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najem Qbank > 500 MCQs > Flashcards

500 MCQs Flashcards

1
Q

managed Pt on insulin with hypoglycemia related to kidney failure?

A

reduced insulin by 20%

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2
Q

PT with DM with infected ulcer next step ?

A

MRI role out osteomyelitis
deep tissue culture to choose antibiotic

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3
Q

confirm dignosis for chilled with stage 1 HTN ?

A

ambulatory BP monitoring

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4
Q

newborn for GDM mother what u should cheek ?

A

blood glu level + hematocrite

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5
Q

main fetal complication for GDM mother ?

A

macrosomia shoulder dystocia

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6
Q

antidypetic medication should not be used in gastroparesis ?

A

GLP1 do NOT
SGLT2 YES

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7
Q

young newly dignosed for HTN stage 1 mangment ?

A

life style
do NOT restrict sport activity

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8
Q

alcohol with DM , witch medication to avoided ?

A

lactic acidosis or hypoglycemia

used sitagliptin

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9
Q

uncontrolled BP on 3 medication next ?

A

add diuretic chlorthalidone

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10
Q

leading cause of perinatal mortality in GDM mother ?

A

congenital anomaly

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11
Q

hot to dignosed stage 1 HTN in pediatric ?

A

3 reading above 130/90

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12
Q

DM Pt post nephrectomy , mechanism of hypoglycemia ?

A

impaired gluconeogenesis

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13
Q

how to managed metformin GIT adversed effect ?

A

do NOT stop
adjust dose gradual increased

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14
Q

contraindication for pioglitazone ?

A

symptomatic HF is contraindication for metformin and thiazolidinediones

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15
Q

contraindication for pioglitazone ?

A

symptomatic HF is contraindication for metformin and thiazolidinediones

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16
Q

most effective Rx to induced ling term in Pt DM+ obesed ?

A

gastric bypass (bariatric)

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17
Q

DM will go to colonoscopy medication adjusmint ?

A

stop empagliflozin

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18
Q

Pt HTN suspect LV hypertrophy , next ?

A

echocardiogram

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19
Q

screen test to detect early diabetic kidney disease ?

A

spot urine albumin-to-creaatine ratio

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20
Q

pediatric with stage 2 HTN what regarding sport restriction ?

A

stop highe-static sport

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21
Q

bilateral distal foot pain and loss sensation + DM , cause ischemic or neuropathic ?

A

neuropathic

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22
Q

pediatric with highe reding BP , next ?

A

=> ambulatory BP
=> mesure lower extremity

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23
Q

how to screen for DM nephropathy?

A

-urine albumin
-serum creatinine

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24
Q

suspect gastroparesis , next ?

A

esophagogastrodudenoscpy or CT to role obstruction

next => scintigraphic gastric emptying study to conform gastroparesis

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25
Q

site for monofilament testing in DM Pt ?

A

planter surface of the distal hallux and 1st 3rd and 5th metatarsal head

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26
Q

well controlled GDM will decreased risk of ?

A

macrosomia

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27
Q

DKA electrolyte picture ?

A

K low
phosphorus low
hypovolemia

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28
Q

pt on high dose insulin , not controlled , next ?

A

switch low concentration glaring with regular inulsin U500

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29
Q

anti-diabetic medication theat control hypoglycemia and reduce CV risk ?

A

-metformin
- GLP1
-SGLT2

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30
Q

resistance HTN on 4 medication not controlled , what finding on Px examination explain the cause ?

A

NECK Circumference > 43 in mean and 40 in women

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31
Q

40 yo DM not controlled 2 year glutamic acid decarboxylase +ve , mangment

A

LADA switch to insulin

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32
Q

how to mesure BP in pediatric ?

A

use cuff with bladder length 80% to 100% of Pt arm

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33
Q

irregular cycle
hirsutism
highe testosterone?
what screening test ?

A

oral glucose tolerance test

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34
Q

Rx for panic attack ?

A

SSRI + CPT
(citalopram)

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35
Q

preventive medication for chronic tension type headache ?

A

amitriptyline

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36
Q

antidepressants medication do not cause sexual dysfunction ?

A

bupropion

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37
Q

women postmenopausal symptom on levothyroxine ,
what lead to chang TSH ?

A

estradiol use affect TSH

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38
Q

mangment of sudden sensorineural hearing loss?

A

highe dose prednisone

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39
Q

natural course of painful thyroiditis ?

A

spontaneous resolution of thyrotoxicosis followed by transient hypothyroidism

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40
Q

galactorrhea and hypothyroidism symptome on depressed Pt what is the cause ?

A

hypothyroidism if sever also raise prolactin

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41
Q

pt on HTN medication present with fatigue and stable bradycardia next?

A

ECG

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42
Q

pregnant with TSH at upper limite 4,5 . next?

A

mesure TPO

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43
Q

conjunctivitis with purulent discharge ,Rx?

A

polymyxin B-trimethoprim eye drop
= fluoroquinolone

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44
Q

postpartum depression Rx ?

A

SSRI sertraline

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45
Q

post MI how to decreased mortality risk ?

A

cardiac rehabilitation

46
Q

Rx of cluster headache ?

A

100%O2 or sumtriptan

47
Q

Pt with dyslipedemia what you should screen to know the cause ?

48
Q

Pt on fluoxetin 20 mg partially improvement in OPD , next ?

A

increased dose
maximum dose 80 mg

49
Q

eye pain , decreased vision , white spot in cornea , dignosis?

A

corneal ulcer

50
Q

mangment of agoraphobia ?

51
Q

Rx or corneal abrasion ?

A

ofloxacin eyedrops
or
erythromycin ointment

52
Q

what elevated in Rt ventricular infarction ? lead II ,III

A

central venues pressure

53
Q

mangment of allergic conjunctivitis ?

A

EYE drop contain
-antihistamine
-mast cell stabilizer

54
Q

what indicate the highest risk for a suicide attempt ?

A

suicidal ideation

55
Q

murmur after inferior MI , caused ?

A

papillary muscle displacement

56
Q

headache awake from sleep getting bad by time ., next ?

57
Q

depression in geriatric , Rx?

A

sertraline

58
Q

red eye that resolve after application of phenylephrine 2.5% ?

A

episcleritis

59
Q

how pediatric Pt with MDD present ?

A

mood symptom and irritability

60
Q

4 year old
recurrent ottiets media
inattention
dignosis ?

A

meddle ear effusion

61
Q

mangment of euthyroid sick syndrome ?

A

Q56 part 2
repeat TSH and free thyroxin during recovery .

62
Q

management of postpartum psychosis?

A

immediate psychiatric hospitlization

63
Q

chronic conjunctivitis + UTI or genital symptome
organism ?

A

chlamydia trachomatis

64
Q

CTS + constipation =

A

hypothyroidism

65
Q

foreign body sensation + vascular groth over conjunctiva =

66
Q

insomnia + depression =

A

mirtazapine

67
Q

neoborn with highe TSH next ?

A

rechheack TSH + T4
and start levothyroxin

68
Q

pregnant with asthma on SABA not well controlled , next ?

A

low dose inhaled cortisol ( budesonide )
fierst line

69
Q

angina + asthma exacerbation , mangment ?

A

neb albetrol-ipratropium
+ IV methylpred

70
Q

obes Pt aim to lose Wt , target loss in 6 month ?

A

5%-10% of body Wt

71
Q

bariatric surgery decreased risk of ?

A

reduced risk of premature mortality

72
Q

organism in malignant otites media ?

A

Pseudomonas aeruginosa

73
Q

mangment of acute asthma exacerbation ?

A

O2
albutrol
ipratropium
Iv glucocorticoid

74
Q

pt on fluticason 125 not controlled , next ?

A

budesonide-formterol inhaler

75
Q

asthm with Res acidosis , next ?

76
Q

adult with new onset asthma suspect , next ?

A

spirometry => dermal pach test for allergies

77
Q

pediatric with asthma uncontrolled with multiple admission , next ?

A

tiotropium

78
Q

mangment of uncomplicated mastoiditis ?

A

IV antibiotic

79
Q

best diagnostic test for asthma ?

A

mesure FEV1 before and after beta-agonist .

80
Q

mangment of breast abcess ?

A

IV AB
needle aspiration

81
Q

most common enviromenter trigger for asthma ?

A

2ed hand smoker

82
Q

pediatric Pt on mediums dose ICS nt controlled , next?

A

add LABA or montelocast

83
Q

clinical predictor of admissions in Pt with acute asthma ?

A

O2 saturation <94 after treatment

84
Q

Pt on asthma exacerbation , what chang in Pt will be most worrisome ?

A

chest examination no longer reveal wheezing

85
Q

Pt in acute asthma exacerbation get wors + no IV line next ?

A

IM epinephrin

86
Q

brast mass in young pinless no chang in size , Dx?

A

fibroadenoma

87
Q

asthma Pt on medication start to be anxious with vivid dread , next ?

A

stop montelukast

88
Q

mangment of AOE ?

A

otic drop containing AB and glucocorticoid

89
Q

mangment of OME with no speech and hearing problems ?

A

watchful waiting

90
Q

40 women with breast mass chang in size tender , dX ?

A

fibrocystic breast disease

91
Q

Pt on PRN ICS+LABA not controlled next ?

A

daily ICS=LABA

92
Q

adolescent with obesity no comorbidity , mangment ?

A

intensive health behaviour and life style treatment

93
Q

what is best long term stratgy to stop progression of osteoarthritis?

A

Wt lose program

94
Q

mangment of septic arthrities in prosthatic joint ?

A

vancomycin + ceftrixone

95
Q

mangment of septic arthritis in drug injection ?

A

vancomycin and cefepime

96
Q

hematology effect of methotrexate ?

A

MACRocytosis

97
Q

osteoarthritis of carpal metatarsal joint not respond to conservative , next ?

A

carpometacarpal orthosis

98
Q

Pt will go to OR and intubation , known RA , what he should investigate before ?

A

cervical spine radiograph

99
Q

septic arthritis + pnemonia ?

A

streptococcus pneumonia

100
Q

advanced chronic kidney diseas + polyarticular gout , Rx?

A

systemic glucocorticoid

101
Q

reactive arthritis caused by Chlamydia , mx ?

A

doxycycline + NSAID (indomethacin)

102
Q

next step in suspected case of reactive arthritis ?

103
Q

asymptomatic Afib , next step Rx?

104
Q

Preeclampsia with no complication , Mx ?

A

labetalol
follow up OPD

105
Q

asthma Pt on every thing , next ?

106
Q

nonexertional chest pain . pediatric , with episod for second , dX ?

A

precordial catch syndrome

107
Q

antibiotic interact wit SSRI ?

108
Q

osteoporosis , witch anti-diabetic medication should be avoided ?

A

piglitazonen

109
Q

apical wall motion abnormality + preserved function of cardiac base , Dx?

A

pheochromocytoma

110
Q

complicated diverticulitis ?

A

pipracillin-tazobactam

111
Q

mangment of HTN + pheochromocytoma ?

A

phenoxybenzamine

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