def 2

Question 1

follow -Up after colonic ca resection?

Answer 1

Stage 1-colonoscopy after 1 year then every 3-5 year
Stage 2-colonoscopy after 1 year then every 3-5 year
periodic CEA
CT scan of chest and abdomen anualy
Stage 3:like 2
individualiza

Question 2

metylxantin in acuta asma exacerbation?

Answer 2

no add feect on b agonist and IB
not recomended

Question 3

what about epiniphrine?

Answer 3

not recomended exept inhalant not used

Question 4

what about mgso4?

Answer 4

considerd when no improvment after 1 hour of C/S and beta agonist

Question 5

asyntetic form of ACTH?

Answer 5

Cosythropine

Question 6

used for d/ttype of adrenal insuficiency?

Answer 6

morning cosythropine stimulation test

Question 7

prenatal care in SCD and px?

Answer 7

24hr urine protine
urine cultyre
fetal growth f-up
folic acide
ASPRINE
basline chemistry
PNC vaccination

Question 8

If corpus lutum removed what to give?

Answer 8

progestrone if FGA <10 week

Question 9

seizure after oxytocine?

Answer 9

hyponatremia

Question 10

arythmia managment?

Answer 10

Question 11

best sensitive test for disseminated gonococcus infection?

Answer 11

NAAT in mucosal surface

Question 12

glucagenoma skin lesion?

Answer 12

painful papule/pustule that coalesce to form plaque with central clearing

Associated Sx

DM

Weight loss

Diariaha

neuropsychiatric sx

VTE

Question 13

tumb motor function affected by radial nerve injury?

Answer 13

Abduction

Question 14

why is RL is the best fluid for resuscitation?

Answer 14

same with body physiologic PH

not cause Hyperchloremia and MA like NS

contain Na lactate which is converted to HCO3 and prevent MA

best for even burn patients

Question 15

indication for thoracotomy in hemothorax?

Answer 15

>1500ml imidiate loss

>200/hr for first 3 hr

>20ml/kg for children

Question 16

Dystemia?

Answer 16

>2 years of depressive symptoms >= 2 from SAGE cape

Question 17

prolactinoma managment surgery indication?

Answer 17

if size > 3cm

not respond to anti dopaminegrgic drug

Question 18

Langerhans cell histiocytosis cm, dx, and tx?

Answer 18

Question 19

feeding in ICU patient in MV?

Answer 19

start within 48 hr

decrease risk of infection and catabolism

also, prevent gut atrophy and dysfunction

normal bowel sound and boul function is not requirment

Question 20

emphysematous cholecystitis?

Answer 20

Question 24

atypical antipsychotics mechanism of action?

Answer 24

blook Serotonin and D2 receptors

Question 25

other receptors to be affected?

Answer 25

alpha 1–orthostatic hypotension

H-1–sedation and wt gain

Ach rec–anticholinergic receptor

Question 26

kawasaki disease cardiac complication?

Answer 26

Ventricular dysfunction

coronary artery aneurysm

pericarditis

Question 27

evaluation for hypertyroidism?

Answer 27

Question 28

psychosis tx in Parkinson’s?

Answer 28

reduce dopamine precursor(LD) and Dopamin agonist(PP)

if not respond or Parkinson sx non tolerable –low dose antipsychotics(atypical,typicals are C/I)

Question 29

d/t penialoma from meduloblastoma?

Answer 29

medulloblastoma will have ataxia

Question 30

toreet defnation?

Answer 30

• motor plus vocal thick fot more than a year
• if onley one from two we call persistent motor or vocal tic