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SMLE 🚀 > Medicine > Flashcards

Medicine Flashcards

1
Q

Diastolic murmur with pistol shot sound in the femoral artery?

A

C-aortic regurgitation

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2
Q

Pic of clue cells diagnosis

A

Bacterial vaginosis

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3
Q

Coagulation for ckd

A

UFH is safe in CKD patients

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4
Q

Hepatitis

A

Check

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5
Q

3/6 Decrescendo murmur, diastolic

A

Aortic reg

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6
Q

inferior MI, how to manage

A

IVF then MONA. [Morphine, Oxygen, Nitroglycerin, Aspirin)

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7
Q

valvular disease, radiate to carotid?

A

Aortic stenosis

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8
Q

Patient with HTN Emergency, how to manage

A

Na Nitroprusside

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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.

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10
Q

Crohn’s disease symptoms. Which part of intestine is almost affected?

A

Ilium

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11
Q

Hyponatremia + Low urine output + high ADH + over hydration + low serum osmolarity but high urine osmolarity.

A

SIADH

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12
Q

Hypernatremia + High urine output + low ADH + dehydration + polydipsia + high serum osmolarity but low urine osmolarity.

A

DI

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13
Q

rheumatoid arthritis. How to confirm?

A

Anti ccp

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14
Q

malaria of a patient returning from Sudan:

A

Mefloquine

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15
Q

Treatment of ITP

A

IVIG

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16
Q

malaria prophylaxis

A

Atovaquone / proguanil (Malarone

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17
Q

HCV needle stick injury protocol:

A

Q156

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18
Q

Treatment of brucellosis

A

1-Treat with doxycycline and gentamicin. Add rifampin for bone and heart infection.

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19
Q

female patient using warfarin. She had intracranial bleeding

A

. FFP and vitamin K

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20
Q

Duration of schistosomiasis treatment?

A

4 m

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21
Q

Vulvar lesion black or pigment in 23 y female as I remember with itching

A

autoimmune melanocytes

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22
Q

Total parenteral nutrition deficiency

A

Vitamin K, Mg++ and phosphate are low in TPN

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23
Q

DDP-4 inhibitor can use safely without modifications of the dose in patient with renal disease ?

A

Linagliptin

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24
Q

salmonella Tx

A

Ciprofloxacin in adult

Ceftriaxone in children

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25
Q

Patient presented with jaundice, labs showed high direct bilirubinemia (obstructive jaundice), what is the most likely diagnoses:

A

Choledochal cyst

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26
Q

campylobacter infection Treatment

A

Azithromycin

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27
Q

hypersegmented neutrophils are associated with which type of anemia

A

B12 and folate

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28
Q

51 years old complain of fever, headache & neck pain, What’s the most likely organism

A

Listeria monocytogenes

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29
Q

what to give to stop the action of streptokinase

A

Aminocaproic acid

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30
Q

brucellosis. ABs duration

A

6 weeks without neural symptoms

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31
Q

Healthy patient with pneumonia, what AB will you give

A

Azithromycin

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32
Q

years old female had diarrhea and bloating, she now eating gluten- free diet and her symptoms

A

Resume eating gluten, then do blood test

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33
Q

management of hepatitis c?

A

Check

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34
Q

Patient treated with anti-tuberculosis came with joint pain lab show high uric acid the drug cause this :

A

Pyrazinamide and ethambutol are two anti tuberculous drugs that induce hyperuricemia.

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35
Q

Egg on a string

A

Transposition of the great arteries (TGA)

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36
Q

pertussis, his brothers where in contact with him

A

Macrolide (oral azithromycin for five days

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37
Q

intermittent fever

A

Yellow fever

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38
Q

echolalia, echopraxia and mood changes. Treatment

A

Tourette syndrome

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39
Q

Hypoglycaemia scenario.

A

Dextrose 10% 2ml/kg

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40
Q

campylobacter jejuni. What medication to give?

A

Azithromycin

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41
Q

treatment for Wilson’s

A

Penicillamine

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42
Q

Subacute thyroiditis labs

A

Early stage: hyperthyroidism

  • After early stage: hypothyroidism
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43
Q

Case suggestive of Guillain Barre syndrome. What is the best diagnostic test?

A

Nerve conduction study

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44
Q

Acute rheumatic fever: Clinical manifestations

A

Jones cafe pal

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45
Q

Indication for thoracentesis:

A

Loculated pleura

46
Q

MI after 2 hours became hypotensive and bradycardic

A

give inotropes to restore blood pressure and flow

47
Q

Lights criteria

A

Trans update LDH<200, LDH

48
Q

COPD spirometry

A

increased TLC, Dec VC, Dec FEV1/FVC

49
Q

toxoplasmosis

A

pyrimethamine/sulfadiazine

50
Q

Coombs +ve

A

AIHA

51
Q

Coombs -ve

A

Hereditary spherocytosis

52
Q

Triad of Bronchiectasis, Chronic sinusitis, and Situs inversus

A

Kartagner syndrome

53
Q

ascites due to liver cirrhosis

A

Spironolactone + Furosemide

54
Q

Baby with ambiguous genitals, high 17 hydroxyprogesterone

A

21 hydroxylase

55
Q

took medication for lipid and caused him flushed red face

A

Niacin

Asa to prevent

56
Q

DM patient on metformin, now he has proteinuria for first time, what to do?

A

Repeat Albumin/creatinine?

Do 24 hour urine microalbumin?

57
Q

(pic of CXR) with upper lobe cavitation + air-fluid level&raquo_space; Q. What is the treatment?

A

Clindamycin if lung abscess or 2nd gen. cephalosporin

58
Q

diastolic murmur and pounding pulse

A

Aortic regurgitation

59
Q

Old age DM not Insulin dependent develop swelling at the back of neck abscess with multiple openings discharge

A

Carbuncle

60
Q

Patient at ER abundant poor hygiene, suspicious, aggressive Dr think it’s behavioral disease and call psychiatric

A

Schizophrenia

61
Q

Prolonged PT alone

A

Test factor VII activity

62
Q

●Prolonged aPTT alone

A

Test factor VIII, factor IX, and factor XI activity

63
Q

●Prolonged PT and aPTT

A

Test factor V, factor X, factor II (prothrombin), and fibrinogen

64
Q

●Normal PT and aPTT

A

Test factor XIII activity

65
Q

Bronchiectasis case. Best diagnostic test

A

CT scan

66
Q

Which of these extra intestinal Crohn’s disease features reflect it activity

A

Erythema nodosum

67
Q

Patient 28 years with symptoms of celiac disease symptoms. Which part of intestine is almost affected?

A

Jeju

68
Q

What causes peripheral neuropathy in tb treatment

A

Isoniazid , give vitamin B6

69
Q

Patient with macrocytic anemia and peripheral neuropathy low B12 normal folic acid what should you check?

A

intrinsic factor

70
Q

Acute gout attack. What’s contraindicated?

A

Allopurinol

71
Q

Patient with Parkinson’s only affecting the wrist: “isolated tremor” ; what medication?

A

Levodopa

72
Q

Atrial fibrillation:

A

Warfarin 2-3

73
Q

Recurrent axillary infection with multiple sinus most common cause?

A

Sebaceous gland

74
Q

Pulmonary HTN stage 3 due to?

A

Hypoxia

75
Q

HBsAg neg
Anti HBc pos
Anti HBs pos

A

Immunity due to chronic infection

76
Q

HBsAg neg
Anti HBc neg
Anti HBs pos

A

Immune due to hepatitis b vaccine

77
Q

HBsAg positive
Anti HBc positive
Anti HBs negative
IgM anti hbc positive

A

Acute infection

78
Q

HBsAg positive
Anti HBc positive
Anti HBs negative
IgM anti hbc negative

A

Chronic infection

79
Q

Which indicates acute severe asthma?

A

PEF < 200

80
Q

Diabetic patient on 1 gm metformin and parameters still high what is the next

A

Increase the dose

81
Q

(ST-segment depression) in the inferior leads (II, III, and aVF)

A

Inferior MI

82
Q

dermatitis herpetiformis

A

Celiac

83
Q

the CURB-65 score:

A 
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
Q

How to prevent hypercalciuria that causes stones:

A

Thiazides

85
Q

Bronchiectasis case, best diagnosis test:

A

CT scan

86
Q

Which of the following is a minor criteria of rheumatic fever?

A

Polyarthralgia

87
Q

SLE serology diagnosis

A

Antinuclear antibodies (ANA)→ most sensitive

• Anti-dsDNA is most specific

88
Q

What drug reduces the mortality in congestive heart failure?

A

ACEIs

89
Q

What is the mode of transmission of neurofibromatosis?

A

Autosomal dominant

90
Q

Patient with hematuria + hemoptysis and sinusitis:

A

Wegner polyangitis

91
Q

____ are the first line treatment of hypertension and is used in diabetic patients with hypertension to protect the kidney.

A

ACEIs

92
Q

When to start screening for osteoporosis

A

65

93
Q

What is the favorable place for AV fistula?

A

D-Radial artery Cephalic vein

94
Q

Lateral MI

A

Leads I, V5, V6

95
Q

Which of the following is not safe for adenosine infusion?

A

Theophylline

96
Q

Patient with pinpoint pupil. What to give?

A

Naloxone

Pinpoint pupil is a sign of opioid intoxication

97
Q
  1. A long case and there is stony dullness in chest what the diagnosis
A

Pleural effusion

98
Q

Cluster headache treatment:

A

Oxygen 100%

99
Q

Headache at 3 am with rhinorrhea and tearing what is best prophylaxis?

A

Verapamil

100
Q

Asymptomatic 3 months old baby, with CBC result of mild microcytic hypochromic anemia, what is the diagnosis?

l

A

Thalassemia

101
Q

Patient with chronic kidney disease and UTI. What is the treatment

A

Ciprofloxacin

102
Q

Scenario of anemic pt. Lab showed pancytopenia, What is the diagnosis:

A

aplastic anemia

103
Q

Antibiotics combination for meningitis in adults

A

Vancomycin + Ceftriaxone

104
Q

Nephritic syndrome clinical pic then develops hemoptysis what is the likely cause:

A

Goodpasture syndrome

105
Q

Case of bronchiolitis (severe) with chest recessions what is the management?

A

Supportive

106
Q

Patient with macrocytic anemia and peripheral neuropathy low B12 normal folic acid what should you check?

A

intrinsic factor

107
Q

Core palm investigation

A

Initially echo. Gold standard: right heart catheterization.

108
Q

most common risk for cardiovascular disease:

A

Htn

109
Q

most dangerous risk for cardiovascular disease:

A

DM

110
Q

COPD patient on oxygen therapy for 5 years. How do you assess the disease progression?

A

FEV1

SMLE 🚀 (5 decks)

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