577- Question about patient with palipation lasting 5-10 mins at a time (no mentioned with exercise) —-> stress ecg or Holter monitor ...

578- Potassium 6.5
creatinine 440

A- dialysis
B- Ca gluconate ✅

579- Case of maybe COPD; O2 91 %

what to give
A- albuterol
B- salmeterol
C- (ipratropium not sure)

580- Gravid women came with PROM you administered a beta-memetic tocolytics drug what is the side effect:

A- abdominal pain
B- palpitation ✅
C- diarrhea
D- bad odor

581- patient 41 week gestation given pethidine and pethergan (not really of the word)
give you a CTG showing early / prolonged deceleration
next step:
A- naloxone
B- Watch and reassess after 30 mins
C- change mothers position (maybe left lateral)

582- Male presents with peptic ulcer resistant to medications, with positive secretin stimulation test, what is the diagnosis?
a) VIPoma
b) Glucagonoma
c) Gastrinoma ✅

583- case of a patient with a large amount of fluid in the pouch of douglas

A- laparotomy
B- suction and evacuation

584- Pt pain less defication, Blood in th stool. Biles reduced spontanius in 3 areas 3.7...._ Hb very low, Dx hemmorriid was given which of the following is Definitive management ?
A. conservative manag
B. fiber diet
C. rubber band ligation
D. hemorroidectomv

585- Child with face swelling and sacral edema with abnormal liver test and proteinuria Dx?

A-CHF
B-Chronic liver disease
C-Nephrotic syndrome ✅
D- Low protein diet

586- breast 2 nodules that were oval affected by pre menstrual cycle

A- fibroadenoma ✅

587- pt the fresh blood per rectal, they did NGT and it was greenish ,colonoscopy
report show normal has no colorectal ca , what is next step ?
A. upper GI endoscopy
B. 99 tec ✅

588- 32y female present with 4cm fibroadenoma with hyperplasia and atypia

What is the most signeficant risk factor for breast cancer?

A. Her age
B. Present of hyperplasia
C. Present of atypia ✅
D. Fibroadenoma size

589- Case of baby with Acetaminophen toxicity with s/s came after 1 day what to do ?
A-Nac ✅
B-Charcoal

590- burn victim at the genital area 3 rd degree.
written in the question that it makes up 1 %.
what do you want to do?
A- refer to burn unit ✅
B- treat as if an outpatient
C- sterile dressing of some sort

591- Young male came afrer RTA and FSAT was order
Which of the following most probably to found?
A-pneumothorax
B-subdural hematoma
C-Hollow viscous injury
D-interpertoneal free fluid ✅

592- elderly, epigastric pain for 3m, wt loss, jaundice and dark urine
There was dilatation of intrahepatic and extrahepatic duct
Labs: cholestatic picture
(They did not mention if the gallbladder is palpable or shrunk :) )
A. Klatskin tumor
B. Gall bladder cancer
C. Ampullary cancer ✅

593- Child with recurrent infections did chloride sweat test and it was positive, which complication is common in this condition?
A- malignancy
B- bronchiectasis ✅
C- lung emphysema

594- Young Patient presented with migratory polyarthritis and subcutaneous nodules.
What will confirm the diagnosis?
A- High ESR
B- High CRP
C- blood culture
D- ASO titer antistripsin ✅

595- 30 something year old lady presented 1 week after birth with Bilateral crackles and dyspnea What is the likely cause?
1- MI
2- Pericarditis
3- Peripartum Cardiomyopathy ✅

596- child with fever, rash, edema, dry conjunctivitis, dx?
A- Kawasaki ✅