5 years old c/o limping in ct there is a v necrosis ttt is: -surgery-splent-physiotherpy

Hepatitis b ab and ag on the curve

3-Pt have dm and renal impairment when he had diabeti nephropathy:there is curve for albumin-5y-10y-20y-25y

4-Pt has alzahimar disease and halusination and delusion ttt:Halopridole

Generalize antxity disorder best ttt:5-_Ssri-tricyclic a d

Major depression management:6-Intial therapy even sever

Psychiatric pt with un compliance of drugs ttt:7--depro halopredol

8-strongest risk factor for strok:-htn-a fibrillation-9-most risk factor:-htn10-pt with salpingitis and there is swelling in pelvis in posterior fornex and it is fluctuant m:-colpotomyLaproscopic11-child swallowing battery in the oesophegus m:-broncoscoby12_mild diarrhea m:-orsIn the appendisits the histology is:13--leukocyte in muscle-layer lymphoid

-tumor-plasma cell14-water in the body:-40%-diffrence depend on age and sex15_clavicular fracture m:If displaced need open surgery_arm sling and figer 8 is equal in efficncy16_corneal ulcer ttt:-ab and cycloplagia is mydrasis and refer to ophthalmology17-regarding dringe of the abcess one of the following is true:-curbuncle and frunculosis need draing -usually give ciphtriaxon and penicillin post draing18_salpingitis and pid on penicillin but not improve the most likely organism is :-chlamydia-nessiria19-wound at end inflammatory phase when:Epithelial tissue formation-angiogenisis-when the wound cleanScar formation20-juvenile ra ttt:AspirineSteroidPenicillamineHydrocloroquin21-adlosence with osteoporosis ttt:Ca folic acid22_pt has hemorrhoid with 4 degree ttt:Exsion surgery23_pt come with history of tinia capitis ttt:-tar shampoo_fluconazol24_pt with history of copd the most action to prevent complication is:Pnemoccoccal vaccineSmoking stopOral steroidB 2 agonist25_pt with congenital hip dislocation :-abducting at flexed hip can causes click or tali26-colon cancer with stage 3 give the chemotherapy:As soon as possibleI month27-56 y old present with vasomotor rhinitisLocal anti histamineLocal decongestionLocal steroid Systemic ab28-sca give prophlaxis:

Penicillin Iron29-diagnosis of thalasimia minor:-hb a2 and hgfMicrocytosis30-pt with mcv decrease and reticulocyt decrease iron deficiency anaemia investigation:Ferritin level and tibc and serum ironBorn bcg1month hepatitis b oral polio dpt2month s3month s9 to 12 month mmr

وكل مرة (Body mass index) جاني سؤالين:::يعطي رقم ويسأل هل )طبيعي - زيادةوزن - سمنة...الخ( (rh. fever) أي من االدوية التالية في عالج:::..(DMARD) يعتبر أحد:::ttt of acute gouty arthritis:::radiological finding in lateral view for elbow dislocation::: most common cause of ch. renal failure Worldwide:: شخص يسمع صوت يناديه من داخل الثالجة ) يقول له ان االكل مسمم...هل تعتبره(Hallucination or Delusion thinking) هو لو كانوانت Hallucination يسمع صوت وبس تقولمغمض ..لكن جاب لك سالفة ان الصوت يقول له ان االكل مسمم...؟؟؟؟ يعني سؤال خبيث ((من جد myosis and Respiratory) شخص عنده::::depression) هل هو ماخذ (Cocaine or opiate)..

In battered women which is true:1. mostly they come from poor socioeconomic area2. usually they marry a second violent man 3. mostly they come to the E/R c/o………..

4. mostly they think that the husband respond like this because they still have strong feeling for them

46) 17 y.o,she missed her second dose of varecila vaccine,the first one about 1 y ago what you'll do:a. give her double dose vaccine b. give her the second dose onlyc. revaccinate from startd. see if she has antibody and act accordingly

1- Pt with hodgicn lymphoma , and red strunberg cell in pathology and there is esinophil lycocyte in blood so pathological classification is

2- 62 y male with DVT and IVC obstruction deu to thrombosis so most like dd is-neohrotic syndrome-SLE-Chirstm disease

3-Pt with hbdominal pain heamatutea , HTN, and have abnormalty in chromosm 16 , diagnosis is_ POLY CYCTIC KIDNEY

4- 17 year pt with dyspnea Po2 , PCO2 ,Xray normal PH increase so dd is- acute attack of asthma- P E- pneumonia-pnemothrax

5- A long scenario about patient with polydipsia ad polyuria. Serum osmolrity high . desmoprsin inductin no change urine omolarity and plasma osmolrity so dd is_ nphrognic type_ central tupe6- 50 year old Man presented to ER with sudden headach, blurred of vision and eye pain. The diagnosis is:a. Acute glaucomab. Acute conjunctivitisc. Corneal ulcerd. -----7- RTA with hip dislocation and shock so causes of shock is- blood lose- urtheral injery-nryrogenic8- most common causes of hand infection- truma- imunocrombromise -

9- ttt of cholestatoma is- surgery- antibiotic- steroid-Grommet tube10 – twins one male and other female . his father notice that femle become puberty before male so what you say to father

- female enter puberty 1-2 year before male-female enter puberty 2-3 year before male-female enter puberty at the same age male

11- in devolping countery to prevent dental carise , it add to water - florid- zink- copper- iodide

12- 10. 12 y.o boy c/o abdominal pain after plauing football,he denied any h/o trauma ,the pain is in the Lt paraumbilical region what inx you want to do:1. CXR2. ultrasound kidney

13- pt child with back pain that wake pt from sleepSo diagnosis- lumber kyphosis- osteoarthritis- RA- Scoliosis

14- child with papule vesical on oropharnx and rash in palm and hand so dd- CMV- EBV- MEASLS- ROBELLA

15- chid with dental caries and history of bottle feading

So dd- nurse milk caris

5years old c/o limping in ct there is a v necrosis ttt is: -16-surgery total hip replacement--splent-physiotherpy

17 -Pt have dm and renal impairment when he had diabetic nephropathy:there is curve for albumin-5y-10y-20y-25y

18 -Pt has alzahimar disease and halusination and delusion ttt:Halopridole Antipsychotic drugs are modestly useful in reducing aggression and psychosis in Alzheimer's patients with behavioural problems

Generalize antxity disorder best ttt: -19 _Ssri-tricyclic a d-MAOIMajor depression management: -20 - - Intial MONOTHERABY even sever sever deprisson- Ttt should be change if no response during 2wk-psychotherapy, medication, and electroconvulsive therapPsychiatric pt with un compliance of drugs ttt: -21-depro halopredol injection- oral colonazepam22- Pt with scoliosis, you need to refer him to the ortho when the degree is:e. 5 10% ENOGH TO CONFIRM DIAGNOSISf. 10 g. 15h. 20 i. –

23- 5 y.o child with h.o fever and swelling of the face ant to the both ears (parotid gland enlargement) what is the most common complication:j. Labrynthitis k. meningitis l. encephalitis m. orchitis

24- 35 y Woman with cyclic bilateral nodularity in her breast since 6 month, on examination there is 3 cm tender mobile mass in her breast : what you will do nextn. FNA with cytologyo. Mammogramp. Biopsyq. Follow up for next cycleObservation25 -pt with salpingitis and there is swelling in pelvis in posterior fornex and it is fluctuant m:-colpotomy : Culdocentesis refers to the extraction of fluid from the rectouterine pouch[1] posterior to the vagina through a needle > The Rectouterine Pouch is often reached through the posterior fornix of the vagina.-Laproscopic - continouse oral theraby

26- child swallowing battery in the oesophegus m:-broncoscoby- insert foly catheter- observation27 _mild diarrhea m:-ors- IVF- oral antibiotic

In the appendisits the histology is: -28-leukocyte in muscle- lymphoid aggregation mascular layer-tumor-plasma cell in mascular layer

29 -water in the body:-40% of total body wight-diffrence depend on age and sex30 _clavicular fracture m:- If displaced need open surgery_arm sling and figer 8 is equal in efficncyTreatment usually involves resting the affected extremity and supporting the arm with the use of a sling. In older practice, a figure-8 brace was used

31 _corneal ulcer ttt:-ab and cycloplagia is mydrasis and refer to ophthalmologyincluding topical cycloplegics like

32 -regarding dringe of the abcess one of the following is true:-curbuncle and frunculosis need draing -usually give ciphtriaxon and penicillin post draing

33 _salpingitis and pid on penicillin but not improve the most likely organism is :-chlamydia-nessiria-SYPHLIS- HSV

34 -wound at end inflammatory phase when:Epithelial tissue formation-angiogenisis

35. male pt developed corneal ulcer in his Rt eye after trauma what is the Mx:1. topical Ab & analgesia2. topical steroid- antibiotic +cycloplgia + refferd to opthalm

36 -pt with mcv decrease and reticulocyt decrease iron deficiency anaemia investigation to confirm diagnosis:Ferritin level and tibc and serum iron- BONE MARROW IRON STAIN- -prephral smear

- -elctrphorosis37-. 6 mths baby with crying episodes+current jelly stool,looks slightly pale,signs of obstruction wht is your Mx:1. barium enema 2. immediate surgery 3. I.v fluid & wait for resolution

38. 5 y.o child with h.o fever and swelling of the face ant to the both ears (parotid gland enlargement) what is the most common complication:1. Labrynthitis2. meningitis3. encephalitis4. orchitis

39. Mother who is breast feeding and she want to take MMR vaccine what is your advice:1. can be given safely during lactation2. contain live bacteria that will be transmitted to the baby3. stop breast feeding for 72 hrs after taking the vaccine40. which of the following is a disease improving drug for RA:1. NSAID2. Hydroxychloroquine3……………41- Greatest risk of stroke: DMElevated blood pressureFamily history of stroke HyperlipedemiaSmooking42- SCA complications in adultsCerebral infarctionCerebral hemorrhage

43- Child with large periorbital hemangioma , if this hemangioma cause obstruction to vision , when will be permenant decrease in visual acuityAfter obstruction by one dayBy 1 weekBy 3 monthsBy 6 months

44- What is the most common treatment for juvenile rheumatoid

arthritisIntraarticular injection of steroidOral steroidParacetamolD-penicillamineAsprin

-when the wound cleanScar formation45 -adlosence with osteoporosis ttt:Ca folic acid46 _pt has hemorrhoid with 4 degree ttt:Exsion surgery47 _pt come with history of tinia capitis ttt:-tar shampoo_fluconazol oral terbinafine, itraconazole, and fluconazole48_pt with history of copd the most action to prevent complication is:Pnemoccoccal vaccineSmoking stopOral steroidB 2 agonist49 _pt with congenital hip dislocation :-abducting at flexed hip can causes click or tali50-colon cancer with stage 3 give the chemotherapy:As soon as possible51-sca give prophlaxis:Penicillin Iron month

52-diagnosis of thalasimia minor:-hb a2 and hgfMicrocytosis

53-56 y old present with vasomotor rhinitisLocal anti histamineLocal decongestionLocal steroid Systemic ab

54 - Hepatitis b ab and ag on the curvey55-strongest risk factor for strok:-htn

-a fibrillation- 9-most risk factor: -htn, atropine56-

to get more information from the pt-open end question

2- gingivits most likely cause-HSV

3-watery discharge from eye , conjunctivitis treated by- topical corticosteroid

4-blow out fracture eyelid swelling , redness other syptoms- present air fluid level - enopthalmosits enophaloms and other name of blow out fracture orbital floor fracture

5-drinking of dirty water causes-heptitis A-B -C-Di think its heptitis A

6- giemsa stained blood film- malaria

7-regarding peritonitis -can be caused by chemical erosions

8-mid- clavicaular fracture treatment-arm sling and finger 8 is equal in effiency

9-fraucture of humerus associated with- radial N injury

10-there is case i cant remember they asked about diagnosis of acute lymphocytic leukemia ALL

11-diagnosis of hemochromatosis-serum ferritin

12-kawasaki disease associated with-strawberry tongue

13-most common tumor in children-wilms tumor

14- pt c/o of hypopigmentful skin , nerve thicking diagnosis-leprosy

15-regrading COPD to reduce complication we should give- theophyline- pneumococcal vaccini think its pneumococcal vaccin

16- pseud-gout its-CACO3-CACL3its CACO3

17-man with history of alcohol assocation with- high MCV-folic acid deficiency

-B12 deficieny- hepatitisi think its high MCV

18-neanate 9 days on breast fed develop jandice- breast fed jandice

19-newborn we should given to prevent bleeding-vit k

20- pregnant lady 16 wks u/s shows snowstorm appearance- complete hydatiform mole

21-lady c/o headche bandlike pain- tension headache

22-regarding breast screening- self breast examination early detection of tumor- mamogram

23-19 yrs old c/o abdo pain within menestration for last 6 years diagnosis- primary dysmenorrhea-secondary dysmenorrhea

24-bilateral breast mass diagnosis- ductal carcinoma-pagets disease

25- beriberi cause of deficiency- VIT B1- VIT B2

- VIT B3its VIT B1 thiamine

26-chronic uses of estrogen assciation

27- Asystole- adrenalin- atropinasystol has only 3 durgs epinephrine-vasopressine-atropin

28-pt has diarrhea , dermatitis and dementia diagnosis pellagra

29-regarding injectable progestron-can cause skin prob

30-sencodary prevention is -coronary bypass gaft

31-22 yrs old c/o insomina/ sleep disturb treatment-SSRI

32-celluitis in children most commin causes- group A steptoccus

33- antideprssants associated with hypertensive crisis treatment-MAOI

34-pt his MBI = 24 kg he is- norama weight

-over weight- morbid weight- mild weight

35-baby c/o fever , chills , rigors and head rigidity +ve kurnings sign rash on his lower limb diagnosis- meningoccal meninigits

36-48 yrs pt with abdo pain , neusea, vominting tenderness in right hypochondrial- acute cholecysitis

37-29 pt c/o dysurea his microscopic showed G -ve organism is- legonealla

38- 30 yrs pt c/o feeling heaviness in the lower abdomen having pulge papable at the top scrotum that was reducible and icreasing in valsalva maneuver diagnosis- hydrocele-variocele-indirect inguinal hernia-direct inginal hernia

39- 27 yrs girl wih breathing heavily she had numbness and tingling sensation around the mouth and tip of the fingers you will do-let her breat to in a bag

40-anticoagulation prescrib for- one month- 6 months

- 6 weeks- one year

41-cushing syndrome best single test to confirm- palsma cortison-ATCH

42-23 yrs old history of URTI then he developed ecchomysis best treated-local AB-local antiviral-steroid

43-chronic psycotic disorder manged by-heloperidol

44-29 yrs old lady B-HSG 160 c/o vomiting , abdomenal pain which is more accurate to diagnosis-BHCG serial-pelvic US-laprascopy

45-70 yrs old man c/o fever , vesicular rash over forehead mangement-IV AB-IV antiviral

46-celiac disease involves-proximal part of small intestin-distal part of small intestin-proximal part of large intesin-distal part of large intensin

47-6 yes old pt cyanosis past history of simillar attack 6 month ago u will do for him-PFT-CxR-secure airway-CBC

48-side affect of diazepam

49-lady 28 yrs G3+3 C/O infertility-uterin fibroid

-endemic means