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109 Cards in this Set
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Polyathralgia rheumatica. What is the thing that suggest it rather than ESR and C reactive protein? |
Proximal muscle weakness ??? |
Promximal muscle tenderness--> polymyalgia rheumatica |
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s/p Gastrectomy post op Day 1. He has a temperature of 38.8C and pulse of 112. What is the most common cause? |
wound infection |
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39 year old HIV patient with TB receive 4 drugs of treatment after one month |
Continue 4 drugs for 1 year?? |
HIV with active TB: 1. Intensive phase--4 drugs x 2 months 2. Maintenance phase--2 drugs after 4 months |
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Painful pile |
Excision draiage |
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Patient has decreased visual acuity bilateral more on the right side, visual field is not affected. There are irregular pigmentations and early cataract formation in the fundus. What will you do? |
Refer to opthalmologist for laser therapy |
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Old female wth oubic itching and bloody discharge. She then developed a pea shapeed swelling in her labia. The most likely diagnosis is: |
Bartholin abscess |
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A case scenario about bronchial carcinoma. Which is true? |
Adenocarcinoma is usually in the upper part |
Adenocarcinoma--most common cancer in nonsmoker and overall |
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Most common accirate test to detect early pregnancy |
Serum BHcG |
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What is the mechanism of OCD drugs |
increase availability of Serotonin |
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A patient is having a 2 year history of low interest in life, he doesn't sleep well and can't find joy in life. What is the most likely diagnosis? |
Dysthymia (Persistent depressive disorder) |
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At which chromosome is the cystic fibrosis gene? |
Long arm chromosome 7 |
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A 25 year old secondary school teacher was noted to have sweating and having palpitations every time she enters the class. She was fired for giving wrong information and unparsed. What is the diagnosis? |
Social Phobia |
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The most common cause of nontraumatic subarachnoid haemorrhage is: |
Ruptured aneurysm |
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All of the following are higher content in mature human milk as compared to cow's milk except: |
Iron |
Human milk higher in: 1. proteins 2. calories 3. fats |
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A young female with BMI of 18, has fine hair all over her body, feeling that she is fat, doesn't eat well with excessive exercise. What is the diagnosis? |
Anorexia nervosa |
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Old patient with hpertension and migraine. What is the treatment? |
Beta blockers |
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Infant with runny nose and fever Tmax 38C. He develops dyspnea, wheezing with working accessory muscles and chest retractions and cyanosis. What is the diagnosis? |
Bronchiolitis |
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Old female with hemorrhoids for 10 years. No complications. What is you next action? |
Increase fiber diet |
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Which of the following increases the quality of the randomised controlled study and make it stronger? |
Systemic Assignment predictability by participants |
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Which of the following features of ulcerative colitis distinguishes it from chron's disease? |
Possible malignant transformation |
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Alopecia is a side effect of which antiepileptic? |
Sodium valproate |
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Which of the following is a side effect of Bupropione, a drug used to help smoking cessation? |
Seizure |
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Regarding post partum depression, what is the most appropriate intervention to reduce symptoms? |
Include family in the therapy |
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Lactating woman presented with breast engorgement and tenderness. What is your management? |
Warm compressor and continue breast feeding |
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The has test route of antipsychotic is __? |
IV |
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Regarding screeening for cancer, which of the following is true? |
Screening for tobacco use is now adequately done by health professionals |
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A female patient on the 3rd week postpartum. She says that she frequently visualizes snakes crawling to her baby's bed. She knows that it is impossible but she cannot remove the idea from her head. She says she wakes up around 50 times at night to check her baby. This problem prevents her from getting a good sleep and it started to affect her marriage. What is the problem she is experiencing? |
Obscessive-Compusive Disorder in postpartum women (Obsesions) |
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Patient with family history of coronary artery disease has BMI of 28 came to you asking for your advise. |
start with decrease of ___kcal per kg/week |
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Pregnant woman has firoid, which of the following is true? |
Likely to egress after pregnancy |
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Patient is a known case of CAD, the best exercise is: |
anaerobic exercise |
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The absolute contraindication for breastfeeding is? |
Asymptomatic HIV patient |
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A boy fell down on his elbow, the lateral xray shows: |
Posterior pad sign |
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Which of the following medication can be used as prophylaxis in appendectomy? |
Ceftriaxone |
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In indirect hernia, the relation of the sac to the cord structure is ____? |
Posterolateral |
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In Kwashikor disease, it is usuallu associated with: |
decrease protein, increase carbs |
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A child with moderate persistent bronchial asthma, on brongiodilator inhaler. Presented with acute exacbation. What will you add in he treatment? |
Ipatropium bromide inhaler |
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A patient with penetrating abdominal stab wound. VS: HR 98, BP 140/80, RR 18 A part of omentum was protruding through the wound. What is the most appropriate next step? |
Exploratory Laparotomy |
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Regarding chronic fatigue syndrome, which is true? |
Antidepressants may reduce the symptoms |
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What is the most common sequalae of acute pancreatitis? |
Pseudocyst |
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A pregnant female develops lesions on the vulva and vagina. She was diagnosed with genital herpes. What should be included in her future health care? |
Oral acyclovir to treat herpes |
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Lactating mother istaking Phenobarbital for seizure prophylaxis. What to advise her? |
Stop breastfeeding immediately |
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A child presented after sting bite with abdominal pain, arthrlagia, lower extremitiy and buttock rash, normal RFT and positive fecal occult blood. What is the diagnosis? |
HSP |
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Which is true about allopurinol? |
reduce the chance of uric acid stone |
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Scenario about female who underwent abdominal operation. She went to the physician US: reveal metal thing inside the abdomen. What will you do? |
Tell her what you found |
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A child had bee bite presented after 18 hour with left arm erythema and itching. What to do? |
Anti-histaminic |
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12 year old boy brought by his parents for routine evaluation, he is obese but otherwise healthy. His parents want to measure his cholesterol level. What is the best indicator of measuring this child cholesterol? |
Family hx of CVA |
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Most common symptom of acute otitis media |
Ear pain (Otalgia) |
Most important sign of AOM >> presence of bulging of TM |
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Most common cause of otorrhia |
Acute otitis media |
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48 year old female lost her menstruation for 2 cycles, the method of contraception is condom. Examination was normal except for dusky discoloration of the cervix. What will you do next? |
Beta HCG |
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First sign of increased ICP |
decrease level of consciousness |
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Best 2 tests to screen for hepatocellulr carcinoma |
Liver ultrasound and AFP |
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24 year old female newly diagnsed with Type 2 DM, she is wearing glasses for 10 years. How frequent she should follow up with the opthalmologist? |
Annually |
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Child with multiple painful swellings on the dorsum of hands, feet, fingers and toes. His CBC showed Hb 7, RBCs on peipheral smear are crescent shaped. What is your long-term care? |
Penicillin V |
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Child with aspirin over dose. what kind of acid base balance? |
Metabolic acidosis, Respiratory alkalosis |
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Patient s/p colectomy for colon cancer, routine follow up every ___? |
1 year |
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Unfavorable prognosis for schizophrenia |
presence of family hx |
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Specficity is? |
Test is negative in healthy population |
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Patient with upper abdominal pain, nausea, vomtiting and back pain. He is a smoker for long time daily. Fecal fat was positive. |
Chronic pancreatitis |
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Patient had headache describ as band around his head increases with stress |
Tension headache |
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Female at 40 year old with BMI>28, what is your management? |
in general, reduce calorie intake |
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What is most sensitive for the diagnosis of duodenal ulcer? |
Pain radiating to the back |
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Patient was presented by constipation, vomiting, abdominal distention with old scar in the lower abdomen. XR showed dilated lops with air in the rectum. What is the best initial management? |
NGT decompression and IV Iine |
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Six year old child was born to a mother with hepatitis B. He does not received any vaccines before. What you will give now? |
DT, MMR |
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Female patient, known case of Vit D deficiency, smoking and has recurrent falls. Which of the following is the greatest exogenous risk for osteoporosis? |
Smoking |
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Factor which determine the recurrence of breast cancer? |
Number of lymph nodes |
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Which of the following is true regarding Legg-Calve-Perthes disease? |
May present as painless limp |
Commonly seen between 11-16 years of age--FALSE >> between 3-12 years old Always unilateral--FALSE >> it is BILATERAL Characteristically affect the external rotation of the hip--FALSE >> limited INTERNAL ROTATION and ABDUCTION of the hip More in female--FALSE >> more in MALES |
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SSRI was prescribed to a patient with depression. The effect is suspcted to be within? |
Three to Four weeks |
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Patient was presented by blepharitis, acne rosacea, but no keratitis. What is the best treatment? |
Oral doxycycline |
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Patient turn to be erratic. For 4 months he said that people in TV knows what other people are thinking. In the past 2 months, he claims that he has special power that no one has. What is the most likely diagnosis? |
Schizophrenia |
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Which of the following personality is characterized by infelxibility, perfectionism? |
Not otherwise specified |
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Maximum spinal height is reached after menarche by how many years? |
3 years |
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5 years old, brought by his parents with weight >95ht percentile, height <5th percentile with bowing of both legs. What is the appropriate management? |
Liver and thyroid function test |
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Pregnant lady 34 weeks of gestation, presented by vaginal bleeding. Whic of the following is relevant to ask about? |
Smoking |
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60 year old male diagnosed to have acute pancreatitis. What is the appropriate nutrition? |
nasojejunal tube |
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Baby born and discharge with his mother, 3 weeks later h started to develop difficulty in breathing and becomes cyanotic. what is the most likely diagnosis? |
Hypoplastic left ventricle |
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OCP is proven to: |
??? increase breast CA |
according to up to date--decrease risk of ovarian and endometrial Ca |
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Female patient presented by tender mass below the axilla with previous history of pores and black heads in that area. What is your management? |
Go to surgery immediately |
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Child was presented by erytema and swelling in his hands after 18 hours of bee sting. What is your management? |
antihistamine |
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Chile was presented by congested throat, coryza, high grade fever. Which of the following is true regarding this condition? |
Bacterial >> Viral |
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Benign tumors of the stomach represent almost? |
7% |
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Elderly male patient was presented by left lower abdomen tenderness, fever and elevated WBC count. What is the most likely diagnosis? |
Diverticulitis |
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Old man, post OR. Complains of unilateral face swelling. |
Salivary gland stone |
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Patient with long history of constipation presented by painful defecation followed by bleeding. Pain persist for hours after defecation. What is the diagnosis? |
Anal fissures |
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True about systolic hypertension |
systolic BP > 140 and diastolic BP <90 |
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Female patient was presented by dysurea. Epithelial cells were seen in urine analysis. What is the explanation for this case? |
Infection |
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Which of the following not compatible with head engagement? |
3/5 head felt in the abdomen |
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20 years old lady, pregnant, exposed to rubella virys 3 days back. She was never vaccinated against rubella, mumps or measles. What is the best thing to do? |
Do nothing |
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Case scenario: Oral + Genital Ulcer + Arthritis |
Behcet Disease |
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Patient underwent abdominal surgery due to intestinal perforation many years back. He presented with abdominal pain, distention, constipation. What is the best investigation in this case? |
Small Bowel Barium Study |
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Adenosine dose should be rediced in which of the following cases? |
Chronic Renal Failure |
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Child starts to smile |
2 months |
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Female patient developed extreme fear from zoo, park, sporting events. The fear prevented her from going out. |
Agoraphobia |
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27 years old female with perianal pain for 4 days, tender and erythematous, flactuating. |
Evacuationa and Drainage |
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Which of the following indicates good prognosis in schizophrenia |
Prominent affective symptoms |
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Recent study revealed that anti-psychotic meds cause the following complications? |
Weight gain |
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32 years old female patient presented by irregular menses. Menses occurs every two months. On examination, everything is normal. Which of the following is the LEAST important test to ask about first? |
Coagulation profile |
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Well known case of SCD (Sickle Cell Disease) presented by pleuritic chest pain, fever,tachypnea, respiratory rate 30 and O2 sat of 90%. What is the diagnosis? |
Acute Chest Syndrome |
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Middle age man found to have heaviness in his groin. on physical examination, there was swelling just above his testes which is apparent with valsalva maneuver. What is the diagnosis? |
Indirect Inguinal Hernia |
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Which can lead to polyhydramnios? |
Duodenal atresia |
Renal agenesis--oligo post term pregnancy--oligo diabetes insipidus |
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Well knon case of DM was presented to the ER with drowsiness. In the investigations: Blood sugar 400, pH 7.05. What is the management? |
One L of normal saline |
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Child with ear pain with positive pump test for TM.
Treatment is? |
Myringiotomy |
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Child came with inflammation and infection f the ear. The most common complication is: |
Mastoiditis |
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Most common medical problems faced in primary health care is? |
Coryza |
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Patient came in with MDD, during communication with patient, you will find: |
Late morning awake |
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Single thyroid nodule showed wiith high iodine uptake, best treatment is? |
antithyroid medication |
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50 years old presented with vasomotor rhinitis, treatment? |
Local decongestant |
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Treatment of mania that does not cause hepatotoxicity |
Lithium |
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Patient presented with high BP systolic 200, tachycardia, mydriasis, sweating. What is the toxicity? |
Sympathomimetic |
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The antidepressant that is used for secondary depression that causes sexual dysfunction |
Sertraline |
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