E.

histolytica cyst is destroyed by :

Freezing
Boiling
Iodine treatment
Chlorine
Patient after accident , the left ribcage move inward during insiration
and outward during e!iration :
Flial chest
"reatest ris# of stro#e :
$%
Elevated blood ressure
Family history of stro#e
&yerliedemia
'moo#ing
Child has allor , eats little meat , by investigation :microcytic
hyochromic anemia . what will you do :
(rial of iron therary
%ultivitamin with iron daily
(reatment of mania that doesnot cause heatoto!icity
)ithium
'C* atient , the macula is cherry red , and absence of afferent aillary
light refle!
+etinal artery o cclusion
Inflammatory bowel disease is idioathic but one of following is
ossible underlying cause
Immunological
Patient resent with high blood ressure ,systolic -../ , tachycardia
%ydriasis , sweating . what is the to!icity :
*ntichlenergic
'ymathomemitic
(ricyclic antideressant
0rganohoshorous comounds
i thin# the answer is symathomimetic
(reatment of Chlamydia with regnany :
*zithromycin
Erythromycin base
the ma!imum body lenght will be reached after menarch by
1 months
2 year
- years
Patient develoed sudden loss of vision bilaterally while she was
wal#ing in the street , followed by numbness , the sub3ective symtoms
are different from ob3ective , and does not match anatomical , what is
your diagnosis :
Conversion syndrome,i thin# this is the answer
*fter inflammatory hase of wound , there will be wound healing by :
If the wound is clean
*ngiogenesis
Eithelial tissue
0ld male with tender #nee , ain , creitus . the diagnosis :
0steorhritis
*n#ylosin sondylitis
+heumatoid
%other has baby with cleft alate and as#s you what is the chance of
having a second baby with cleft alate or cleft li ,
-45
4.5
52
65
i thin# the answer is -4
2 liter fluid deficit e7uals
2 #g
*fter accident atient with tachycardia , hyotension , what will be your
initial ste
+aid I8F crystalloid
C(
.99
1 y child was born to &B' ositive mother is &B' ositive , he was only
vaccinated by BC" after birth , what you will give him now :
&B8 : oral olio : $(P : hib
&B8 : oral olio : dt : %%+ :hib
&B8 : oral olio : $t : %%+
(reatment of non inflammatory acne
+etinoic 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 .
;hich is not true In emergency management of stro#e
"ive I8F to avoid $4 4.5
"ive diazeam in convulsions
*nticonvulsants not needed in if seizures
%ust correct electrolytes
(reat elevated blood ressure
'C* comlications in adults
Cerebral infarction
Cerebral hemorrhage
(he most common ris# for intracerebral stro#e
&yertension
.999
9999
(he antideressant used for secondary deression that cause se!ual
dysfunction
'ertatlie
*myramine
)evoflu!ine
Previously healthy female atient resented to E+ with dysnea ,
ane!iety , tremor , and she breath heavily , the symtoms began -.
minutes before she came to E+ , in the hosital she develoed
numbness eriorbital and in her fingers , what you will do
*s# her to breath into a bag
(a#e blood samle to loo# for alcohol to!icity
;hat is the most imortant in councling
E!clude hysical illness
Establishing rabbot
Family
'chedule aointement
In brea#ing bad news
Find out how much the atient #now
Find out how much the atient wants to #now
Patient with chest ain that aggrevatedby couhing, there is added
sound on left sternal border .in ecg you will find
't changes
Pr rolongation
&yervoltage
(he most common site for visceral hemangioma is
)iver
Child with large eriorbital hemangioma , if this hemangioma cause
obstruction to vision , when will be ermenant decrease in visual acuity
*fter obstruction by one day
By 2 wee#
By < months
By 1 months
(he symtoms of soft tissue sarcoma
Progressive enlarging mass
<4 year female with bilateral breat ain , that decrease after
menstruation , the breast is nodular with rominent < cm mass
subareolar , a!illary lymh nodes are not enlarged , what you will do
%ammograhy followed by us
'ee her ne!t cycle
Fine needle biosy followed by tissue studies
Pregnant with bleeding for 2- hours and tissue , the cervi! is 2 cm
Comlete abortion
Incomlete abortion
%olar regnancy
- month infant with vomiting after each meal , he is in 4. centile ,
&e assed meconium early and stool , diagnosis is
%idgut volvulus
%econium ileus
&ischsrung disease
Patient with dyshagia to solid and li7uid , and regurg , by barium there
is non eristalsis dilatation of osohagus and air=fluid level and taering
end . diagnosis is
0sohageal sasm
*chalasia
0sohageal ca
(he most common cause of cough in adults is
*sthma
"erd
Postnasal dri
"irl with amenorrhea for many months . bmi is -. and is stable over last
4 years . diagnosis
Eating disorder
Pituitary adenoma
0ld female with itching of vulva , by e!amination there is ale and thin
vagina , no discharge . what is management
Estrogen cream
Corticosteroid cream
Fluconazole
Patient with dysuria , fre7uency , urgency , but no flan# ain , what is
the treatment
Ciroflo!acin o od for <=4 days
>orfocin o od for ? @ 26 days
Patient with flan# ain , fever , vomiting , treatment is
&ositalization and intravenous antibiotics and fluid
Patient resent with mid face ain , erethematous lesions and vesicles
on eriorbital and forehead , the ain ia at nose , nose is erythematous .
what is diagnosis
+oseola
&sv
&eres zoster
%ale with itching in groin erythematous lesions and some have clear
centers , what is diagnosis :
Psoriasis
(inea curis
Erythrasma
8asoconstrictive nasal dros comlication
+ebound henomenon
(he useful e!curcise for osteoarthritis in old age to maintain muscle and
bone
)ow resistance and high reetion weight training
Conditioning and low reetion weight training
;al#ing and weight e!ercise
..9999999999
Anilateral worsening headach , nausea , e!cacerbeted by movement and
aggrevated by light in 2? old girl
%igraine
Cluster
$iet sulement for osteoarthritis
"inger
0ld male with abdominal ain , nausea , wbc ? . what is true about
aendicitis in elderly
Ct not usefull for diagnosis
;bc is often normal
+uture is common
If there is no fever the diagnosis of aendicitis is unli#ely
*nemia is common
0ld atient with bilateral enlarged #nee , no history of trauma , no
tenderness , normal esr and c=reactive roteins . the diagnosis is
0steoarthritis
"out
Infectous arthritis
Patient has decrease visual acuity bilateral , but more in rt side , visual
field is not affected , in fundus there is irregular igmentations and early
cataract formation . what you will do
+efer to ohthalmologist for laser theray
+efer to ohthalmologist for cataract surgery
;hat is the most common treatment for 3uvenile rheumatoid arthritis
Intraarticular in3ection of steroid
0ral steroid
Paracetamol
$=enicillamine
*srin
which of the following decrease mortality after %I
metorolol
nitroglycerine
thiazide
morhine
the cardiac arrest in children is uncommon but if occur it will be due to
rimary
resiratory arrest
hyovolemic shoc#
neurogenic shoc#
old female with recurrent fracture , vit d insufeciency and smo#er .
which e!ogenous factor has the gretest e!ogenous side effect on
osteoorosis
old age
smo#ing
vit d insufeciency
continue smo#ing
recurrent fracture
atient resented with sudden chest ain and dysnea , tactile vocal
fremitus and chest movemebt is decreased , by !=ray there is decreased
ulmonary mar#ing in left side , diagnosis
atelectasis of left lung
sontaneous neumothora!
ulmonary embolism
boy after running for hours , has ain in #nee and mass on uer
surface of tibia
osgood scatter disease
iliotibial band
Osood!"chlatter disease
Osood!"chlatter #say: $oz!ood shlot!ter$% disease is one of the most
common causes of &nee pain in youn athletes. It causes s'ellin, pain
and tenderness just belo' the &nee, over the shin bone #also called the
tibia%. Osood!"chlatter commonly affects boys 'ho are havin a
ro'th spurt durin their pre!teen or teenae years. One or both &nees
may be affected .
ancreatitis
amylase is slowly rising but remain for days
amylase is more secific but less sensitive than liase
ranson criteria has severity ,redictive/ in acute ancreatitis
ain is increased by sitting and relieved by lying down
contracetive ills is associated
atient has fever , night sweating , bloody sutum , weight loss , d
test was ositive . !=ray show infiltrate in ae! of lung , d test is now
reactionary , diagnosis
activation of rimary tB
sarcoidosis
case control is
bac#ward study