This document contains 95 questions from an actual USMLE exam covering a wide range of medical topics. The questions include clinical vignettes testing diagnosis and management for conditions like dermatitis, giant cell arteritis, bipolar disorder, Alzheimer's disease, depression, personality disorders, cancer pain management, hypertension, pneumonia, and more. They also include questions on biostatistics, medical ethics, prescribing, developmental milestones, and complications of medical procedures.
This document contains 15 clinical vignettes asking about appropriate diagnosis and management. The correct answers are provided after each question. Key themes include appropriate treatment for conditions like Lyme disease, fungal infections, meningitis, sexually transmitted infections, neutropenic infections, and rabies exposure.
This document describes the case of a 3-year-old boy who presented with abnormal movements and fever. He was found to have chronic renal failure, hypocalcemia, hypomagnesaemia, and hypertensive encephalopathy. Imaging showed enlarged kidneys consistent with autosomal dominant polycystic kidney disease (ADPKD). He was treated for his hypertension and renal failure. Hypertensive encephalopathy is characterized by neurological symptoms due to a rapid rise in blood pressure and failure of the brain's autoregulation. It is commonly seen in patients with renal disease and is managed by slowly lowering the blood pressure over 24-48 hours.
Internal Medicine Board Review - General Internal Medicine Flashcards - by Kn...Knowmedge
Internal Medicine Board Review Flashcards - This eBook contains 50 General Internal Medicine Flashcards. The Flashcards are review questions and can be used to study for medical board exams including the USMLE Step Exams and the ABIM Internal Medicine Exam. More questions can be found at www.knowmedge.com
A worker was off work for 16 days due to illness and was under outpatient treatment. The doctor initially issued a 5-day sick note, which was then extended for another 10 days. The document asks who can further prolong the sick note for this patient. The correct answer is that the doctor in charge of the case can further prolong the sick note, but only with the permission of the head of the patient's department.
This document contains 95 questions from an actual USMLE exam covering a wide range of medical topics. The questions include clinical vignettes testing diagnosis and management for conditions like dermatitis, giant cell arteritis, bipolar disorder, Alzheimer's disease, depression, personality disorders, cancer pain management, hypertension, pneumonia, and more. They also include questions on biostatistics, medical ethics, prescribing, developmental milestones, and complications of medical procedures.
This document contains 15 clinical vignettes asking about appropriate diagnosis and management. The correct answers are provided after each question. Key themes include appropriate treatment for conditions like Lyme disease, fungal infections, meningitis, sexually transmitted infections, neutropenic infections, and rabies exposure.
This document describes the case of a 3-year-old boy who presented with abnormal movements and fever. He was found to have chronic renal failure, hypocalcemia, hypomagnesaemia, and hypertensive encephalopathy. Imaging showed enlarged kidneys consistent with autosomal dominant polycystic kidney disease (ADPKD). He was treated for his hypertension and renal failure. Hypertensive encephalopathy is characterized by neurological symptoms due to a rapid rise in blood pressure and failure of the brain's autoregulation. It is commonly seen in patients with renal disease and is managed by slowly lowering the blood pressure over 24-48 hours.
Internal Medicine Board Review - General Internal Medicine Flashcards - by Kn...Knowmedge
Internal Medicine Board Review Flashcards - This eBook contains 50 General Internal Medicine Flashcards. The Flashcards are review questions and can be used to study for medical board exams including the USMLE Step Exams and the ABIM Internal Medicine Exam. More questions can be found at www.knowmedge.com
A worker was off work for 16 days due to illness and was under outpatient treatment. The doctor initially issued a 5-day sick note, which was then extended for another 10 days. The document asks who can further prolong the sick note for this patient. The correct answer is that the doctor in charge of the case can further prolong the sick note, but only with the permission of the head of the patient's department.
This document discusses four cases of meningitis. The first case involves a 67-year-old female presenting with confusion, somnolence, and stiff neck. Examination finds nuchal rigidity and Gram-positive diplococci in CSF. The second case involves a 4-week old premature infant with poor feeding, fever, and drowsiness. Lumbar puncture finds elevated white blood cells in CSF. The third case discusses a 70-year-old man with pneumococcal meningitis resistant to penicillin who is not improving with cefotaxime. The fourth case involves an 18-year-old man referred for suspected meningitis who was given IV penicillin.
This patient likely has chronic Chagas disease based on their symptoms, physical exam findings, and risk factors from living in rural Mexico. Chronic Chagas disease involves biventricular systolic dysfunction and is diagnosed through serum testing for Trypanosoma cruzi antibodies. Given the presentation, right heart catheterization could help evaluate cardiac pressures and output, but serum T. cruzi IgG antibody testing would be most likely to reveal the diagnosis.
This document appears to be a collection of pediatric immunology multiple choice questions and answers in Arabic. It includes questions about HiB vaccination schedules, conditions whose incidence has decreased due to HiB vaccination, live versus inactivated vaccines, vaccination routes and contraindications. The questions cover topics like BCG, diphtheria, pertussis, polio, measles, rubella, meningococcal and combination vaccines. It discusses vaccination schedules, precautions and contraindications for premature infants, immunocompromised children, those receiving certain medications and more.
Krok 2 - 2013 Question Paper (General Medicine)Eneutron
A 28-year-old patient has been experiencing infertility for 4 years of marriage with regular unprotected sex. Examination showed normal genitals and tubal patency but basal body temperature recordings over 3 cycles showed a single phase, indicating anovulatory cycles. The most likely cause of infertility is an anovulatory menstrual cycle.
Internal Medicine Board Review - Infectious Disease Flashcards - by KnowmedgeKnowmedge
Internal Medicine Board Review Flashcards - This eBook contains 50 Infectious Disease Flashcards. The Flashcards are review questions and can be used to study for medical board exams including the USMLE Step Exams and the ABIM Internal Medicine Exam. More questions can be found at www.knowmedge.com
Krok 2 - 2014 Question Paper (General Medicine)Eneutron
A senior nurse was dismissed after 17 years of service. The head of the department and union have appealed to the hospital head. The nurse lives with her unemployed divorced daughter and infant grandson. The options are to continue employment with a warning, discharge the worker, issue sick leave, or involve other officials.
A 50-year-old woman complains of lower abdominal pain. Examination finds a nodular tumor in the hypogastrium and tight, immobile tumors in the pelvis filling the cavity. The most likely diagnosis is ovarian cancer.
A 38-year-old man experienced sudden chest pain, cough, dyspnea and other symptoms. Examination finds absent breath sounds on the left. The suspected pathology
This document contains 20 self-assessment questions submitted by junior medical students on their Pediatric Clerkship rotation. The questions cover topics like rheumatic fever, Kawasaki disease, asthma severity classifications, otitis media, Down syndrome, HIV in mothers and newborns, Wilson's disease, and more. The questions are provided "as is" by the clerkship director as a study aid for subsequent students.
This document lists numerous medical conditions and examination findings related to cardiology. It includes 73 items that enumerate various causes of conditions like diastolic heart failure, left sided heart failure, infective endocarditis, syncope, shock, and others. For each item, the causes, criteria for diagnosis, signs, complications, and indications for treatment are delineated in detail.
Internal Medicine Board Review - Cardiology Flashcards - by KnowmedgeKnowmedge
This document is an introduction to a set of 50 flashcards on cardiovascular disease from Knowmedge, an online medical education platform. It provides background on Knowmedge and encourages the user to visit the website to access over 900 internal medicine questions, 4000 flashcards, and 1500 mnemonics to help prepare for medical board exams. The flashcards cover topics like cardiac tumors, cardiomyopathies, valvular heart diseases, coronary artery disease, and congenital heart defects. The document promotes Knowmedge as an ultimate learning platform for internal medicine and signing up to access over 4000 flashcards.
The document contains a 35 question practice test for mental health nursing. The questions cover topics like treatment for alcoholism, signs of different mental disorders, appropriate nursing interventions, and more. Some example questions are about the best response to a client experiencing hallucinations, appropriate goals for a client with bulimia, and signs of heroin withdrawal. The document provides multiple choice answers for each question.
This document contains a 100 question multiple choice quiz on general science. The questions cover topics related to agriculture, biology, chemistry, and physics. They assess knowledge that would be applicable to competitive civil service exams in India, which typically include 5-7% questions on general science. The quiz is provided by RasExam.com as a practice resource for exam preparation.
La prueba de aptitud numérica evalúa la habilidad para resolver problemas matemáticos utilizando números. Consiste en 30 preguntas de opción múltiple con ejemplos como situaciones de la vida real que requieren razonamiento numérico para encontrar la solución correcta.
Mr. W, a 56-year-old man with risk factors of hypertension and diabetes, presents with chronic chest pain that occurs with exertion such as climbing stairs. His symptoms, location of pain, and risk factors are consistent with stable angina, though gastroesophageal reflux disease and musculoskeletal disorders are also considered. Physical exam is normal except for peripheral neuropathy. Testing shows left ventricular hypertrophy on ECG and hypercholesterolemia on labs. Exercise stress testing surprisingly shows no evidence of ischemia despite reproduced chest pain. Stable angina remains a concern given his risk factors and symptoms.
This document contains a case report of a 12-year old male patient admitted to the hospital with complaints of high fever, body aches, vomiting and malaise. Laboratory tests confirmed the diagnosis of typhoid fever. The patient was treated with intravenous antibiotics, antipyretics and other supportive medications over a period of 3 days, after which his fever and other symptoms were controlled. The pharmacist made recommendations to rationalize the treatment and provide counseling to the patient regarding prevention of future typhoid infections.
This document contains 12 questions related to hematology for pediatric practical exams. Each question provides clinical information about a pediatric patient and asks for the diagnosis, relevant investigations, treatment, or other information. The answers are then provided, detailing the bone marrow diagnosis, differential diagnoses, inheritance patterns, prognostic factors, or other requested information for each clinical scenario.
Internal Medicine Board Review - Nephrology Flashcards - by KnowmedgeKnowmedge
The document is an introduction to a set of 50 nephrology/urology flashcards for medical board exam preparation provided by Knowmedge, an online medical education platform. It describes Knowmedge's resources including over 900 internal medicine questions, 4,000 flashcards, and 1,500 mnemonics. The flashcards cover topics in nephrology and urology and are intended to help users study for their medical board exams. Users are encouraged to visit Knowmedge's website and social media pages to learn more about their internal medicine learning tools and board review materials.
- Acute renal failure (ARF), also known as acute kidney injury (AKI), can have various causes including reduced renal blood flow, intrinsic renal injury, or urinary tract obstruction.
- Common etiologies of intrinsic renal injury include acute tubular necrosis, acute glomerulonephritis, and vascular disease. Acute tubular necrosis accounts for about 50% of cases and can result from ischemia, toxins like medications, or sepsis.
- Evaluation of a patient with suspected ARF includes history, physical exam, urinalysis, serum creatinine and electrolytes to determine the cause and exclude pre-renal or post-renal etiologies which require different management approaches.
This document provides instructions for participants taking a simulated exam for a medical licensing exam. It explains that the exam will take place over two sessions, from 8am to 2pm for the first part and 4pm to 8pm for the second part. It provides an example case study and question to demonstrate the exam format. It also includes a response sheet for participants to record their answers. The document aims to clearly explain the format, timing and expectations for the simulated exam.
This document contains 60 multiple choice questions related to dermatology diagnoses, clinical features, histological findings, treatments, and associated conditions. Each question includes prompts to provide the diagnosis, clinical features, histological findings, genetic factors, treatments, or other relevant information. The questions cover a wide range of dermatological conditions seen in different patient populations.
This document discusses four cases of meningitis. The first case involves a 67-year-old female presenting with confusion, somnolence, and stiff neck. Examination finds nuchal rigidity and Gram-positive diplococci in CSF. The second case involves a 4-week old premature infant with poor feeding, fever, and drowsiness. Lumbar puncture finds elevated white blood cells in CSF. The third case discusses a 70-year-old man with pneumococcal meningitis resistant to penicillin who is not improving with cefotaxime. The fourth case involves an 18-year-old man referred for suspected meningitis who was given IV penicillin.
This patient likely has chronic Chagas disease based on their symptoms, physical exam findings, and risk factors from living in rural Mexico. Chronic Chagas disease involves biventricular systolic dysfunction and is diagnosed through serum testing for Trypanosoma cruzi antibodies. Given the presentation, right heart catheterization could help evaluate cardiac pressures and output, but serum T. cruzi IgG antibody testing would be most likely to reveal the diagnosis.
This document appears to be a collection of pediatric immunology multiple choice questions and answers in Arabic. It includes questions about HiB vaccination schedules, conditions whose incidence has decreased due to HiB vaccination, live versus inactivated vaccines, vaccination routes and contraindications. The questions cover topics like BCG, diphtheria, pertussis, polio, measles, rubella, meningococcal and combination vaccines. It discusses vaccination schedules, precautions and contraindications for premature infants, immunocompromised children, those receiving certain medications and more.
Krok 2 - 2013 Question Paper (General Medicine)Eneutron
A 28-year-old patient has been experiencing infertility for 4 years of marriage with regular unprotected sex. Examination showed normal genitals and tubal patency but basal body temperature recordings over 3 cycles showed a single phase, indicating anovulatory cycles. The most likely cause of infertility is an anovulatory menstrual cycle.
Internal Medicine Board Review - Infectious Disease Flashcards - by KnowmedgeKnowmedge
Internal Medicine Board Review Flashcards - This eBook contains 50 Infectious Disease Flashcards. The Flashcards are review questions and can be used to study for medical board exams including the USMLE Step Exams and the ABIM Internal Medicine Exam. More questions can be found at www.knowmedge.com
Krok 2 - 2014 Question Paper (General Medicine)Eneutron
A senior nurse was dismissed after 17 years of service. The head of the department and union have appealed to the hospital head. The nurse lives with her unemployed divorced daughter and infant grandson. The options are to continue employment with a warning, discharge the worker, issue sick leave, or involve other officials.
A 50-year-old woman complains of lower abdominal pain. Examination finds a nodular tumor in the hypogastrium and tight, immobile tumors in the pelvis filling the cavity. The most likely diagnosis is ovarian cancer.
A 38-year-old man experienced sudden chest pain, cough, dyspnea and other symptoms. Examination finds absent breath sounds on the left. The suspected pathology
This document contains 20 self-assessment questions submitted by junior medical students on their Pediatric Clerkship rotation. The questions cover topics like rheumatic fever, Kawasaki disease, asthma severity classifications, otitis media, Down syndrome, HIV in mothers and newborns, Wilson's disease, and more. The questions are provided "as is" by the clerkship director as a study aid for subsequent students.
This document lists numerous medical conditions and examination findings related to cardiology. It includes 73 items that enumerate various causes of conditions like diastolic heart failure, left sided heart failure, infective endocarditis, syncope, shock, and others. For each item, the causes, criteria for diagnosis, signs, complications, and indications for treatment are delineated in detail.
Internal Medicine Board Review - Cardiology Flashcards - by KnowmedgeKnowmedge
This document is an introduction to a set of 50 flashcards on cardiovascular disease from Knowmedge, an online medical education platform. It provides background on Knowmedge and encourages the user to visit the website to access over 900 internal medicine questions, 4000 flashcards, and 1500 mnemonics to help prepare for medical board exams. The flashcards cover topics like cardiac tumors, cardiomyopathies, valvular heart diseases, coronary artery disease, and congenital heart defects. The document promotes Knowmedge as an ultimate learning platform for internal medicine and signing up to access over 4000 flashcards.
The document contains a 35 question practice test for mental health nursing. The questions cover topics like treatment for alcoholism, signs of different mental disorders, appropriate nursing interventions, and more. Some example questions are about the best response to a client experiencing hallucinations, appropriate goals for a client with bulimia, and signs of heroin withdrawal. The document provides multiple choice answers for each question.
This document contains a 100 question multiple choice quiz on general science. The questions cover topics related to agriculture, biology, chemistry, and physics. They assess knowledge that would be applicable to competitive civil service exams in India, which typically include 5-7% questions on general science. The quiz is provided by RasExam.com as a practice resource for exam preparation.
La prueba de aptitud numérica evalúa la habilidad para resolver problemas matemáticos utilizando números. Consiste en 30 preguntas de opción múltiple con ejemplos como situaciones de la vida real que requieren razonamiento numérico para encontrar la solución correcta.
Mr. W, a 56-year-old man with risk factors of hypertension and diabetes, presents with chronic chest pain that occurs with exertion such as climbing stairs. His symptoms, location of pain, and risk factors are consistent with stable angina, though gastroesophageal reflux disease and musculoskeletal disorders are also considered. Physical exam is normal except for peripheral neuropathy. Testing shows left ventricular hypertrophy on ECG and hypercholesterolemia on labs. Exercise stress testing surprisingly shows no evidence of ischemia despite reproduced chest pain. Stable angina remains a concern given his risk factors and symptoms.
This document contains a case report of a 12-year old male patient admitted to the hospital with complaints of high fever, body aches, vomiting and malaise. Laboratory tests confirmed the diagnosis of typhoid fever. The patient was treated with intravenous antibiotics, antipyretics and other supportive medications over a period of 3 days, after which his fever and other symptoms were controlled. The pharmacist made recommendations to rationalize the treatment and provide counseling to the patient regarding prevention of future typhoid infections.
This document contains 12 questions related to hematology for pediatric practical exams. Each question provides clinical information about a pediatric patient and asks for the diagnosis, relevant investigations, treatment, or other information. The answers are then provided, detailing the bone marrow diagnosis, differential diagnoses, inheritance patterns, prognostic factors, or other requested information for each clinical scenario.
Internal Medicine Board Review - Nephrology Flashcards - by KnowmedgeKnowmedge
The document is an introduction to a set of 50 nephrology/urology flashcards for medical board exam preparation provided by Knowmedge, an online medical education platform. It describes Knowmedge's resources including over 900 internal medicine questions, 4,000 flashcards, and 1,500 mnemonics. The flashcards cover topics in nephrology and urology and are intended to help users study for their medical board exams. Users are encouraged to visit Knowmedge's website and social media pages to learn more about their internal medicine learning tools and board review materials.
- Acute renal failure (ARF), also known as acute kidney injury (AKI), can have various causes including reduced renal blood flow, intrinsic renal injury, or urinary tract obstruction.
- Common etiologies of intrinsic renal injury include acute tubular necrosis, acute glomerulonephritis, and vascular disease. Acute tubular necrosis accounts for about 50% of cases and can result from ischemia, toxins like medications, or sepsis.
- Evaluation of a patient with suspected ARF includes history, physical exam, urinalysis, serum creatinine and electrolytes to determine the cause and exclude pre-renal or post-renal etiologies which require different management approaches.
This document provides instructions for participants taking a simulated exam for a medical licensing exam. It explains that the exam will take place over two sessions, from 8am to 2pm for the first part and 4pm to 8pm for the second part. It provides an example case study and question to demonstrate the exam format. It also includes a response sheet for participants to record their answers. The document aims to clearly explain the format, timing and expectations for the simulated exam.
This document contains 60 multiple choice questions related to dermatology diagnoses, clinical features, histological findings, treatments, and associated conditions. Each question includes prompts to provide the diagnosis, clinical features, histological findings, genetic factors, treatments, or other relevant information. The questions cover a wide range of dermatological conditions seen in different patient populations.
This document contains a series of clinical case summaries presented by Dr. Juan Carlos Díaz Torre. Each case includes background information on a patient's presentation, relevant examination findings, and multiple choice questions related to evaluation and management. The cases cover topics in various medical specialties including pediatrics, internal medicine, neurology, infectious diseases, and surgery.
Here are the key points in approaching an ulcer:
a) Explain the abnormalities seen in the picture
- Irregular shaped ulcer with raised inflamed margins
- Location on lower leg
b) Give one most possible causes of the abnormality and the pathophysiology
- Venous stasis ulcer
- Pathophysiology is increased venous pressure causes damage to veins which leads to extravasation of blood components into surrounding tissues
c) Name one complication of the abnormality
- Infection
d) Outline the management for this patient
- Compression therapy to reduce venous pressure
- Wound dressing and debridement to promote healing
- Antibiotics if infected to prevent further complications
Golden book for Medicine OSCE: First ViewMan B Paudyal
This document provides summaries of various medical cases and images in the form of questions and answers. It covers topics like Peutz-Jeghers syndrome, Bell's palsy, cirrhosis, clubbing, multiple myeloma, Cushing's syndrome, Graves' disease, scleroderma, rheumatoid arthritis, hyperthyroidism, brain abscess, empyema, G6PD deficiency, megaloblastic anemia, Charcot-Marie-Tooth disease, Ataxia telangiectasia, infective endocarditis, and more. For each case, it provides the diagnosis, relevant physical findings, investigations, management, and complications.
Bio 103 final exam guide version 2 100% correct answersProfessorLance
This document provides answers to a 100-question biology exam. It begins by listing the correct sequence of steps in the scientific method. The remainder of the document provides the answer key to the 100-question biology exam, covering topics like the scientific method, cell biology, genetics, evolution, and other foundational biology concepts.
Elevate your Forensic Science knowledge with this comprehensive slide! Dive into 20 MCQs covering various branches like Forensic Ballistics, Forensic Medicine, Trace Evidence Examination, and more. Perfect for UGC NET JRF, FACT, CUET, and NFSU entrance exam prep, it's a valuable resource for all forensic science enthusiasts.
The document contains several clinical case summaries presented as questions with multiple choice answers. It discusses cases involving issues like knee pain, respiratory acidosis, Huntington's disease, lupus, lower back pain, and hydronephrosis during pregnancy. For each case, a question is asked to test the reader's knowledge and the most appropriate answer is provided.
World No Tobacco Day is observed annually on May 31st to raise awareness about the health risks of tobacco use. This year's theme is "Commit to Quit". The World Health Organization started World No Tobacco Day in 1987 to draw attention to the global tobacco epidemic and preventable death and illness caused by tobacco use. Tobacco kills over 8 million people worldwide each year, with over 7 million deaths due to direct tobacco use and around 1.2 million due to secondhand smoke exposure. Large graphic health warnings on tobacco packaging can help persuade smokers to protect non-smokers from secondhand smoke and encourage more people to quit tobacco use. Over 70% of the 1.3 billion tobacco users worldwide lack access to tools that can help them successfully
This document contains 73 multiple choice questions related to pediatric medicine. The questions cover topics such as child development milestones, growth patterns, common childhood illnesses and disorders, and prenatal development. The questions are intended to test medical knowledge for topics like normal infant growth, childhood motor and language development stages, causes of intrauterine growth retardation, and more.
TEST BANK For Paramedic Care - Principles and Practice, 6th Edition, Volume 1...Donc Test
TEST BANK For Paramedic Care - Principles and Practice, 6th Edition, Volume 1 - 5 by Bledsoe
TEST BANK For Paramedic Care - Principles and Practice, 6th Edition, Volume 1 - 5 by Bledsoe
TEST BANK For Paramedic Care - Principles and Practice, 6th Edition, Volume 1 - 5 by Bledsoe
1. A 48-year-old patient experienced acute abdominal pain 1.5 hours after an esophageal procedure and examination revealed a tense, painful abdomen.
2. The most probable diagnosis is perforation of the abdominal part of the esophagus.
3. Multiple choice questions and answers were provided about various pediatric medical cases and diagnoses.
This document contains 11 multiple choice questions regarding the OSCE examination for Ear, Nose and Throat. Each question provides images, descriptions of patient presentations, and asks for diagnoses, management plans, or other clinical information. The answers to each question are also provided.
These clinical cases provide brief summaries of patient presentations and questions about appropriate diagnosis or treatment. The document contains 159 cases presented over 48 pages covering various medical topics including dermatology, gynecology, pediatrics, cardiology, infectious diseases, and oncology. Each case is a few paragraphs with a multiple choice question to test clinical decision making.
This document contains a 40 question pre-test for Psychology 41 - Life Span covering chapters 3 and 4 on genetics, heredity, prenatal development, and childbirth. The pre-test questions are multiple choice covering topics like gametes, DNA, chromosomes, genetic traits, genetic disorders, fetal development, pregnancy, childbirth, and postpartum issues.
This document contains 27 multiple choice questions that appear to be from a medical licensing exam known as KROK-2. The questions cover a range of medical topics and scenarios involving diagnosis and treatment. Some example questions include one about diagnosing a patient presenting with eye, skin and gastrointestinal symptoms, one about complications of hepatic cirrhosis in a 17-year-old girl, and one about appropriate secondary prevention drugs for a patient with atrial fibrillation after experiencing an ischemic stroke from cardiac embolism. The document provides the questions and answer options to test medical knowledge.
This document contains 25 clinical case studies presented as questions with multiple choice answers. The cases cover a range of medical topics and patient presentations commonly seen in clinical practice. They appear to be designed as a learning tool to test clinical reasoning.
The document discusses various topics related to obstetrics and gynecology. It includes multiple choice questions about endometriosis, ectopic pregnancy, pre-eclampsia, postpartum hemorrhage, and other conditions. The questions assess knowledge of symptoms, diagnostic criteria, management guidelines, and prognostic factors for different obstetric complications.
The patient presents with a painful, inflamed node on the chin with overhanging ulcer and necrotic core. Examination also reveals enlarged and painful submandibular lymph nodes on the right side. The most likely diagnosis is a furuncle.
Similar to Usmle step 2 ck september 2020 recalls (dr notes.com) (20)
This document contains a list of medical cases, images, questions, and topics recalled from previous exams by multiple individuals. Cases cover a wide range of specialties including dermatology, cardiology, pulmonology, obstetrics/gynecology, pediatrics, psychiatry, infectious diseases and more. Recalled questions focus on diagnosis, management, treatment, next steps, mechanisms and more for the various cases and images provided.
The document contains a list of medical cases and questions from previous clinical skills exams. There are over 40 cases and questions listed across various medical specialties including radiology, cardiology, pulmonology, infectious diseases, psychiatry, OB/GYN, pediatrics, and more. The cases include images, clinical scenarios, lab results, and questions about diagnosis, management, pathophysiology, and treatment.
1. The patient's blood tests show she is RH-negative and non-immune to rubella. The doctor advises avoiding contact with infected individuals and discusses potential complications if the baby is RH-positive.
2. The patient smokes, drinks alcohol, and uses heroin. The doctor counsels her to stop these substances as they can harm fetal development. Support services are offered.
3. The patient will have STI testing due to multiple sexual partners and no condom use. Follow up is scheduled and any concerns before then should be reported.
Mr. Ashley Brown, aged 55, had a myocardial infarction 4 days ago and has been medically managed in the hospital. He is being discharged and prescribed medications including aspirin, bisoprolol, simvastatin, clopidogrel, and ramipril. The doctor discusses lifestyle modifications with the patient, including stopping smoking and drinking, improving his diet, and engaging in regular physical exercise to help prevent future cardiac events. The doctor also addresses any concerns and offers support for smoking cessation.
The document provides information about Aspire2PLAB, an educational company that prepares students for the PLAB exam. It lists their website, address in the UK, contact information, and social media profiles. It states that Aspire2PLAB offers audiobooks, videobooks, mocks, and personal sessions to help students prepare for PLAB but does not discuss real patient cases, only fictional scenarios for educational purposes.
This document lists recurrent themes, scenarios, and management issues that may be encountered in clinical practice. It includes over 200 examples across various specialties such as cardiology, psychiatry, obstetrics/gynecology, pediatrics, and more. Common presentations involve hypertension, diabetes, depression, asthma, UTI, and cancer screening. Ethical dilemmas encompass disclosure of information, demanding treatment, and medical errors. Counseling needs relate to smoking, contraception, and sexual health. Procedures frequently taught include ECGs, injections, examinations, and scopes.
This document discusses options for a 36-year-old lesbian woman named Lena who wants to start a family with her partner of 7 years. The doctor outlines two main options: conceiving at home through methods like donor insemination or co-parenting, or seeking treatment at a fertility clinic. Some at-home options discussed include using a known or anonymous sperm donor, co-parenting with another individual or couple, and adoption. Fertility clinic options include intrauterine insemination (IUI) using donor sperm, which may be available through the NHS or privately. Risks of advanced maternal age are also addressed.
First aid for usmle step 1 with uworld and nbme notes sampleusmlematerialsnet
First Aid For USMLE Step 1 with Uworld and NBME Notes
Download Full book from > usmlematerials.net
Pages: 798
Series: First Aid for the USMLE Step 1
NBMEs and Uworld Notes are added to this file.
This document discusses the 5th edition of "The Only MRCP Notes You Will Ever Need" study guide. It contains a preface acknowledging those who supported the author in writing the book. The preface recommends studying MRCP-specific materials rather than general medicine to prepare for the exam. It provides a recommended study pattern of reading chapters, solving related questions, and revising. The contents section lists all chapters covered in the guide organized by medical specialty. In closing, the author thanks family and friends for their support in writing the guide.
IMG USMLE Step 1 Experience June 2021 for Student With COVID 19usmlematerialsnet
The document summarizes the author's experience preparing for and taking the USMLE Step 1 exam. It describes their preparation process over 9 months, including resources used like UWorld, Anki, BnB, Sketchy, and NBME practice exams. Scores on practice exams ranged from the 240s to 262. However, 5 days before the exam the author got very sick with COVID-19 symptoms, losing 7kg in weight. On exam day they struggled through the first 3 blocks but couldn't continue due to illness, likely contributing to their final score of 225 instead of the expected 240-260 range. The author shares their experience to help others in a similar situation decide whether to postpone the exam.
A 43-year-old man with AIDS and a CD4 count of 43 mm3 presents with worsening pain on swallowing. The most appropriate next step is an upper endoscopy to evaluate for esophageal candidiasis or other infections causing odynophagia in this immunocompromised patient.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
A Visual Guide to 1 Samuel | A Tale of Two HeartsSteve Thomason
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
2. GHAWAR
Awal shi sam7ouni rah ektob bel English la2ani ma3andi 3arabi bel keyboard.
Hamdila the exam is over. It was as expected, not easy, not impossible.
I will write all questions I remember even easy one for you to review also.
One advice, do not solely rely on dawra answers without reading fully the stem ( as I found
some mistakes, so rely on your knowledge not memory :).
Thank you all and Good luck !!
1) Patient has a broken tooth, smelling bad, has purulent discharge, pain in submandibular
area, fever 38C ( Ludwig’s angina), what is the treatment?
A) Clindamycin
B) Vancomycin
C) Ciprofloxacin
2) Patient has burning in left side of his face, he also has facial weakness on left side, drooping
corner of mouth, can’t wrinkle left side, He also has hearing problems on same side and they
ask what is the patient is going to develop in the next 48 h ( Ramsay hunt syn) ?
A) Purulant discharge of ear
B) Perforation of tympanic membrane
C) Vesicles on ear
3) Army soldier goes to Congo Africa, walks in the lake, he has fever, malaise and itchy rash +
EOSINOPHILIA 25%. Organism responsible?
A) Leptospirosis
B) Schistosomiasis
C) Others all bacterial
4) Patient cough, smoker for 40 yrs, STABLE ( no confusion nothing metal el erd) , BP 147/98,
his NA is 118 (exactly). What is the best next initial step of dx?
A) Iv 0.9 saline
B) Iv 3% saline
C) Water restriction
5) Patient forgot what he has honestly but I remember is serum Na is 168 ( sure), Urine osm
456 (sure) , Urine Na 30 ( it was hight), next step?
A) Iv 0.9 saline
B) Water deprivation test
C) Water restriction
6) patient with duchenne ( they tell you dystrophin is absent), what is he going to develop?
A) Heart Failure
B) Amnesia
C) Restrictive lung disease
7) patient with Freidrich ataxia, what is he going to develope?
a) heart failure
b) Diabetes
(both options were there)
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3. 8) Weirdo Question about Patient has cerebral palsy, he doing ok, he is going to
physiotherapy. He has a sister as well. The question is to which school he should go?
A) same school as his sister and place special accommodation for him
B) School for people with special needs
C) Don’t send him to school
D) Let him stay at home and bring teacher with him
9) X-ray femur of kid maybe 11 years, I only looked at the pic (its shouting osteosarcoma with
sunburst lesion) picked that and didn’t even read the rest.
10) Pt 18 years, has migraine and she tells the physician I need A HIGHLY EFFECTIVE
contraception without relying on my partner ( don’t know what does that supposed to mean,
maybe he is the one who go buys her ??), which you should give?
A) OCP (duuuh ofcorse not, so fight between b and c :) )
B) Progestin only PILLS
C) Levogesteoen IUD
D) Vaginal ring
E) Vaginal something
11) 13 year old female, she says that she feel she is gender neutral ( wallah shi helu, 5lesna
men gender dysphoria tele3elna gender neutral), she spoke with her parents and they got
made, also her friends didn’t accept it, she says she doesn’t like her body ( she didn’t specify if
she doesn’t like it because its a female body) el mohem, the question is what will she develop
in the future?
a) Anxiety disorder
b) Agoraphobia
c) Body dysmorphic disorder
d) MDD
e) Antisocial personality disorder
12) The q everyone likes, I will make your life easier! So the famous prophylaxis for dental stuff.
The Question is, a patient had a valve replacement surgery years ago ( so she has prostatic
valve) and they tell you on auscultation there is a mechanical systolic murmer ( incase u didn’t
realize it is prosthetic) and she is NOT allergic to penicillin and she will do GINGIVAL cleaning
(ya3ni invasive stuff), what is your NS?
A) 3 days PO of ciprofloxacin
B) 1 shot of Amoxicillin the morning of dental procedure
C) No prophylaxis needed
13) (Question level more basic than step 1, ya3ni step 1 ma sa2alu shi), the Question is…. A
patient 6 years old has teeth pain, so the mother gave him benzocaine, and then he had
cyanosis. ( ya3ni methoglobunemia), the question is what is the pathophysiology ( there is
nothing about Fe2 to Fe3 change, they want more details) the answers were ?
A) something related to Cyanide
B) methemoglobin production due to increase in b2 oxisynthase
C) Methemoglobin production due to inhibition of cytochrome 5 p something
D) Methemoglobin production due to stimulate of cyclchrome 5 p something
( read the detailed pathophysiology of this)
14) Patient has a diarhhea, travelled to south america, they put a huge picture of Giarda.
Asking about pathopsyiology?
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4. A) Infectious agent in the gastrointesinal tract that cause malabsorption and osmotic load
B) Infection agent in the Jejujenum that cause blunting of villi
( options were exactly like that)
15) patient admitted for some reason, anyway, they put you 2 ct scans of head at level of
pituitary, and the question solely rely on the CT scans, you see a lesion In the frontal lobe ( after
spending 3 minutes trying to find out where is frontal and where is posterior I noticed they put
letter A at top and P down, so u know !!) , so there is an obvious lesion frontal lobe, and ask
what will the patient has?
A) wernicke aphagia
B) Aggressive behavior
C) Visual issues
D) Hyporeflexia
16) patient with Parkinson, he doesn’t have inbalance, he stops and turns while physican by his
side, type of gait?
A) Agnotic
B) Apraxic
C) Ataxic
D) Something starts with A. ( only 4 options in this Q)
17) X ray like this, patient has sclerosis of his hand with a cord
formation, and can’t fully extend. Dx?
a) dupuytren's contracture
b) bouchard's nodes
c) heberden's nodes
2 other things I’ve never seen before
18) Super fun sequence q,
First Q, a patient coms with a 20 mm in diameter purulent lesion on thigh draining, smells bad,
pus, patient has fever oo signs of infection? Next step?
a) Cefalozin (only ABx)
B) Flucanozole
c) some antiviral
d) B blocker
19) So u choose a, then they tell you, we gave the patient cefalozin ( this moment u feel a relief
for 1 min) then they tell you after giving cefalozin the lesion became 40 mm and necrotic tissue
around it, what is the causal organism?
a) Exotoxin from a gram - bacteria
b) Endotoxin from a gram + bacteria
c) Exotoxin from a gram - bacteria
d) Endotoxin from a gram + bacteria
e) Neurotoxin from a gram + bacteria
( here your 1 min of relief has evaporated)
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MAGNETIC
5. 20) biostat Q calculate PPV and Specifity something related to parkinson. You have to
construct the 2x2 table shown below ( btw the numbers are exactly like that)
They tell you total are 300, 100 had Parkinson and 200 did not have. Among who had 90 of
them tested positive and among of the ones who did not have 170 tested negative. And
answer choices like that
Speicifity PPV
a) 90 85
b) 75 90
c) 95 75
d) 85 75
Answer was D there also.
21) a 14 yrs old boy was caught by police with bunch of friends in an old house, he had a new
group of friends for the past 6 mo, he is always on his cellphone, he doesn’t talk to his family
about things, he is doing well in school and overall, dx?
a) Conduct
b) Avoidant personality disorder
c) Anxiety disorder
d) Normal development
22) 2 pictures of a kid maybe 6 years naked fully. One facing us, the other showing his butt. He
has rash on all his body, u noticed that he doesn’t have rash in underwear area or thorax.
( ya3ni he was protected somehow men el clothing). The rash was not sharply demarcated,
ya3ni its not above along the whole underwear lining. For me it looked 3cm in diameter with
redness on boarder ( looks like tinea but its not cuz its
everywhere). How would have he protected himself from this
rash?
A) Sunblock protection
B) Prophylaxis with fluconazole before going outside
C) Mosquito and bug repelent spray ( I chose this as it
looked
Like uritarcia for me) (picture similar but of older kid)
23) patient with scid, multiple otitis media, white spots in
mucose, which cell is affected?
a) Neutrophils
b) Basophils
c) Lymphocytes
d) Macrophages
+ _
+ 90 30 120
_ 10 170 180
100 200 300
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6. 24) patient 5 years old, emigrated form India, he stayed with his grandfather for 2 weeks, his
grandpa has tb, they did PPD and is 6 and Xray is negative. NS?
A) repeat PPD after 2 weeks
B) INH
C) RIPE
D) Reassure
25) picture of lichen sclerosis of vulva, asking for tx?
A) high dose steroid ( forgot the name something like cobetazol)
26) SINGLE Seborrheic dermatitis picture, asking for ns?
A) Reassure
27) patient is 60 white lady, she did mammogram 1 year ago was normal, she doesn’t smoke,
she doesn’t drink alcohol, she did pap 2 years normal, menopause at 52, she used OCP from
age 25 till 45, Nulligravid, she is not taking hormone replacement therapy, colonscopy age 5
years ago normal ( ya3ni ya reet el kel metel heek marida), no family history of any cancer.
Question is, which of the following in her history makes her at lower risk of having ovarian
cancer?
A) Age
B) Race
C) Previous OCP use
D) Nulligravid
E) No family Hx of cancer
28) Patient 60 F with adenocarcinoma of lung (they say it frankly), her husband has small cell
carcinoma, he smokes 40 packs, the house they live has radon in it, she doesn’t smoke. Which
of the following predisposed her for the current conditions.?
a) Age
b) Gender
c) Second hand smoking
d) Radon exposure
29) patient has DM typ 2 , which of the following is decreased?
A) HbA1C
B) Insulin
C) Insulin like peptide
D) Glucagon
E) Cortisol
30) patient has acanthuses nigrans, they put picture, what is DECREASED?
a) Insulin
b) Hba1c
c) LDL
d) Triglyceride
e) HDL
31) Patient 42 year female, she has Rheumatoid arthritis, she is seeing a rheumatologist and
taking Oxycodone from him for a while, he rheumatologist is out of town, she took oxycodone
today morning. She comes to you (her primary) telling you I will run of oxycodone and I have a
narcotic agreement with my Rheumatologist but he is out of town and asking for oxycodone.
What you do?
a) Give her oxycodone and first dose starting today
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7. b) Tell her wait until your dr is back
c) Do not prescribe her
d) Prescribe naltrexone and first dose today
e) Prescribe methadone and give her instruction to take it once her oxycodone is out
32) Patient did a kidney transplant, few days later his Cr and Bun are increasing. Which cells
resposible?
A) Neutrophil
B) Cytotoxic T cell
C) CD4+ T cell
D) Histiocytes
E) Basophils
F) Natural killer cell
33) patient in her 40s, has obvious urge incontience case. No burning with urination, no fever,
no signs of cystitis no suprapubic pain. Next step? ( there was no anticholinergics, there was
no bladder training)
A) Kegel excersice
B) Pelvic ( or genital) exam
C) Urine analysis
34) patient 60 yrs, has hearing loss, they put X ray of leg with multiple sclerotic and lytic
lesions. (obviously Paget). What is increased?
A) Ca
B) Vit D
C) Calcitonin
D) ALP
35) Patient infant with an Xray and you see the HUGE boot sign. Automatically u think TOF. And
they ask what he has?
A) atrial communication with decreased Right heart outflow
B) Ventriclar communication with increased R heart outflow
C) Atrial communication with decreased L heart outflow
D) Ventricular communication with decreased R heart outflow
36) patient is 5years old and has SCID (they tell you). Patient was exposed to someone with
Varicella. What is your next step?
A) Reassure
B) Varicella Immunoglobulin
C) Varicella Vaccine
D) Varicella Vaccine + immunoglobulin
37) old lady maybe 60 fell on outstretched hand, fractured her scaphoid. What will happen to
her?
a) Nonunion (only one I remember, there was no avascular necrosis)
38) PATIENT is admitted after MVA, he was transferred 2 packs of blood, he developed
difficulty breathing and hypotension. (TRALI). They ask next step?
a) Iv fluids
b) Stop transfusion
c) Mechanical ventilation and intubation
39) patient in labor 39 week, the head of baby coming out, they put u tracing ( variable
decelaration ) , her amniotic fluid is low. NS?
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8. a) push head back
b) C sec
c) Amnioinfusion
d) Expecatant management
( there was no reposition patient)
40) patient in labour, 41 weeks, had Diabetes during pregnancy, baby is coming out, the head
coming out but baby got stuck when cheeks came out. Ns?
a) Apply pressure on mother suprapubic area
b) Rotate baby shoulder 90 degree posteriorly
c) C section
d) Expectant management
e) Reposition mother to hyper flexion of legs
41) patient has COPD, his O2 sat 94% (sure), stopped smoking 5 years ago. which of the
following will provide long term benefit for him.?
A) Home O2 therapy
B) Pulmonary rehabilitation
C) Daily prednisone
42) patient diabetic, has hyperlipidemia, has an ulcer on lateral lower leg, on examination,
pedals pulses is +1, tibial pulse 0, and decreased sensation on monofilament test. Dx?
a) ischemic ulcer
b) Neurogenic ulcer
43) patient with RA on entarecpt, x ray shows minimal joint space, she has pain with knee
movement, can flex knee to 90 degree. Which of the following will she benefit the most for long
term?
A) Switching entareccept to infliximab
B) Colexib daily
C) Steriod knee injection
D) Physiotherapy
E) B/L knee replacement
44) two cases about OA, with creptiss on movement. Next step?
A) Quadricept muscle training
B) Track race running
C) Ibuprofen
45) patient maybe 10 years drinks gasoline, what’s gonna happen?
a) cardiac dysrhythmias
b) Seizure
c) Respiratory failure
46) Patient with 2 and 3 degree burns, covering 30 % of his body. NS?
A) 5% dextrose IV
B) 0.45% saline IV
C) 0.9% saline
(no lactate ringer solution)
47) patient has 2 cervics, on USG there are 2 uteruses, what is NS?
A) pelvic and abdominal CT
B) Renal USG
C) Karyotype
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9. 48) patient pregnant vomiting alot, has ketoacidosis, what is the cause?
a) placenta previa
b) Placenta abrupt
c) Normal Gestation
d) Twin gestation
49) patient is 6 years boy, last year regressing at school, his IQ 68, he has palpebral fissure,
epicentral folds, microcephaly and up rising nose ( that’s all what they gave). Dx?
a) Trisomy 18
b) Trisomy 21
c) Alcohol exposure in utero
50) pt has HIV, B/L infiltrates, CD 4 count is 118. Has fever and cough. Tx?
A) Azithromycin
B) Azithromycin + ceftriaxone
C) SMX-TMP + Steriods
51) 69 year old japanese, smokes for 40 years, has difficulty swalling, on scope we saw
ulcerating painless ulcerating lesion, he is loosing weight also. Beside smoking, what is the
greatest RF of having this condition?
A) Age
B) Gender
C) Japanese decent
52) Baby with Galactose 1 uryidyl deficiency ( they say it), what formula to give?
A) Lactose free formula
B) Protein enhanced formula
C) Cows Milk formula
D) Soy based formula
53)Picture of psoriasis on knee, what you will see?
A) nail pitting
54) picture of psoriasis on Knee also, pathophysiology?
A) neutrophilic invasion
B) Hyperkeratosis
(rest can be eleminated easily)
55) awareness program at school, they want to do Secondary prevention, what they should
do?
A) Encourage kids to eat a healthy diet
B) Encourage the kids to exercise
C) Screen the kids with Hba1c and lipid profile
56) picture of xanthoma on elbow, what is the cause?
A) increased HDL
B) Increased Hba1C
C) Increased Triglyceride
57) Resident A saw Resident B leaving the hospital although it is his shift, when he came back
Residant A told him where did you go it is your shift, he answers I went to the GYM anyways
there was no much patients. What you should do?
A) nothing because no one was harmed
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10. B) Report to program director
C) Report to Medical licence boards
58) patient has Alzheimer not alerted or oriented to anything, he needs a certain procedure
(non emergent) which requires a consent, he has not power of attorney or living or any
assigned person. His EX wife comes and says he has a son who he didn’t see him for more
than one year, what you should do?
a) listen to his EX wife
b) Listen to his son
c) Proceed with procedure
d) Obtain a court order
59) patient had pain in RLQ, they did USG and found a hemorrhagic cyst, NS?
A) Reassure and follow up
B) Laparscopic cystectomy
C) Hysterectomy
60) patient taking SSRI and has fever, confusion , what else you expect to see?
a) decreased bowel sounds
b) Miosis
c) Muscle regidity
d) Hyporeflexia
61) Patient has puffing of his face and flushing of face, smoker for 40 years, loosing weight,
reason?
A) Small cell carcinoma
B) Squamous cell carcinoma
C) Superior venacava syndrome
62) Patient 76 years male with bells palsy on left side, drooping of mouth, and cannot wrinkle
left forehead. ( no headache) Reason?
a) inflammation of a branch of cranial CNVII
b) Temporal artery vasculitis
63) patient 60y male feels dizzy when rolling side to side in bed and when getting up. Doctor
does moves his head side wise and patient feels dizzy. tx?
a) Meclizine
b) Morning head movements training
C) carbonic anhydrase inhibitor
64) patient with massive PE ( they put CT) hypotensive, asking what will you see?
a) Decreased mixed Venous O2 levels
b) Increased PCWP
c) Increased Cardiac index
d) Decreased SVR
65) African American 25 M years old, has Hypertension and he is obese BMI 33. They ask
which of the following greatest risk factors will cause and end organ damage from his
condition?
a) Gender
b) AGE
c) RACE
d) Weight
e) Hypertension
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11. 66) patient with B/L Bilal adenopathy, African american, X ray of sarcidoisis. Asking about FEV
FEV 1 DLCO and FEV/FEV1 %.
67) patient college student age 22, he was getting A and B now getting C and D because he is
loosing tract of time, he is staying up late and sleeping at night. He gained weight last 3
months and his BMI is high. He doesn’t exercise anymore. Dx?
A) Alcohol use
B) Opioid use
C) Marijuana use
D) Cocaine use
68) question about a military engineer works in shipyards, I didn’t finish the story last line says
has subpleuric densities. I picked asbestosis and didn’t read rest.
69) patient young female 23 years old has heavy bleeding changes 6 to 7 tampons every time.
They give labs you see Iron deficiency anemia , PT normal PTT ( high normal value). What do
you expect to see?
a) Hamerthosis
b) Excessive nose bleeds
70)last week a patient 27 y male was on couch when he started shaking, his roommate saw
him, he was confused after and lost urine. They did MRI and EEC was normal. He comes a
week later for follow up, what do you do?
A) tell him to come next year for MRI
B) Inpatient EEC monitor
C) Prescribe Anticonvulsants
D) Advice him not to drive
71) baby new born 2 weeks old has a seizure and start shaking. He has cleft lip. ( only clue in
the whole question). Inbalance of which of the following caused this?
A) Potassium
B) Sodium
C) Calcium
D) Phosphorus
E) Magnesium
( exactly those 5 options)
72) patient 3 weeks post partum comes with her husband, the husband says that she is saying
that god is talking to her and she should hide the baby from evil. The husband doesn’t let her
hold the baby and when the baby cries she tells the husband to shut him up. Ns?
a) Reassure that this Is normal and will go away
b) Follow up in 2 weeks
c) Admit patient involuntary
73) patient 53 year male has pernicious anemia, they give signs fo b12 difiency, his brother had
colon cancer at age 44 and one of his cousins had colon cancer at age 55. Patient drinks
alcohol, does not smoke. Currently takes b12 supplementation. Which of the following put the
patient at high risk for GASTRIC cancer?
A) family history
B) Alcohol
C) Pernicous anemia
74) patient 68 years old diabetic can’t drive at night or day anymore, he also sees Halos around
light sources. His ocular muscles intact. What is the dx ?
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12. a) macular degeneration
b) Diabetic retinopathy
c) Opacification of lens
75) 70 years old male diabetic, hypertensive, smoker and they give
you a pic like this. Morning glucose is 140 and Hba1c is 7.8. what
from patient history supports this image?
A) Glucose of 140
B) Hb1Ac
C) HTN
D) Smoking
76) soldier went to middle east , he came back with a lesion like
this on his nose, the lesion had 2 black eschar on the side? Dx?
a) Cutaneous anthrax
b) leishmaniasis cutaneous
77) patient has cough for 3 months, for the past 3 months he
had heart burn with spicy food, and is worse at night when he lies
down. Antaacid helps him. BMI 30. What is the next step in diagnosis?
a) 24 PH monitering
b) Barium swallow
c) Manometry
d) No further testing needed
78) 2 weeks newborn, is valued shortly after birth, ortholani positive. What is the next step?
a )Put the harness
b) reassure
c) Hip Xray
79) patient 23 year old, having a party at home, he got drunk and went to basement where he
have a liquid for a fog machine (or something like that). 6 hours later Brought by his roommate
because of vomiting confusion bloody urine, Urine Analysis shows RBC , blood gases shows
anion metabolic acidosis, he has calcium oxalate stones on imagining. What did he ingest?
a) Methanol
b) Ethylene glycol
c) Isopropyl
D) ethanol
80) a kid 10 years old sitting on bench watching a baseball game, the trainer didn’t let him play.
Suddenly he collapses while on bench. The trainer brings him to ER and says he did not hit or
injur himself. His temp 40C. Next step?
(no immersion in cold water, no iv fluid, no cooling measures)
a) CT of head ( didn’t say contrast or no)
b) EKG
c) Reassure
d) EEC
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13. 81) 2 years old brought by his mom because of wheezing. Has allergies. They put u two CXR
one in inhalation and one in exhalation. You see there is black on left side on both inhalation
and exhalation but r side only on inhalation. Ascultation show decrease sound on R side. Dx?
a) asthma exacerbation
b) Foreign body ingestion
82) patient 14 years has chronic fatigue, anemia, they put blood work and you see
pancytopenia and increased lymphocytes count. What causes this patient presentation
A) viral infection
B) Abnormal Proliferation of lymphocytes compressing adjacent cells
C) 9, 22 translocation
83) patient 83 presents with confusion and acute abdomen signs. Put you
Xray like this and ask reason?
a) twisting of colon
Sorry didn’t read rest
84) new born female born week 40 has hip dysplasia, she was breech and
delivered C - section. What is the risk factor ?
a) Breech presentation
b) Delivary mode
c) Gestational age
( there was no family hx and no gender so relax ;) )
85) Army soldier lady had above knee amputation, now that area is painful draining pus, smells
bad and she can’t fit her prosthetic leg due to pain. She has NO FEVER, NO SYSTEMIC
SYMPTOMS, VT NORMAL. Question is exactly like this, from which of the following is the best
way to target antibiotic treatment ?
a) blood culture
b) Bone biopsy and culture
c) MRI of leg
86) patient pregnant week 34 had a MVA, she had abdominal pain and bleeding. dx?
A) uterine rupture
B) Placenta previa
C) Placenta abruptia
87) 11 year old female fell off while riding a bicycle. Her family brought her to the ER. We did a
CT head it looks normal. The patient seems fine, after 6 hours she develops vomiting and
nausea. ( looks like deudonal hematoma case).pt is stable. NS?
A) USG abdomen
B) CT abdomen
C) Reassure
88) patient 60 you female on physical exam you find an adnexal mass. which of the following
will support your dx?
a) Ca 19
b) CEA
c) CA-125
d) Inhibin A
e) Inhibin B
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14. 89) newborn baby is vomiting and spitting and chocking when feeding him. He is also becoming
cyanotic. The tried to pass NG tub it failed. Dx?
A) congenital abdominal hernia
B) Esophageal stenosis ( that’s how they wrote it )
90) patient 14 years old he has bubbles his urine. They put u a picture of a gallon that has urine
and top of it bubbles. Protein +4, blood none in Urinanalysis. How to confirm?
a) Biopsy
b) US kidneys
c) 24 hour protein collection
d) microalbumin/creatinine ratio
91) patient maybe 50 male, he is doing great. On urinalysis he had protien +1. They checked in
the morning he had protein in urine < 0.2, they checked in afternoon it was 0.8. NS?
a) Reassure
b) Biopsy
c) Protein electropheresis
92) african American patch on head with image. Didn’t read rest. I Chose oral griseofulvin.
93) patient fell on his arm. He can lift his up to 15 degree, he has pain after lifting above 15
degrees. He was asked to hold his arm to the horizontal he couldn’t keep it and it dropped. Loss
of sensation on superior arm. Nerve damaged?
A) upper thoracic trunk
B) Axillary N
C) Supraspinatous nerve
D) Long thoracic
94) patient went to latin america. Came back with diarrhea. He has hepatomegaly. What is the
tx?
a) Clinda
b) metronidazole
c) Vanco
95) patient had meningitis , they did LP and found using methalimine silver stain yeast like
helmet shaped organs. tx?
a) Ceftriaxone
b) Caspofungin
c) Fluconazole
d) Acyclovir
96) young lady with thick white vaginal discharge ph 4.5. she has acne and taking minocyline
and topical retinols. She is sexually active with one BF and uses condoms. She smokes. What
caused her vaginal secretions?
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15. A) sexual behavior
B) Use of minocyline
C) Smoking
D) Use of retinol
97) pregnant patient week 22. At week 10 she did hepB test and it was negative for HepB
antigen. Now she got exposed to someone with Hep b ( I believe she is a nurse), they did blood
work they found HepB antigen negative Hep Core antibody negative and Hep B surface antibody
positive. NS?
A) Vaccinate
B) Give immunoglobulin
C) Nothing
98) Patient on had a kidney transplant and taking immunosuppresation. He has CMV infection in
his history. They ask if he got infected with which of the following he will develop malignancy?
A) EBV
B) CMV
C) PCP
99) patient post partum asking for contraception. She used to take medroxyprogesterone and she
likes it. Now she is using condoms. She is currently breast feeding. Which of the following do u
give her?
a) Medroxyprogesterone
b) OCPS
c) Keep using condoms in lieu of hormonal contraception ( I know what u thinking, I have no
idea what in lieu means as well)
d) Vaginal ring
100) patient aged 11 mo, multiple Skin infections. He has a brother who died at age 8 month
because of infection. He has a cousin who also died because of infections. His two sisters are fine
and growing well. Dx?
A) CVID
B) SCID
C) CGD
D) X-linked gammaglobuninemia
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