Medicine Flashcards
1
Q
Diastolic murmur with pistol shot sound in the femoral artery?
A
C-aortic regurgitation
2
Q
Pic of clue cells diagnosis
A
Bacterial vaginosis
3
Q
Coagulation for ckd
A
UFH is safe in CKD patients
4
Q
Hepatitis
A
Check
5
Q
3/6 Decrescendo murmur, diastolic
A
Aortic reg
6
Q
inferior MI, how to manage
A
IVF then MONA. [Morphine, Oxygen, Nitroglycerin, Aspirin)
7
Q
valvular disease, radiate to carotid?
A
Aortic stenosis
8
Q
Patient with HTN Emergency, how to manage
A
Na Nitroprusside
9
Q
TB patient he start to have some pricks in the finger tips which been increasing what to do?
A
It is a SE of Isoniazid and treated by pyridoxine.
10
Q
Crohn’s disease symptoms. Which part of intestine is almost affected?
A
Ilium
11
Q
Hyponatremia + Low urine output + high ADH + over hydration + low serum osmolarity but high urine osmolarity.
A
SIADH
12
Q
Hypernatremia + High urine output + low ADH + dehydration + polydipsia + high serum osmolarity but low urine osmolarity.
A
DI
13
Q
rheumatoid arthritis. How to confirm?
A
Anti ccp
14
Q
malaria of a patient returning from Sudan:
A
Mefloquine
15
Q
Treatment of ITP
A
IVIG
16
Q
malaria prophylaxis
A
Atovaquone / proguanil (Malarone
17
Q
HCV needle stick injury protocol:
A
Q156
18
Q
Treatment of brucellosis
A
1-Treat with doxycycline and gentamicin. Add rifampin for bone and heart infection.
19
Q
female patient using warfarin. She had intracranial bleeding
A
. FFP and vitamin K
20
Q
Duration of schistosomiasis treatment?
A
4 m
21
Q
Vulvar lesion black or pigment in 23 y female as I remember with itching
A
autoimmune melanocytes
22
Q
Total parenteral nutrition deficiency
A
Vitamin K, Mg++ and phosphate are low in TPN
23
Q
DDP-4 inhibitor can use safely without modifications of the dose in patient with renal disease ?
A
Linagliptin
24
Q
salmonella Tx
A
Ciprofloxacin in adult
Ceftriaxone in children
25
Patient presented with jaundice, labs showed high direct bilirubinemia (obstructive jaundice), what is the most likely diagnoses:
Choledochal cyst
26
campylobacter infection Treatment
Azithromycin
27
hypersegmented neutrophils are associated with which type of anemia
B12 and folate
28
51 years old complain of fever, headache & neck pain, What’s the most likely organism
Listeria monocytogenes
29
what to give to stop the action of streptokinase
Aminocaproic acid
30
brucellosis. ABs duration
6 weeks without neural symptoms
31
Healthy patient with pneumonia, what AB will you give
Azithromycin
32
years old female had diarrhea and bloating, she now eating gluten- free diet and her symptoms
Resume eating gluten, then do blood test
33
management of hepatitis c?
Check
34
Patient treated with anti-tuberculosis came with joint pain lab show high uric acid the drug cause this :
Pyrazinamide and ethambutol are two anti tuberculous drugs that induce hyperuricemia.
35
Egg on a string
Transposition of the great arteries (TGA)
36
pertussis, his brothers where in contact with him
Macrolide (oral azithromycin for five days
37
intermittent fever
Yellow fever
38
echolalia, echopraxia and mood changes. Treatment
Tourette syndrome
39
Hypoglycaemia scenario.
Dextrose 10% 2ml/kg
40
campylobacter jejuni. What medication to give?
Azithromycin
41
treatment for Wilson’s
Penicillamine
42
Subacute thyroiditis labs
Early stage: hyperthyroidism
- After early stage: hypothyroidism
43
Case suggestive of Guillain Barre syndrome. What is the best diagnostic test?
Nerve conduction study
44
Acute rheumatic fever: Clinical manifestations
Jones cafe pal
45
Indication for thoracentesis:
Loculated pleura
46
MI after 2 hours became hypotensive and bradycardic
give inotropes to restore blood pressure and flow
47
Lights criteria
Trans update LDH<200, LDH
48
COPD spirometry
increased TLC, Dec VC, Dec FEV1/FVC
49
toxoplasmosis
pyrimethamine/sulfadiazine
50
Coombs +ve
AIHA
51
Coombs -ve
Hereditary spherocytosis
52
Triad of Bronchiectasis, Chronic sinusitis, and Situs inversus
Kartagner syndrome
53
ascites due to liver cirrhosis
Spironolactone + Furosemide
54
Baby with ambiguous genitals, high 17 hydroxyprogesterone
21 hydroxylase
55
took medication for lipid and caused him flushed red face
Niacin
| Asa to prevent
56
DM patient on metformin, now he has proteinuria for first time, what to do?
Repeat Albumin/creatinine?
Do 24 hour urine microalbumin?
57
(pic of CXR) with upper lobe cavitation + air-fluid level >> Q. What is the treatment?
Clindamycin if lung abscess or 2nd gen. cephalosporin
58
diastolic murmur and pounding pulse
Aortic regurgitation
59
Old age DM not Insulin dependent develop swelling at the back of neck abscess with multiple openings discharge
Carbuncle
60
Patient at ER abundant poor hygiene, suspicious, aggressive Dr think it’s behavioral disease and call psychiatric
Schizophrenia
61
Prolonged PT alone
Test factor VII activity
62
●Prolonged aPTT alone
Test factor VIII, factor IX, and factor XI activity
63
●Prolonged PT and aPTT
Test factor V, factor X, factor II (prothrombin), and fibrinogen
64
●Normal PT and aPTT
Test factor XIII activity
65
Bronchiectasis case. Best diagnostic test
CT scan
66
Which of these extra intestinal Crohn’s disease features reflect it activity
Erythema nodosum
67
Patient 28 years with symptoms of celiac disease symptoms. Which part of intestine is almost affected?
Jeju
68
What causes peripheral neuropathy in tb treatment
Isoniazid , give vitamin B6
69
Patient with macrocytic anemia and peripheral neuropathy low B12 normal folic acid what should you check?
intrinsic factor
70
Acute gout attack. What’s contraindicated?
Allopurinol
71
Patient with Parkinson’s only affecting the wrist: “isolated tremor” ; what medication?
Levodopa
72
Atrial fibrillation:
Warfarin 2-3
73
Recurrent axillary infection with multiple sinus most common cause?
Sebaceous gland
74
Pulmonary HTN stage 3 due to?
Hypoxia
75
HBsAg neg
Anti HBc pos
Anti HBs pos
Immunity due to chronic infection
76
HBsAg neg
Anti HBc neg
Anti HBs pos
Immune due to hepatitis b vaccine
77
HBsAg positive
Anti HBc positive
Anti HBs negative
IgM anti hbc positive
Acute infection
78
HBsAg positive
Anti HBc positive
Anti HBs negative
IgM anti hbc negative
Chronic infection
79
Which indicates acute severe asthma?
PEF < 200
80
Diabetic patient on 1 gm metformin and parameters still high what is the next
Increase the dose
81
(ST-segment depression) in the inferior leads (II, III, and aVF)
Inferior MI
82
dermatitis herpetiformis
Celiac
83
the CURB-65 score:
```
o Confusion
o Uremia > 7mmol/L (20mg/L)
o Respiratory rate > 30/minute
o Blood pressure <90mmHg systolic, or <60mmHg diastolic
o Age ≥ 65 years
```
84
How to prevent hypercalciuria that causes stones:
Thiazides
85
Bronchiectasis case, best diagnosis test:
CT scan
86
Which of the following is a minor criteria of rheumatic fever?
Polyarthralgia
87
SLE serology diagnosis
Antinuclear antibodies (ANA)→ most sensitive
• Anti-dsDNA is most specific
88
What drug reduces the mortality in congestive heart failure?
ACEIs
89
What is the mode of transmission of neurofibromatosis?
Autosomal dominant
90
Patient with hematuria + hemoptysis and sinusitis:
Wegner polyangitis
91
____ are the first line treatment of hypertension and is used in diabetic patients with hypertension to protect the kidney.
ACEIs
92
When to start screening for osteoporosis
65
93
What is the favorable place for AV fistula?
D-Radial artery Cephalic vein
94
Lateral MI
Leads I, V5, V6
95
Which of the following is not safe for adenosine infusion?
Theophylline
96
Patient with pinpoint pupil. What to give?
Naloxone
Pinpoint pupil is a sign of opioid intoxication
97
1. A long case and there is stony dullness in chest what the diagnosis
Pleural effusion
98
Cluster headache treatment:
Oxygen 100%
99
Headache at 3 am with rhinorrhea and tearing what is best prophylaxis?
Verapamil
100
Asymptomatic 3 months old baby, with CBC result of mild microcytic hypochromic anemia, what is the diagnosis?
l
Thalassemia
101
Patient with chronic kidney disease and UTI. What is the treatment
Ciprofloxacin
102
Scenario of anemic pt. Lab showed pancytopenia, What is the diagnosis:
aplastic anemia
103
Antibiotics combination for meningitis in adults
Vancomycin + Ceftriaxone
104
Nephritic syndrome clinical pic then develops hemoptysis what is the likely cause:
Goodpasture syndrome
105
Case of bronchiolitis (severe) with chest recessions what is the management?
Supportive
106
Patient with macrocytic anemia and peripheral neuropathy low B12 normal folic acid what should you check?
intrinsic factor
107
Core palm investigation
Initially echo. Gold standard: right heart catheterization.
108
most common risk for cardiovascular disease:
Htn
109
most dangerous risk for cardiovascular disease:
DM
110
COPD patient on oxygen therapy for 5 years. How do you assess the disease progression?
FEV1
