Gen Flashcards
Pregnant lady, what vaccine should she get at first visit?
Influenza
A 9-year-old boy who presents to the Emergency Department with fever, headache, sore throat, and vomiting. He recently arrived from Africa with his parents. On examination, he shows abnormal reflexes, stiff neck and difficulty in lifting his head and legs when he was lying flat on
his back. His laboratory investigations show a dear CSF with lymphocytosis, normal glucose level, and normal protein level. No bacteria were seen.
Which of the following is the most likely organism responsible for his illness?
Poliovirus
Date : 2024-3
Repeat : yes Feb 2024 specialty : pedia
Q:3
What is the most common complication of GDM? A. Congenital anomalies
B. Macrosomia
C. Shoulder dystocia
D. Hypoglycemia
B
pregnant woman presented to the clinic. She is a high gravida and has done previous cesarean sections. She has metastatic cancer and her doctor advised for the termination of the pregnancy but her husband is refusing. What is the appropriate action?
A. You need both consent her and husband. B. Only need her consent
C. Only need consent and she should inform her husband D. Obtain consent from a representative
C
Patient come from hajj and then he developed fever and rash what types of isolation should have ?
A- Standard
B- Airborne
C- Contact
D- Droplet
D
Type of MI should have ?
A- Inferior
B- Anterior
C- Lateral
D- posterior
A
25 YO primigravida at 36 weeks presented with feeling fatigue and unwell. She shortly developed shortness of breath and died. CXR showed: enlarged cardiac Shadow. What is the likely cause of her presentation?
A. Amniotic Fluid Embolism
B. PE
C. Peripartum Cardiomyopathy
D . Myocardial infarction
C
A 3-month-old girl is hospitalized for confirmed pertussis infection. She is started on macrolide therapy. She has 2 other siblings at home, 3 and 5 years old who are both up to date for their vaccinations.
Which of the following is the most appropriate recommendation for her asymptomatic sibling? A. Immediate booster vaccine with DTaP
B. Start chemoprophylactic therapy with macrolide
C. Close observation for signs and symptoms of pertussis
D. Booster vaccine with DTaP if they are from high risk group
B
A 33-year-old man was involved in a motor vehicle crash. On arrival to the Emergency Department, he was conscious and alert. Examinaton showed an open wound to the anterior surface of the neck with devitalized tissue.
Blood pressure 100/60
Heart rate 104 /min
Respiratory rate 28 /min
Oxygen saturation 87%
Which of the following is the most appropriate next step?
A. Oxygen mask
B. Tracheostomy
C. Cricothyroidotomy
D. Endotracheal intubation
D
Pregnant with high random blood sugar reading and fasting sugar. She’s at risk of what vaginal Infection?
A. bacterial vaginosis
B. candida
C. N gonorrhea
D. Physiological change
B
20 years old female DM 1 came your clinical A. bacterial vaginosis, purulent virginal secretion odder less thick , white color ?
B. candida
C. N gonorrhea
D. Physiological change
B
Old women presented with lower gi bleeding on examination diffusely tender abdomen perianal exam showing fresh blood patient is unstable despite receiving blood Bp70/50 What is the most appropriate management:
A. laparotomy
B. Angiography
C. Urgent colonoscopy
D. CBC
B
Mother of asthmatic child is worried about the future of her child’s case. What you will tell her? A. He will have asthma for the rest of his life
B. Pediatric asthma will disappear by adolescence
C. Pediatric and adult asthma are unrelated to each other
D. His case will develop into chronic lung disease
B
During a surgical preparation, a intern noticed that something was not properly sterilized During inserting foley catheter The intern immediately said, “Stop now; it was not properly sterilized.” What type of communication was used?
A. Check back
B. Call out
C. Critical language
D. Closed loop communication
C
Warfarin did not stop by the patient regardless of clear instructions, the nurse in OR noticed that the patient didn’t stop the drug as instructed and informed the surgeon, So the surgeon postponed the operation?
A. Adverse event
B. Medical negligence
C. Near miss
D. Principle of totality
C
Infant presented with forceful vomiting, baby is is born full term to a 23 YO primigravida uneventful pregnancy with normal vaginal delivery, on examination no congenital anomalies were noted what is the most likely diagnosis
A. duodenal atresia
B. necrotizing Enterocolitis
C. Hirschsprung’s
D. Pyloric stenosis
D
Child presented with projectile vomiting, diagnosed with pyloric stenosis, what is the most appropriate next step?
A. NGT
B. NPO
C. IV 0.9% Na bicarb
D. US
C
Pediatric pt with non bilious forceful vomiting,always hungry palpated olive shaped mass pt lethargic cyanotic limbs dehydrated Next step?
A-Upper Gi series
B-Correct dehydration and electrolytes imbalance
C. Abdominal US
D. Endoscopy
B
pyloric stenosis What is the definitive ttt
A. Pyloromyotomy
B. Gastrojejunostomy
C. Balloon dilatation
D.Anastomosis
A
Manifestation of child wih pyloric stenosis what’s the most appropriate for diagnosis:
A. erected xray
B.CT scan
C. Gastroscopy
D. US
D
28 year-old female have neuropsychiatric SLE asking about the appropriate treatment:
A. High dose steroid +cyclophosphamide
B. High dose steroid + mycophenolate
C. Cyclophosphamide
D. Paracetamol
A
A 15 months old child is brought to the emergency department after having a generalized tonic-clonic seizure that lasted approximately 5 minutes. The parents say that the child had been previously well but developed cough and rhinorrhea earlier that day with a temperature of 39.2 C. Which of the following is the most appropriate management?
A. Diazepam.
B. Phenytoin.
C. Head CT scan.
D. Control of the fever.
D
A 70-year-old male presented with frank hematuria, He has no other urinary symptoms, and no fever, upon examination there was a palpable mass in the rectal examination of the prostate, urine analysis, culture and CT pyelogram all were negative only positive thing was RBCS in urine without WBCs or RBC Cast, what is the most appropriate next step that will
lead to the diagnosis?
A. Repeated urine culture
B. Cystoscopy
C. Antibiotics
D. TRUS biopsy
B
21-year-old female had severe head and maxillofacial fracture injury presenting unconscious, with dark ecchymosis around the eyes and crusted blood in her nose and large amount of blood in mouth. What is the best way to secure her airway?
A- Orotracheal intubation
B- Nasotracheal intubation
C- Cricothyroidotomy
D- Tracheostomy
C
