diagnosis

Question 1

Pt with back pain and groins his pain is severe that he cannot stay still and keep rolling, he
has hematuria urine analysis has blood and epithelial cells “ no other investigations”

Answer 1

uretre stone

Question 2

A six year old girl presenting to the pediatric emergency department with unstable gait and
progressive difficulty climbing the stairs over the last 10 days the parents reported that the child
has bee in n “choking on her own saliva” the symptoms began was prickly sensation in the
fingers and toes that developed to ascending and symmetrical there is a history of viral
gastroenteritis three weeks before physical examination confirms the absence of the knee-jerk
reflex CSF analysis of weighted protein concentration with normal cell count
nerve conduction test reduced velocity

Answer 2

guillain barre syndrome

Question 3

Patient presented with abdominal pain for 1 day intermittent, right sided pain and fullness
and rigidity Pregnancy test is negative (she was hypotensive and had fever)

Answer 3

Ovarian torsion

Question 4

Forgot Y/o presents with left lower quadrant pain with nausea and vomiting , on
exam there is rebound tenderness?

Answer 4

diverticulitis

Question 5

Child with palpable mass in the abdomen with absent iris and urine analysis showed 15
RBC a symptomatic

Answer 5

?Nephroblastoma (ideally WAGR syndrome)

Question 6

Child has recurrent uti and undescended testis and aniridia What else is expected
to be found ?

Answer 6

Nephroblastoma

Question 7

Similar recall: 3 year old abdominal distention vomiting bloody urine upon examination small firm
mass (around inguinal i think) absent iris, and undescended testes.
Labs:
Urine color clear
Appearance turbid
High leukocytes high erythrocytes

Answer 7

nephroblastoma

Question 8

Child with cheek vascular anomaly

Answer 8

Hemangioma

Question 9

child have dry non purulent conjunctivitis, cracked red lips, erythema (I think trunk, sole,
hand)

Answer 9

Kawasaki disease

Question 10

Pt with dysuria and cloudy urine with bubbling for 2 months, hx of recurrent left iliac fossa
pain for the past 2 years ! Colonoscopy: no diverticulosis or polyp, Cystoscopy: erythema on
dome of the bladder.

Answer 10

Diverticular diseases

Question 11

baby with noisy breathing and wheezing that improves when prone and increases when
supine. It will resolve on its own by first year

Answer 11

Laryngomalacia

Question 12

Long Case of child have urti sx and barking cough

Answer 12

Laryngotracheobronchitis (croup)

Laryngotracheitis (croup)

Question 13

38 YO female presents to the clinic after finding of hilar lymphadenopathy on CXR. She
has on and off cough, but denies any fever, headache, n/v, weight loss all negative. Labs
insignificant except for X-ray shows confirmed bilateral hilar lymphadenopathy CT guided biopsy
shows noncaseating granuloma (They wrote “all labs
were normal” and didn’t mention hypercalcemia)

Answer 13

sarcoidosis

Question 14

Patient came after 3 days of MVA and came with “battle sign”

Answer 14

basilar skull fracture

Question 15

Multiple small breast masses bilateral get worse prior to menses

Answer 15

Fibrocystic

Question 16

Patient presented to the ER with diarrhea, nausea, vomiting, salivation, lacrimation and
abdominal cramps.

Answer 16

Organophosphate poisoning

Question 17

A case of young male asymptomatic presented abnormal LFT. He is a smoker and drinks
alcohol in the weeknds. Labs showed high AST ALT (2:1 ratio) Tbilli and slightly high iron and
TIBC and very high ferritin (450). What is the cause of his abnormal LFT

Answer 17

alcoholic hepatitis

Question 18

Female with vaginal discharge Grey, fishy odor, smear : show clue cells, ph>4.5

Answer 18

Bacterial vaginosis

Question 19

case mentioning that a child has “certain amount of” cafe au lait spots and axillary
freckling and many other features and his cousin has this as well

Answer 19

neurocutaneous syndromes

Question 20

Neonate found to have ambiguous genitalia with high 17-Hydroxyprogesterone

Answer 20

congenital adrenal hyperplasia

Question 21

A 37 GA pregnant presented with moderately sever bleeding(written like this) US done
showed: placenta covering the cervical oss and a 32 pregnancy

Answer 21

Placenta previa

Question 22

30 years old male ve diarrhea since 10 months no blood in the stool and the loss of weight
10 kg, lab shows that microcytic anemia and thrombocytosis

Answer 22

celiac disease

Question 23

women with urine drippling, dysurea and dysparunia, denise any history of surgery

Answer 23

urethral diverticula

Question 24

CSF analysis of 59y/o male showed lymphocyte 90%, -ve gram stain

Answer 24

viral meningitis
( in pedia take ANB and anti viral)
in adult supportive if viral

Question 25

Patient did heamorrhoidectomy 2 weeks ago now came with sob (given ecg but was not
clear)

Answer 25

pulmonary embolism

Question 26

febrile patient PPH 2 weeks

Answer 26

Endometritis

Question 27

Child came with a coca-cola urine, he also has a history of fever for 1 week, his throat is
congested and cervical lymph nodes are palpable,

Answer 27

PSGN
low C3 and normal C4 after impetigo or

IGA (burger) one day to one week normal complement

Question 28

DM history of PDA pain when he walks 300 m relive by rest

Answer 28

Peripheral artery disease

Question 29

Patent ER pain all vital stable x.ray fracture 3-4-5 rib

Answer 29

flail chest

Question 30

A 50 years old female no past surgical and medical history, presented with
complaints of urine incontinence with coughing and sneezing,

Answer 30

stress inconteneace

Question 31

Alcoholic, right hypochondriac pain and i think weight loss, alpha fetoprotein is high
No other labs, Image: CT showed multiple lesion in liver and cirrhosis

Answer 31

Hepatocellular carcinoma

Question 32

Man put a cover on the television because he thinks the government is watching him, he
says god himself told him to that ?

Answer 32

Schizophrenia
should be delusional disorder,

Question 33

Old female 65 complaining of central back pain relived by acetaminophen, and after
waking up for 30 minutes. Mri showed paraspinal stenosis

Answer 33

spinal stenosis

Question 34

39 years old female who has three children and completed her family diagnosed as
endometrioma which was removed 2 years ago, right ovary cyst she presented to the clinic with
mild to moderate dysmenorrhea and dyspareunia during intercourse and chronic lower abdominal
pain. Pelvic ultrasound shows: Left ovary endometrioma cyst 6x7 in size.

Answer 34

Endometriosis

Question 35

6 years old girl presented with abdominal pain and dark tea-like urine.
She had history of sore throat 2 weeks ago.

Answer 35

Glumerulonephritis

Question 36

rash caused by ampicillin or amoxicillin

Answer 36

infectious mononucleosis

Question 37

Hx of small gall bladder stones , presenting with epigastric pain, nausea and vomiting
Amylase. Billirubin and lft all were normal . X RAY : pleural effusion

Answer 37

pleural effusion

Question 38

Hydatid cyst 6 cm

Answer 38

cystic echinococcosis

Question 39

3 yrs child , the mother noticed blood in his diaper for 2 days , no abdominal pain or
constipation , he has similar episode 3months back

Answer 39

juvenile polyp