Zomra recalls Medicine section Cardiology qs – Ecgs < 1-Wpw syndrome – diagnosis –you gonna see delta wave at the qrs – 2-Rt vent infarction –its inferior mi with hypotension 3-peristant juvenile ecg paterrn* gnna see palpitation plus t wave invertion in v1 v3 ) Cardiogenic shock low cardiac index Diastolic dysfunction diagnosis Constrictive pericarditis ‘’’ post radiation and same as rt failure ) Mitral stenosis diagnosis –rumble diastolic murmur and a fib and hemoptysis Respiratory qs – Asthma pt come with sob with exercise how to treat –give saba before Copd pt 65 yrs old cough is controle and he has mild sob –what next -give pnemococcal vaccine 23 valent or o2 therapy or lung reduction surgery Copd pt with mass in the upper lobe and no other finding –pet show nodule in rt and bronchoscopy confirm it with no other finding – diagnosis is bronchogenic carcinoma Bronchiectasis –case of persistant cough and recurrent infection and ct find thick bronchi Brochiactaasis and meconium ileus the defect is in cf transe 502 gene Parapnemonic efeusion complicated type –diagnosis Sicke pt with symptoms of chest pain and sob and ct find wedge shape pt is febrile and has bandemia -is it insitu thrombosis or septic pe Ards mechanism in pancreatitis pt Pft in sarcoidosis is normal ratio and decrease tlc Neuro “ i) Epidural hematoma clear case of mva then after awhile confused hdche and loss conscious ii) Hemiplaismus if you find the ct scan choose the E choice iii) Ms acute –give steroid iv) G bare syndrome diagnosis –ascending paralysis start by unable to move leg and ascend up v) Sub acute combined degeneration of the cord -pt with Romberg sign choose b 12 vi) Pt with a phasia and a fib then resolve alone – TIA cause is emboli vii) Recurrent vision loss – AM fugax –do carotid Doppler viii) Alzahiemer dementia treatment is donepezil ix) Parkinsonism tx dopaaaa x) Urine incontinence and anal loss of tone -damage at S2 level 4-Git A Pancreatic cancer in pt with rt u q pain and wt loss and jaundice butt hypotensive –choices give fluid and antibiotic or ct scan B Epigastric pain after eating and releave by rest in 50th pt -do ecg C Pt with hiatal hernia and gerd for years – on ranitidine what next endoscopy D Dysphagia to solid and liquid for month and pt had pain in swallowing so refuse eat and had wt loss – achalasia or adenocarcinoma E Diverticulitis –next step ct F Alcoholic cirrhosis G Pancreatitis - and pain after eating ulterasound H Pt old and hemioccult is + colonscopy 5- infectious I Hiv case wth ora ulcer and diarrhea hiv negative but vira; load is high Syphilis acase of all finding of syphilis 3—pt wil start etanarcept what to check ppd for tb sinusitis organism is rinovirus 5—causes of recurrent uti in agirl - bladder reinfection Recurrent gonorrhea in sexual active lady – give cepro as prophylaxis 7—giardea diagnosis 8—meningecoccal prophylaxis rifampin 9- mycoplasma pnemonea – subacute hemolytic anemia –the case said a boy live with cat and petts – 10—malaria diagnose as they said entraerythrocyte give antimalarial 11- malaria -the pt given prophylaxis next step give mosquito net -6 heamatology: 1-Cll diagnosis 2-Myelodysplastic syndrome 3-Auto immune h anemia 4- Sickle cell anemia develop pancytopenia and splenomegaly –what is the cause ? 5-Monoclonal gammapathy of un d segneficance 6- Hodgkin lymphoma 7- Itb treatment 7# enocrine 1- Ectopic acth production 2-Papillary thyroid treatment –surgery 3- Sick euthyroid syndrome 4-Hyperaldestronism 5-DKA asso with what? With acidosis 6-Diabetic strongest risk factor -is ethnicity 7-Diabetic and renal problem -give ace I nhibitor 8-Another case what to give in diabetic pt for protecting kidney – give lisenobril 9-Pt with obstruction uropathy and sepsis then after surgery develop diuresis is it post opstructive diuresis or nephrogenic DI due to sepsis 10-Child drinks alcohol then develop seizure is it due to hypoglycemia or hypocalcemia Or hypomagnesemia 11- hyperparathyroidism pt –diagnosis clear case with high ca and high pth low phosphate 12- hypovolemic hypernatremia due to dehydration 13- SIADH a case of high urine osmolarity 14- how wt reduction will reduce glucse –in the body –is it by decrease gluconeogenesis or icrease insulin sensitivity Rheumatology 1234567891011- Rheumatoid vasculitis acase of known rh arthritis and develop palpaple purpura -and joint swelling Hip osteoarthritis and had previous accident on the hip – x ray show hyperlucency next MRI Seizure pt and dislocation affect the gleno humerous joint Weakness abduction of the arm - also glenohumerous joint Lumbar strain paraspinal muscle t enderness given nsaid next step observe Gout flare treatment – nsid SLE treatment steroid Sjoren syndrome how to diagnose it – anti ro Dematomyocytis case with musce weakness and skin problem risk for what – fr carcinoma Dequrvian synovitis weakness at abduct policis longus Absence of achill tendon in elder pt –it is normal aging Renal a Calcium stobe how to prevent – by increase vegetable b Rhabdomyolysis diagnosis c Tumerlysis syndrome how to prevent –by allopurinol d Malignant hypertension with renal damage –do renal ultrasound e Wegner granulomatosis – the c disease of c shape affection in nse lung and renal dermaaa 1-basal cell cancer in the face –pic 2-tenea pedis pic 3-tenea versicolor pic treat by selenium 4-acne pt treat by benzoil peroxide 5-mechanism of psoriasis –epedermal hyperplasia 6-scabes treatment – permethrin 123456789101112131415- Spontaneous abortion in 10th week primigravida –due to aneuploidy Labour partogram –arrest at dilatation Androgen insensitivity syndrome what next –do testosterone Endometriosis case with fixxx uerus what to do laproscopy Baby girl with blood at vagina and breast hypertrophy –reassurance Anovulation cycle in younger lady –diagnosis Rhogam giving at which time – at 28 week and then at delivery GBS prophylaxis penicillin to mother Big fetus what is the risk –is diabetis Utrine atony postpartum bleeding after removing placentae Stress incontinence case –by coughing and the vagina get down by coughing Acceleration occurs every 20mints or less I thinks – reassurance Bacterial vaginoss treatment Candida vaginosis diagnosis Pap shaws h without ATAPIA –give progestin Pediatric 1-Septic arthritis diagnosis 2- Febrile seizure – reasuurance I couldn’t remember rt now Surgery a Testicular tortion – surgery b Blunt renal trauma - ct c Gunshot wound – hypotension surgery d Upper git bleeding stablise then give propranolol -psychatric 1-Ocd give c b therapy 2- Depression diagnosis 3-Adhd 4- GAD ssri One q about ethics Statistic is arr and p value and case fatility rate -