September Flashcards
Q189484-another ecg with bradycardia, heart rate 51… with 2 episodes of fainting attack … next investigation
A-Stress echo
B-holter
B
Q189465-A concerned woman comes to your clinic.she is 24 weeks pregnant.she says her friends kid had some kind of viral infection and earlier she was exposed to the kid.she took a picture of the child and shows it to you,what is the most appropriate next step?
a.check rubella ab
b.check measles ab
C.check parvovirus ab
D.commence measles ig
E.reassure that the virus wont affect the fetus
C
Q189435-An old man was diagnosed with acute sah and was admitted in the ward,on the second day of admition he became agitated while shouting and screaming what will be your next most appropriate management in this patient? 1.commence sedation 2.discharge the patient 3.order physical restraint 4.relocate him to a separate room No beta blocker in the options
اگه اگرسیو بود سدیشن
اگه نه اتاق ارام
Q189422-48 year old man with abdominal pain and fluid thrill and distension and caput medusa and JVP raised and edema in the legs. Where is the lesion?
a) Hepatic vein obstruction
b) Portal vein obstruction
c) Renal failure
d) CCF
D
فشار RA بالا
Q189419-A pregnant Lady with prevoius history of post partom depression treated with sertralin on that time now come with all the depression criteia exept suesidial though crying alot.decrise sexal desire decrise appetite ,just eating in order the baby remain healthy what is the best next step?
A.start sertrLin
B.sychiatrisy consultation
C.talk abot prose and cons af using serterLin and((olanzapin))!!!! In peregnancy
➖in the stem directly pointed that the lady has not psycotic feature
A or B
Q189389-A woman comes to your clinic. She was prescribed trifluoperazine for her condition which controlled her symptoms very well. She did not take the drug for the last 3 weeks because her doctor was away and she could not get the prescription. Moreover, she is afraid of the side effects of the drug (extrapyramydal symptoms described) which she is recently experiencing. What is the most appropriate initial choice in management? 1.start trifluoperazine again 2.start resperidone 3.start quetiapine 4.give respa depot 5.give psychotherapy #روان
C
Q189244-An obese man had hypertension and family history of DM.On visits,BP-130/85 . FBS-7.8. What will u do? A.repeat FBS B.repeat RBS C.commence metformin D.commence insulin #internal
A
Q189224-30yrs old F, came with malaise, fatigue, palpitation, wt loss 4kg,HR-120/min,regular.Thyroid is palpable.TSH-0.1 low.Thyroid scan increase uptake. She was given propanolol. What is next step of management? A.carbimazole B.radio iodine C. Subtotal thyroidectomy D.prednisolone #داخلی #غدد
A
Q189218-After starting ocp, intermittent spotting occurs, cause asked a. endometrium not forming completely b. ovarian follicle response c. others #gyn
A
Q189218-After starting ocp, intermittent spotting occurs, cause asked a. endometrium not forming completely b. ovarian follicle response c. others #gyn
A
Q189220-A man had been on anti-Parkinson drug for 9 years. Recently, his wife complains of psychosis and was prescribed 10mg Haloperidol. After two weeks, wife complains of abnormal movement and inability to feed himself. What’s the cause?
A) Worsening Parkinson
B) Lewy body dementia
C) Haloperidol
C
Q189214-Woman comes to you complaining of fever, headache, rashes and a milky discharge from her nipples for four months. Six months prior, she was prescribed estrogen-progesterone OCP for birth control. What should you investigate? A. FSH/LH B. Serum ferritin C. Serum prolactin D. Testosterone E. CA-125 #gyn
C
Q189216-What would be the best indicator for development of further violent behavior in a demographic? a. Past h/o violent behavior b. H/o previous imprisonment c. juvenile delinquenc #روانپزشکی
C
DM
Q189212-Pregnant women 16th weeks, oral glucose tolerance test 5.9. She is worried that she might have diabetes. What is the next step?
a) Refer to dietician
b) start metformin
c) Follow up OGTT between 24-28 weeks
d) do hba1c every trimester
e) Reassure
?
Q189213-A man comes to the ED after indulging several alcohol beverages. On exam, you notice there is increased swelling on the abdomen with jaundice and abdominal distention. The patient is in severe pain and you can palpate the liver. What is your diagnosis? (Pic is given) A. Budd Chiari B. Acute pancreatitis C. Alcohol induced cirrhosis D. Hepatomegaly E. Splenomegaly #داخلی #گوارش
B
Q189211-Mother takes 9 mon old irritable baby with a bile stain vomiting and diarrhea to see her local GP. She says the baby was doing fine until today when the baby kept vomiting up food.US shows shadows in right upper quadrant. What next to do? A. Urine culture B. Stool culture C. Air enema D. Laparotomy E. Laparoscopy
C
Q189208-A man comes to you complaining of fever, headache, and rashes. You run a couple tests and notice that he is positive for Coxsackievirus Burnetti. Which of the following occupation is most likely to be exposed to this virus? A. Gardening B. Working at a saw mill C. Dairy farmer milking D. Working at a reception desk E. Sewage sanitation #عفونی
C
Q189013-a lady with anemia mild icterus NOT vegeterian NO menorrhagia..macrocytic megaloblastic pic next step A-red cell folate B-vit B12 C-intrinsic factort antibody D-iron studies
A
Q189019-Most Appropriate test in Acute limb ischaemia? A-Colour Doppler B-Arteriogram C-Digital subtraction arteriography #داخلی
C
Q186288- A foster mom tensed about 2 year old child with his behaviour child witnessed severe domestic violence of biological mother with her different sex partner .At times child became withdrawal and silent . Don't play with toys and difficult to settle at night cause a-Separation anxiety b-Acute in ch stress c-Oppositional defiant behaviour d-Autistic spectrum disorder e-Paranoid personality disorder #psych
A
Q186302- Most teratogenic for fetus in pregnant lady? A) cocaine B) heroin C) amphetamine D) methamphetamine E) Flouxetine #obs #gyn
A
10/ #psych #pharma Q186325- A patient with a long history of bipolar disorder, mixed type, was recently started on an anticonvulsant that he was told would help with his mood swings. He had been on it for 5 weeks when he developed skin changes that looked like burns. He was rushed to the hospital and diagnosed with Stevens-Johnson syndrome. Which of the following medications did this patient most likely take? A. Carbamazepine B. Clonazepam C. Gabapentin D. Lamotrigine E. Valproate
D
5️⃣#internal Q186386- A scenario of a patient admitted for DVT and was started on Heparin and Warfarin. Then he developed bleeding per rectum, BP 80/50, HB: 8.5 (was 15 at admission), and INR became 9. What to do? A. Give Vitamin K B. Give FFP alone C. FFP + platelet D. Fresh whole blood
B
Q189051-ECG with bradycardia and prolong QT or sth like that, In scenario patient came with chest pain for 15 min and relieve by rest. Troponin normal. Pulse – normal and regular. BP normal. What to do next? 1.repeat troponin 2. echo 3. coronary angiography 4. repeat ecg #cardio
D
Q189056- X-ray with RA hand, Z deformity seen, investigation to confirm the diagnosis a) Anti citrunillated b) RF c) ANA #داخلی #روماتو
A
Q189059-70-year-old man with syncope, shortness of breath and ECG given - A-fib, what is the most important next management?
a) Atenolol
b) Warfarin
c) Aspirin
d) Clopidogrel
B
Q189061- A carpenter with a history of screwdriver into hand 4 days back- penetrating injury, now has come with swelling over the dorsum of the hand, after giving antibiotics what must be done
a) Incision and drainage
b) Tetanus
c) elevation
A?
Q186235- Man whose hand deeply injured by screw driver , 5 weeks ago, he found supercial laceration and give diphtheria tetanus toxoid , now , the hand is swollen and painful. What to do beside antibiotics?
a) Elevation
b) Aspiration
c) Tetanus toxoid
d) Tetanus immunoglobulin only
e) Dpt
B
DM 1 pt after a penetrating injury developed swelling of ring finger, it was tender esp on flexor side pt had problem with extension of the finger … What to do next?
A. IV Antibiotic
B. aspiration
C. Surgical exploration
B
Q189064- Nerve root for triceps jerk? a) C5,C6 b) C6,C7 c) C8,T1 #نورولوژی
C7,8
Q189063-35 year old,obese lady with swelling for the past four days, below and lateral to the pubic tubercle, no cough impulse, not reducible, her bowel movements are normal. What to do next? a) Usg abdomen b) Urgent surgery c) CT #جراحی
B
Q189065-Meralgia parenthetic case, what investigation to do
a) X-ray knee
b) X-ray hip
c) Ct lumbosacral
Emg to rule out
B
Q189069- You see your colleague drinking in a pub andknow they are on duty tonight. What will you do?
a) Inform the APHRA
b) Inform your other colleges about this behaviour
c) Do nothing and leave
d) Inform the hospital emergency
A
Q189073- 60-year-old, Cholecystitis post op Lap – developed swelling in the umbilicus and pain after 4 days of surgery. What is the cause ? a) Nosocomial b) Anerobic Gut c) From the urinary tract d) From the iv line e)from umbilicus #جراحی
E
Q189077- Patient on medications for HTN. She feels dizzy when get out of the bed... happening for a while...She also had some falls. BP 160/100 .Has AF. Next Ix A echo B xray C holter monitoring D 24 hour BP monitoring E check BP again in supine position #داخلی #قلب
E
Q189075- A mother brings her child for MMR vaccination at 12 months of age. Child has got flu-like illness with temperature 38ºC. What is the most appropriate next step?
a. Give MMR vaccine except rubella and give rubella vaccine once the child recover from flu
b. Postpone vaccination and vaccinate after the child recovers from flu
c. Give MMR vaccine now
d. Tell the mother that MMR is contraindicated
e. Give MMR vaccine except rubella portion
#اطفال
C
