Urgent Care

Question 1

Pulmonary edema Mx ?

Answer 1

-O2 ( mask CPAP )
-fursimide
- dobutamine , morphine, ACE inhibitors
- vasodialator:: nitroglysride , nitroprusside
-

Question 2

Pericarditis

Answer 2

Widespread ST elevation, friction rub, pain improve when the patient sits up and lean forward.

Mx?
- NSAIDs, colchicine, steroid

Question 3

Radiation pneumonitis

Answer 3

Happens 3 to 12 week after ☢️

Clinical:

• pleuritic chest pain
• low grade fever
• nonproductive cough
• Dyspnea

Question 4

Screening for Abdominal aortic aneurysms ?

Answer 4

Age65-75

who ever smoked in their life

Question 5

Pediatric fever?

Answer 5

-38c

Need full investigation including
For neonates: LP ⚠️

Question 6

Most common pediatric foreign bodies?

Answer 6

Coins 🪙

Question 7

Uses of polysmonography ?

Answer 7

To DIAGNOSE

• OSA
• narcolepsy
• PLMD
• REM sleep disorders

Question 8

Mx of PLMD & RLS

Answer 8

DOPAMINE agonists

• pramipexole
• ropinirole

Use before sleep 1-2 hr

Question 9

REM sleep disorders is associated with which disorder?

Answer 9

85% will develop
NEUROCOGNITIVE DIs :
Parkinson’ disease

Question 10

At what age most related sleep changes occur ?

Answer 10

Age 60

Question 11

Age related changes in sleep

Answer 11

REM : decreased
N1-N2 ( light sleep 🛌) : increased
N3 slow wave (deep 😴 sleep ) : decreased
-efficiency- and total sleep time: decreased
- nighttime awakening: increased
- sleep latency 💤: increased