Picture of malluscum

This is Endometriosis.

196- Pt have hx of trauma (MVA. and develope SOB with decrease air entry in the right side xray emphysema+ peumomediastinum
Cause?
1 open pneumothorax
2 tension pneumothorax
3 tracheobronchial injury
4

197- Pt have unilateral neck pain that increase and become like electeric shock from neck radiate to shoulder also develop weakness in the arm
Whats cause?
1 cervical disc prolapse
2 polymyalgia rheumatica
Other2

198- When to screen pregnant lady for asymptomatic bacteruria?
1 at 12th week
2 20
3. 26
4. 36

199- Pt came with anal pain + hx of hemorrhodectoy before 2 month
On exam doctors can't able to do P R due to severe pain what's cause ?
1 anal fissure
2 anal stenosis ✅
3 heamarrhoid
4 anal sphincter

200- What indicates a doctors’ respect of a patents’ autonomy?
A- Patent information
B- Covering patient’s body parts
C- Treat all patient’s equally
D- Patient signing a consent

201- A patient who has a  tremor in his right hand,  seen when reaching for an object and with the finger-nose test. Were is the lesion?
-Right cerebellum
-left cerebellum
-left basal ganglia
-left motor cortex

202- Case of ectopic pregnancy received methotrexate her bHCG were: on day 1 ( 3000)
‏on day 4 ( 3100)
‏on day 7 ( 2900 ) what to do next
‏A. Nothing
‏B. Surgery
‏C. Multidose methotrexate regimen
‏D. Consider second dose of methotrexate

203- healthy young lady just delivered a baby 4 months ago. However, she tells you that she does not want to get pregnant for the next 2 years. What method of contraception will you recommend?

A- Combined OCP
B- Depo Provera injection
C- Vaginal ring
D- Transdermal patch

204- GCS calculation
Eye open to sound. Localise pain..confuse
1. Mild
2.moderate
3.severe

205- Female Patient on icu urosepsis and septic shock, did not respond to ressisatuve mesures, he was started on norepinephrine but no response. Check labs below
Right atrial pressure: Normal
PCWP: Slightly high
CO: Normal
SVR: Normal
What is the cause of her deterioration
A-Adult respiratory distress syndrome
B-Volume overload
C-Cardiogenic edema

206- A female patient presented with joint stiffness, she also has photosensitivity, malar rash with healed ulcers, her proximal muscle strength is 3/5. Labs
ANA +ve
Rheumatoid factor +ve
CBC shows anemia
Which of the following serves the highest diagnostic value?
A-Anti DsDNA
B-Anti CCP
C-Anti RNP

207- Patient presents with fever upon examination there was painful nodules and splinter hemorrhages. Which of the following is the most appropriate management?
A-Gentamycin
B-Vancomycin + Ceftriaxone

208- Uncontrolled asthma patient present to the ER with asthma exacerbation, his last many reading of PEF was <450. Which of the following indicates severe asthma exacerbation?
A-Respiratory rate >25
B-PEF <350
C-Heart rate > 100 bpm

209- A 65-year-old patient with yellowish sputum and hemoptysis, he’s a smoker for 30 years.
Vitals: Fever 38
X-ray: Right lower lobe infiltrates
What is the diagnosis?
A-Acute bronchitis
B-Community acquired pneumonia
C-COPD

210- Primigravida 32W with type 1 DM presented with abdominal pain and uterine contractions her os is closed what to do?
A-Steroid and increase insulin
B-Steroid
C-Steroid, increase insulin and tocolytics

211- 9-month baby breast fed and mom started to introduce solid food but he’s mainly on breast feeding
What is the most appropriate advice?
A-Iron
B-Vitamin D
C-Speed up the process of solid food introduction
D- Nursing bottle

212- Patient primigravida 6 weeks presents with severe lower abdominal pain radiating to the shoulder.
vitals 90/50
HR 118
US: No intrauterine pregnancy
What is the most appropriate next step
A-Laparoscopy
B-Methotrexate
C-Prostaglandin