July

Question 1

Regular dose for folic acid

Answer 1

0.4-0.8

Question 2

Neck mass 2x2, left side of neck, posterior angle of mandible, US: large LN w/cystic component, FNA: follocular cells, dx?

Answer 2

Papillary thyroid carcinoma

Question 3

Unstable + unrestainee RTA + abdominal distension + signs of organ dysfunction, best mx

Answer 3

Explarotry laprotomy

Question 4

Abd pain + back pain + headache w/menses + resolves 3rd day

Answer 4

Primary amenorrhea

Question 5

2x2 perirectal abscess + asymp, mx?

Answer 5

Incision & drain

Question 6

What’s the INR to keep patients on warfarin in

Answer 6

2-3

Question 7

N.meningitidis contact

Answer 7

droplet

Question 8

Pedia + Multiple red spots + large red spot around eye, mx?

Answer 8

Refer to optha

Question 9

Papillary thyroid cancer + lymph node in the rt side, next step

Answer 9

Refer to surgerg

Question 10

Bleeding after 5 days of tonsillectomy caused by

Answer 10

Infection

If >2wks it’s coagulopathy

Question 11

Tonisillitis + painful swallowingc coryza for 2d, inv?

Answer 11

CT

Question 12

18m + otitis media + pain + crying for 24hrs, mx?

Answer 12

AB: amoxycillin “pt is toxic apprearance”

Give AB if < or eq 6m, <2yrs if bilateral, more that 48-72, severe, systemic, toxic appearance, chochlear implants

Question 13

Laugh loudly and squels, age?

Answer 13

4-5m

Question 14

Polymyalgia rehunatica + b-sx, dx

Answer 14

GCA

Question 15

Baby + contact w/grandfather w/TB, how to dx?

Answer 15

Do tuberculin skin test or igra, and asses for patients sx

Question 16

Cannon A wave disease

Answer 16

Pulmonary artery stenosis

Question 17

Pyloric stenosis, next step

Answer 17

Npo then iv fluid

Question 18

Severe dehydration, fluid type

Answer 18

LR

Question 19

35 female + smoke+ complicated pregnancy, why?

Answer 19

Smoker

If age more than 35 then age

Question 20

Crohns controlled on steroid + multiple fistula, mx?

Answer 20

Infliximab combined w/antibiotic

Question 21

Dvt + warfarin + inr 6.8, next?

Answer 21

Hold warfain

5-9

Question 22

Tibia + fibula fracture + parasthesia + abaent pulse, nxt?

Answer 22

Fasciotomy

Question 23

Significant ASD + Asymptomatic, when to do tx?

Answer 23

patch repain 3-5

“if he says mild & asymptomatic, wait for spontanous closure.

Question 24

Subehaptic biloma, mx

Answer 24

CT guided treatment

Question 25

Collection + behind the stomach at the para-aortic area + constipation

Answer 25

Pancreatic psudocyst
If inflamed go with percutanous darin
If not inflamed go with endoscopic drain