Sección III - Del Gasto de Campaña
DEL CONTROL DE LOS APORTES Y GASTOS
671. In paracetamol toxicity: a- Pencilinemia b- N-acetylcysteine c- K intake d- Dexoamin….. 672. Case (pericarditis)
a- Pain in chest increase with movement….. sudden
b- Best investigation are ECG
c- Best investigation are Cardiac enzyme
673. Case patient complain MI on treatment after 5 day patien have short of breath + crepitation on both lung
a- pulmonary embolism b- pneumonia
c- MR
d- AR
674. case cardiac cannon a wave :
NOTE:
Cannon A waves, or cannon atrial waves, are waves seenoccasionally in the jugular vein of humans with certain cardiac
arrhythmias. When the atria and ventricles contract simultaneously, the blood will be pushed against the AV valve, and a very large pressure wave runs up the vein.[1][2] It is associated with heart block, in particular third-degree (complete) heart block.[3] It is also seen in pulmonary
hypertension.[3]This wave will cause pulsation in the neck and abdomen, headache, cough, and jaw pain.[
675. Uric acid in body how the body removed by
a- increase execration of uric acid in urine
b- increase metabolism of uric acid in liver c- execration of uric acid by lung
676. Kawasaki syndrome;
a- Strawberri tongue
677. Co arctation of aorta all true except
a- Skeletal deformity
b- Upper limp hypertension
c- Systolic murmur on all pericardium
678. acute diarrhea with epithelial infiltration
a- E- coli b- Salmonella
c- Cholera
d- Rota virus e- Shigella
679. old pat with pain after walking no edema
a- Claudication
680. old pat with tachycardia pulse 150 otherwise normal
a- TSH
b- Stress ECG
681. to differentiate between sinus tachycardia from atrial flutter
a- Carotid massage
682. empirical treatment of peptic ulcer h. Pylori
a- Omeprazole
b- Clarithromycin c- Antihero
683. first sign of increase ICP
a- HTN
b- Decrease Level of consciousness
684. increase igG in CSF
a- Multiple sclerosis
b- Duchene dystrophy
685. Most important to instruct pt. about Lyme dis :
a- Kill insect
b- Wear long fiber clothes
686. young lady with emphysema
a- A1 anti-trypsin def
687. pt. with hemoptysis , night sweat . Loss appetite .. X- ray apical cavity :
a- Post primary TB
b- Pneumonia
688. patient with pustule around the mouth the organism is herpes simplex what is the treatment
a- Oral ab b- Topical ab
c- Acyclovir
689. drug cause gout
a- Hydrochlorothizide
B - Furosmide
690. high pitch diastolic murmur
a- MS
b- MR c- MVP
691. stickler patient u treated with antibiotic for UTI u will discharge him with
a- Penicillin
NOTE: Stickler syndrome is a group of genetic disorders affecting
connective tissue, specifically collagen
692. on going treatment for sticklers a- iron therapy
b- Pencillin with immunization
693. mechanism of Cushing disease
a- Increase ACTH from pituitary adenoma
b- Increase ACTH from adrenal
694. pt. diabetic retinopathy the most u will deal with
a- HTN with smoking
695. drug used in treatment of CHF which decrease the mortality
a- B blocker
b- Verapamil c- Nitrates d- Digoxin
696.CHF with pulmonary edema . Treat with
a- Furosemide
b- Thiazide
697. patient with past of hx of endocarditis came to dental to do dental procedure , what antibiotic u will give as prophylaxis :
a- amoxicillin 2 mg before the surgery
b- amoxicillin 1 mg after the surgery c- clindamycin 2 mg before surgery d- clindamycin 1 mg after surgery
698. patient came with retrosternal chest pain , increase with laying dawn &sleeping , ECG and cardiac enzyme were within NL
a-give PPI
699. what is the most specific diagnostic for PE :
a-V/Q scan
b-pulmonary angiogram
c-chest x-ray
700. SE of sulfadiazine :
a. Leucopenia
701. 40 year old male , not known to have any medical illnesses , complaining of central obesity, acne ,weakness , buffalo hump , hypertension :
a- cushing’s disease
c- psuedocushing induced by alcohol intake d- adrenal adenoma
702. most common feature ass with chronic diarrhea :
a-metabolic alkalosis
703. scenario about primary biliary cirrhosis
NOTE:
(Individuals with PBC may present with the following: Fatigue
Pruritus (itchy skin)
Jaundice (yellowing of the eyes and skin), due to increased bilirubin in the blood.
Xanthoma (local collections of cholesterol in the skin, especially around the eyes (xanthelasma))
Complications of cirrhosis and portal hypertension:
o Fluid retention in the abdomen (ascites)
o Hypersplenism
o Esophageal varices
o Hepatic encephalopathy, including coma in extreme cases.
Association with an extrahepatic autoimmune disorder such as rheumatoid arthritis or Sjögren's syndrome (in up to 80% of cases)
704. acute fluid loss in the abdomen cavity what it will cause :
a-cardiogenic shock b-neurogenic shock c-septic shock
d-hypovolemic shock
705. scenario about hemophilia , what’s the defect :
a- Clotting factor
706. typical scenario about essential HTN
707. 20 y\o male pt. came with cough , chest pain , fever , what antibiotic u should prescribe :
a- amoxicillin
708. pt. came with café au late spots , what other things u’ll look for :
a- axially freckling
709. qs about etiology of gout
710. von well brand disease how to treat:
b- fresh frozen plasma
c- factor VIII replacement
711. drug used in smoking cessation c/I in pt :
a- hx of seizure
712. prophylactic of plague
a- rodent eradication
713. qs abut EBV :
714. qs about COPD mx
715. qs pt. with arthritis , urethral discharge , culture of discharge came –ve for gonorrhea and chlamydia :
b- Reiter’s syndrome
716. pt. with skin rash , diarrhea , dementia :
A- Pellagra
717. qs about asthma :
718. What is contraindication for giving welbutrine (Bupropion )in smoking sessation ?
a- History of seizure
b- Hemolytic anemia
719. Sodium content in normal saline (0.9)
a- 50 b- 70 c- 90
d- 155 or 154
e- 200
720. The most important sign the physician should look in primary autonomic insufficiency ?
a- Orthostatic hypotension
b- Sinus arrhythmia c- Horner syndrome
721. patien work in hot weather come with clammy cold skin ,hypotensive tachycardia
a- heat stroke
b- heat exhusion
NOTE : (Heat exhaustion: This condition often occurs when people are
exposed to high temperatures especially when combined with strenuous physical activities and humidity. Body fluids are lost through sweating, causing dehydration and overheating of the body. The person's
temperature may be elevated, but not above 104 F (40 C).
Heat stroke: Heat stroke, also referred to as heatstroke or sun stroke, is a
life-threatening medical condition. The body's cooling system, which is controlled by the brain, stops working and the internal body temperature rises to the point at which brain damage or damage to other internal organs may result (temperature may reach 105 F or greater [40.5 C or greater]).)
722. patient with red blood cell disorder ,with family hx of thalassimia
to confirm the dx :
a- increase the level of A2
b- genetic testing
723. polymyalgia Rhematica case with elevated ESR , other feature :
a-proximal muscle weakness
b-proximal muscle tenderness
724. regarding barret easophgitis which correct ?
a-risk of adenocarcenoma
b-risk of squmou cell CA
725. man change his job , he must in new job to talk in front of 50 persons , he feels that he can not do this and he send his friend to do that instead of him, who can you help him ?
1. propranolol 2. Biofeedback
726. Greatest reversible risk of stroke:
a-DM
b-Elevated blood pressure
c-Family history of stroke d-Hyperlipedemia
e-Smoking
727. An elderly lady presented with chronic knee pain bilaterally that increases with activity & decreases with rest. The most likely diagnosis is:
a) Osteoarthritis
b) Rheumatoid arthritis c) Septic arthritis
728. Treatment of herpes zoster in ophthalmic division:or how to prevent post herpitic neuralgia ;
a) Oral acyclovir alone
b) Acyclovir & Prednisolone
c) Prednisolone d) IV Acyclovir
729. Old pt complaining of back pain on walking on examination there was stiffness of the muscle and there was some finding on the X-Ray best effective ttt:
a) Physiotherapy
b) NSAID c) Surgery
730. male patient present with swollen erythem , tender of Lt knee and Rt wrist , patient give history of international travel before 2 month , aspiration of joint ravel , gram –ve diplococcic , what is most likely organism;
a-nesseria gonorrhea
b-staph coccus c-strepto coccus
731. the initial non pharmacolgical measurment in osteoartharitis is :
a-steringth of qaudrcepc muscle
732. long senior patient came with chest pain , burning in character ,retrsternal , increase when lying down , increase after eating hot food, clinical examination normal DX:
a-peptic ulcer
b-GERD
733. about vareciall vaccine in adult , which is true ;
a-2 vacceine abart of 1 month
b-2vaccine abart of 6 month d-3 vaccine abart of 6 month