d4

Question 1

bronchiectasis exacerbation signs?

Answer 1

fever, increase SOB, and sputum production
always have bacterial etiology
need Ab treatment

Question 2

pill indeced ulcer cxs?

Answer 2

discreet ulcer with surrounding normal mucosa
MC at mid esophagus b/c of the aortic arch and enlarged left atrium

Question 3

FRAX calculator?

Answer 3

These clinical risk factors include age, sex, race, height, weight, body mass index, a history of fragility fracture, parental history of hip fracture, use of oral glucocorticoids, rheumatoid arthritis and other secondary causes of osteoporosis, current smoking, and alcohol intake of three or more units daily.

Question 4

the cause of symptoms in VSD?

Answer 4

left V high output failure
Pulmonary circulation increment

Question 5

sarcoidosis management?

Answer 5

asymptomatic: follow up
symptomatic: systemic GC

Question 6

acne managment?

Answer 6

Question 7

Bartholin duct abscess management?

Answer 7

asymptomatic–just obserb

symptomatic/abscess–drainage and place whorl catheter

marsupialization–for recurrent case/abscess

Question 8

what are high risk factor patient for STI in px?

Answer 8

age <25

prior STI

risky sexual behaviour–MSP/CSW

Question 9

What to do in ANC?

Answer 9

DO screening for Following STI at 1st visit and 3rd TM

HIV

RPRT(Syphilis)

HBV

Chlamydia and gororhea

Question 10

pregnancy and apendicitis?

Answer 10

atypical px(apendix move to RU/MID quadarnt or right flanck)–sx at thise srea

Question 11

eryspilas and celulitis d/t clinicaly?

Answer 11

e-sup. dermis and lymphatics

C-deep dermis and subcutaneous fat

e–rapidly progressive

c–slowly develop

e–raised, clearly demarcated red lesion

c-flat,non clearly demarcated

e–early fever

c-late fever

Question 12

x-ray of RDS?

Answer 12

bilateral Ground glass opacity

lung size reduced(atelectasis)

air bronchogram

Question 13

synonyms chorea CM?

Answer 13

sudden, involuntary jerking movt worse with action and activity

Hypotonia

Behavioral abnormality(irritability and ADHD)

Question 14

management?

Answer 14

chronic antibiotic

anti dopaminergic(e.g Haloperidol)

Question 15

brown spider bite CM?

Answer 15

Question 16

strabismus CM?

Answer 16

Question 17

indication filter for DVT patients?

Answer 17

C/I for anticoagulant(active severe bleeding, recent surgery, and hemorrhagic stroke)

failure of anticoagulant

Question 18

DVT management?

Answer 18

Question 19

Depression in adolescence atypical feature?

Answer 19

Become irritable rather than SAD

School performance and relationships must be assessed

Question 20

Bed bug, Pediculosis, and scabies CM?

Answer 20

Question 21

spider and thick?

Answer 21

Question 22

Indication for endometrial biopsy in age <45?

Answer 22

AUB>6 month

AUB failed for medical treatment

obesity

on tamoxifen

Question 23

Active VZV exposed pregnant, Newborn, and IC patient management?

Answer 23

If not recive 2 dose of VZ vacine

Or not have Hx of confirmed infection

give IVIG

Question 24

hematuria pattern and lesion location?

Answer 24

throughout urination–Renal or entire Urinary tract

Terminal urination–Bladder neck and trigon and prostate

at the beginning–Urethra

Question 25

spesific risk factor for corunal/intersticial ectopic PX?

Answer 25

IVF

Bicorunate/Unicorunate utrus

Question 26

anterior horn cell damage?

Answer 26

will have LMN

SMA/ALS/Polio and PNS

Question 27

hemarthrosis after recombinant started in severe FVIII deficient patient?

Answer 27

antibody formation

but in the case of acquired VWF def–mucosal and skin bleeding

Question 28

Breath-holding spell?

Answer 28

6 month–5 year

Question 29

ADHD management?

Answer 29

Age<6 –recommend parent-child behavioural management

If age >=6 pharmacotherapy