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Question 1

schizophrenia etiology
and diagnosis

Answer 1

• genetic
• enviromental

positive symptoms more than 6 months

Question 2

schizophrinia symptoms

Answer 2

• hallucinations :visual/voices
• delusion(paranoid)

Question 3

schizophrenia Tx

Answer 3

antipsychotics /neuroleptics+ cognetive behavioral therapy

1st generation : haloperidol (high side effects)

second generation: (low side efects ) quetiapine/clonazepam/ariprazole

Question 4

schizophrinia complications

Answer 4

catatonia

Question 5

delerium presentation and etiology

Answer 5

-acute mental state that is reversible
- loss of orientation
etiology: old age
medications
infections:pneumonia/UTI
alcohol whithdrawl

Question 6

delerium tremens

Answer 6

from alcohol
tremor/seizures/loss of orientation

Question 7

alcohol withdrawl

Answer 7

no loss of orientation
TX/prevention:diazepam

Question 8

depression

Answer 8

• > 2weeks
• lose appetite
  -loss of interest
  -low concentration
  -low energy
  -sleep disturbance
• high risk for suicide

Question 9

anhedonia

Answer 9

loss of intrest

Question 10

chronic adrenal insufficiency diagnosis

Answer 10

morning cortisol levels

Question 11

glascow coma scale (eye opening)

Answer 11

spontanious -4
to verbal command-3
to pain-2
no response - 1

Question 12

glascow coma scale minimum and maximum

Answer 12

minimum - 3 points (deeply comatose )
maximum- 15 fully consious

if less than 8 - indication for intubation

Question 13

syphilis etiology

Answer 13

treponema palladium

Question 14

syphilis stages and characteristics

Answer 14

primary:painless ulcer–>resolve

secondary :rash on palms and soles

tertiary: brain /cns/vision

Question 15

syphilis DX:

Answer 15

rapid plasma reagin test ,if positive–> treponemal test

Question 16

syphilis treatment

Answer 16

penicillin intra muscular one dose

Question 17

side effect of penicillin in syphilis pationts

Answer 17

Jarix Hexheimer Syndrome
fever chills …

Question 18

normal BMI

Answer 18

18-25
<18–>underweight
> 25 overweight
> 28/25 –>obese

Question 19

android type of obesity

Answer 19

abdomen+thoracic
usually on men
increased appetite

Question 20

gynoid type of obecity

Answer 20

hips,thighs ,usually in women

Question 21

asthma charactarestis

Answer 21

• obstructive (exhalation)
• chronic cough
• wheezing during inhalation
• air trapping –>band box
  sound,hyper-resonance

Question 22

asthma diagnosis

Answer 22

• improved by beta-agonist (salbutamol)
  -methacholine stimulation (cholinergic agonist )
  -

Question 23

beta 2 activation

Answer 23

Broncho dilation

Question 24

m3 activation

Answer 24

spasm

Question 25

carcinoid syndrome

Answer 25

• in appendix or small intestine and secrete serotonin (asymptomatic)
• ## if metastatised to liver (for example) its symptomatic :flushing of face ,asthma , murmur in HR ,diarrhea

Question 26

occult blood test

Answer 26

RBCs in stool

Question 27

crohn’s disease

Answer 27

• starts in ileum
• RLQ pain
  -diarrhea
  -cobble stone on colonoscopy
• skipping inflammation

Question 28

extraintistinal manifistation of cronns

Answer 28

• arthritis
• ankelosing spondilitis (bamboo spine)
• uvitis –>rash

Question 29

ulcerative colitis manifestations
symptoms
treatment

Answer 29

• left lower quadrant region pain
• continues inflammation
  -bloody diarrhea
  -pseudopolyps
• starts in recto-sigmoid junction
  -could progress to toxic megacolon
• tx: mesalamine/sulfasalazine