- give them 2 aspirin and ask them to move their extremities

11. Young adult man give history of malignant disease and chemotheary in 3
different hospitals . The hospitals deny that they have any record about him
he so he became anxious dx: malingering- factitous- somatization
12. Pic of RBCs with target cells + history. Of 6 mon baby fail to thrive ,
severe pallor , hepatosplenomegaly dx: thalassemia- sickle cell- iron
deficiency anemia

13. Nurse during examination denied to have any disease and with lab test
anemia and spherocytes so what to do : Hb electrophoresis- malaria test -
water fragility

14. Baby crying feverish and could be calm with parents which bacteria could
be responsible: h.influenza- listeria - streptococcus pneumoniae ( i didn't know
how can i know)

15. When to screen for congenital hip dislocation: 0-2m / 3-5 / 6-8 / 10-12

16. Child with mother has history of bloody diarrhea 10 days ago and treated .
Came with tiredness oliguria pallor and urine show hematuria some purpura in
l.l and protenuria, platelets 90, low Hb so : abs- platelets transfusion-
hemodialysis- analgesics

17. Patient with high triglecrides high BMI hypertensive , sedentary life style,
high fat diet

18. Colon cancer screening by :

19. Pt with A group shortly after transfusion by blood of B group become

hypotensive which type of reaction occur : IgE and mast cells - Ag.Ab reaction
activate immune reaction- type 4 hypersensitivity

20. Pt 10 min of eating in a restaurant become sweaty , drowsy , came with

edema in face , dyspnea, hypotension, 80/50 so managment : iv adrenaline 5
mg - IM .5mg adrenaline- antihistamine oral - antihistamines injection

21. Pic of ganglion and dx asked

22. Pic of ECG pt young lady hx of fever and sore throat 2 weeks ago, came
hypotensive , distended neck veins- chest pain severe for 2 days dx asked
about
23. Q about bias and studies sorry i forgot it

24. RTA with SOB , chest pain, shifted trachea, distended neck veins and ask
about management

25. Child came with dyspnea and X-ray of pneumothorax

26. Young adult with dyspnea FEV 78 then by bronchodilator became 90

managment: salbutamol- labetrol- corticosteroid inhares

27. DKA cause : insulin mismanagement- diet- drugs

28. In clensing a wound ask about order of drape , cleanse , antiseptic ,

irrigate

29. Young male with dysuria for 2 weeks , given ceftrixone injection and no
improvement, sexually active, no organism on culture present but symptoms
still mx: azithromycin- augmentin- cefepime

30. 14 female , menestruation every 3 weeks normal examination ,

management : if pregnancy test , cbc ok assure- OCP - FSH, LH

31. 16 , 1ry amenorrhea, adult breast, scanty pubic and axillary hair , high
testosterone and ask about Dx

32. Pregnant for first time, symptoms of pregnancy as nausea and vomiting
caused by : BHCG - estrogen- prolactin- progesterone

33. Long use of corticosteroid drops causes: cataract- glaucoma- keatitis

34. Pt with pain in neck severe electric shock like referred to left arm followed
by numbness dx

35. Pt pain in eye , vesicular rash, lymphadenopathy , management: local

antiviral - local antibiotics- systemic antibodies- analgesics (sure no systemic
antiviral no corticosteroids)
36. Female frontal headache nasal discharge,severe ask about dx

37. Child , history of brother loss after walking dt genetic disease in muscles ,
the new baby began to fall after walking , the mother is pregnant with boy,
incidence of having the disease : 12.5-25-50-100

38. Xray of obstruction and ask about management with history of old
abdominal surgery and high pitch intestinal sounds

39. Treatment of rosecea

40. Recurrent rosecea how to manage: vasodilators- local corticosteroids-

increase exposure to sun - tinted make up