Tiêu đề 22 may.docx ✅

1.Kid came with symptoms of UTI. Got treated with co-trimpxazole. Got better, but the doctor advised to finish the whole course (10 days). Culture came in: E. Coli (a lot) sensitive to co-trimoxazole. Mnx? A-Renal US B-Voiding cystourethrogram C-Renal US and cystourethrogram D-Reassure 2. 8 month infant with multiple pyogenic infections, and recurrent otitis media with strep pneumonia, mother also mentioned chronic diarrhea, how to diagnose? -C1 inhibitor level -Immunoglobulin levels -small bowel biopsy  -level of hemolytic CH50 3. Case of aspirin overdose, what’s the electrolyte disturbance that will happen? A- respiratory alkalosis followed by metabolic acidosis  B- metabolic alkalosis followed by metabolic acidosis  C- respiratory acidosis followed by metabolic alkalosis  D- metabolic acidosis followed by metabolic alkalosis 4. Radiologist decided to do CT or US guided drainage for a patient.. Who should take consent from the patient? ⁃   Internal medicine resistant ⁃   Radiologist ⁃   Head of nurse ⁃   Any one of treating team 5. Child sits in tripod position, reaches out to things, flips from prone to supine and vice versa, cannot hold cereal properly between two fingers how old is he? •    3 months •    6 months •    9 months 6. Woman 10GA, came with the history of bleeding. Cervix is closed, uterus is normal for gestational age, bulky. What type of abortion: -missed -threatened -complete -incomplete 7. Doctor conducting a research, it should include everything except for: -confidentiality -plagiarism  8. Patient on warfarin did not inform the medical team the nurse found out that she did not stop it and was planned for lab chole, the surgeon postponed the surgery > near miss 9. Kid came for a check up, has one absent red eye reflex. Management? -reassure
-ophthalmological examine under anesthesia -MRI of head, orbits -CT of head, orbits 10. 2 yr old child presented with facial swelling, sacral edema and labs shows hypo albumin + high cholesterol (protein uria not mentioned !) Dx? -nephrotic syndrome -nephritic syndrome -kwashiorkor 11. Elderly asymptotic came for check up found. O/E you found murmur, Aortic valve gradient 40,What’s your next step? A. Follow up B. Surgery valve replacement C. Valvuloplasty 12. What is the best study to see the effect of smoking in high school A- Field B- Community C- cross sectional D- Case control 13. Pt with chest pain and dyspnea and splinter hemorrhage, no history of valvular disease. What the organism that cause the symptoms? -Staphylococcus epidermidis -streptococcus species -c. Albicans 14. Patient can’t get pregnant for 3 mo, has family history of multiple Down syndromes. Advice? -try more 15. Couple came to infertility clinic, can’t get pregnant for more than 1 year. Sperm - ok. Wife had a history of PID, what’s the best way to see if tubes are normally functioning? -HSG -hysteroscopy 16. Man tried to run a marathon, fell. UA: dark, but absent RBC microscopically. Mnx? -IVF -diuretics -antibiotics 17. Pt came with amenorrhea for 6weeks . Ultrasound shows empty uterus and sac in right side, Hcg 4500 (she is vitally stable)  A: ruptured ectopic pregnancy  B: ectopic pregnancy  C: normal pregnancy  D: threatened abortion 18. A 53 year old Male, known to have schizophrenia on medication, presented to ER with recurrent abdominal distention and constipation. Was normal on examination and vitally stable.
Abdominal Xray: dilated colon lumen 10cm CT: No obstruction Best management? a-Decompression colonoscopy with rectal tube.  b-emergency colectomy. c-Lt side colostomy. d-lower barium enema. 19. Pt with symptoms of croup. What’s the causative organism? 20. Kid with cervical LAP, rash on face and trunk, high temperature. Cause? -measles -mumps -EBV -varicella 21. Old man starts getting memory loss, forgets names of his kids, HIV positive. Everything else is ok, behavior didn’t change at all. Dx? -Lewi body -Alzheimer’s -HIV related 22. Study about a disease: higher incidence in women, equal prevalence among both women and men. What does it mean: -women have a more continuous disease -men have a shorter disease (эти были одинаковыми, поэтому я сразу их исключила) -women die from this disease more often  -men die more often 23. Pt had MI, done PCI, post PCI pt developed AKI, cholesterol emboli, what are suspecting to see in urine? -eosinophilia  -RBC casts -granular cells 24. Old man with DM and hypertension, he’s on drugs for DM (metformin and glargine), what drug should he take for hypertension? 25. Strongest counter indication for vaccination? -taking AB -severe disease -recent infection 26. Woman has postprandial pain, gets EGD: there’s mild hyperemia of esophagus. Mnx? -lifestyle changes -resection Что-то еще (PPI не было) 27. Man came for lipoma removal, surgeon messed up, infected too much of 2% lidocaine (дали вес пациента и количество лидокаина, но я не помню).  What’s the earliest sign we will see:
-tinnitus -bradycardia -convulsions 28. Female patient is depressed and she took 50 pills of aspirin 6 hours ago. She got aspirin toxicity. Which of the following is most appropriate step? A- gastric lavage B- Activated charcol C- Urine alkalinization 29. Patient presented with stab wound. After wound exploration you found anterior abdominal fascia penetration, he is vitally stable. What's your next step? A- CT abdomen B- MRI abdomen C- Exploratory laparotomy D- Diagnostic laparoscopy 30. 5 years old with stab wound in lower chest, has abdominal distension. Fast shows free fluid in abdomen. All vitals normal except O2 90. What is the most appropriate management:  -Thoracotomy  -Tube thoracostomy  -Expl lapratomy   -Angioembolization 31. Pregnant 35GA came with headache , visual disturbance and developed generalised seizure , Labs showed 2+ protein in urine  -delivery after stabilising Остальные совсем не подходили 32. Woman with infertility, US showed submucosal fibroid. Mnx? -reassure -hysteroscopic resection 33. Pt with placenta percreta, but the hospital you work in is not equipped for this kind of complication. What should you do? -refer to another hospital that’s equipped and notify the administration -discharge her and refer to another hospital -discharge with a referring document  -treat her 34. Accident, ruptured tympanum, blood coming out of it; external meatus if not affected. Source of the bleeding? -fractured mandible -fractured maxilla -ruptured skull base 35. Woman with a pneumonia recurrence over the last 6 months, had antimictobal treatment, no help. CXR: bilateral infiltration. Lavage: atypical cells. Dx? -atypical pneumonia  -allergic pbeumonitis  -cancer