2021 Flashcards
(143 cards)
36 weeks G2P1 women presented to ER after history of falling from 5
stairs, there is painful vaginal bleeding. Patient currently vitally and
clinically stable. Fetal heart sound present. No other abnormality.
What is the most likely diagnosis of this case?
abruptio placenta
A pregnant women come to the primary health care for antenatal
visit. After history and examination, the doctor informed that she is at
24 weeks of gestation. Which of the following reflect the supposed
number of gestational weeks?
24 cm above symphysis pubis
A 33week pregnant women presented to ER, she has contractions
that started at average of 2 contractions for 30sec in the past 10min.
Among examination, patient is stable, there is no vaginal discharge or
bleeding and was no pooling of fluids. The cervix was dilated 3 cm.
Nitrazine test is -ve. what is the most likely cause of her contractions?
preterm labor
34-year-old Female patient presented in the clinic with her husband.
He said that she was complaining of low mood, difficulty
concentrating, and some other signs of depression. Then for 2 weeks
she has enough energy to clean the home , talkative, sleep just for
short time and that was enough for her and etc. Examination was
unremarkable -what is the next step in management:-
Aripiprazole - this case is rapid cycling
A 2-year child brought to the clinic with history UTI 2nd time. In the
previous episode, he was treated with antibiotic after which he is
improved. Currently, patient is clinically and vitally stable. Which of
the following is the best next step in management? investigate (next
step):-
vioiding cystourethrogram (VCUG)
- 20YO Patient come with recurrent seasonal SOB and cough 2
attacks per week, not on medications, and has family history of atopy
,no cough at night what to give:- Intermittent asthma )
daily salmeterol-fluticasone is good for rapid action
patient come with White coating erosive erythematous base lesion is
seen in web space of toes with picture, what is the best treatment:
terbinafine
Patent come with itchy lesion silver in color scaly in BILATERAL knee,
Mention something test it bleed with scratch (auspitz sign),, with
picture, ask about diagnosis:-
psoriasis
3 year child who saw doctor 3 days ago given antibiotic amoxicillin
and no improvement on examination he has soft palate enlargement
and bad breath and unilateral deviation of uveli short breathing with
muffled sound, What is the most appropriate management?
Emergent refer to ENT for aspiration and drainage
Child 4-month baby came by his parent with umbilical hernia, it
doesn’t seem to bother the child, his parent asking are about
management?
surgery by age 4-5 years if not reduced
43 year old male came with compline of bilateral hearing loss he
had Examination hard to visualize the canal and the tympanic
membrane, he use ear pad during sleep for 3years , what is the most
likely diagnosis :-
cermon impaction ( It is Conductive hearing loss type
Child came with few month history of skin lesion on dorsum or
proximal hand I think, with pic. Ask about diagnosis:
cutaneous wart
2 weeks infant with poor weight gain for check up, on Ex there is
machinery murmur, at the upper left sternal border and bounding pulse
,what do you think:-
PDA
Patient having low mood and loss of interest in which his doctor
prescribed a medication, presented with history of dryness of his eyes and
blurry vision, with Hx of urine retention, which one of these medications
is most likely causing his symptoms?
Amitriptyline
-Px was having numbness /sweating /chocking, those symptoms had
occurred also when he went to school and meet his friends and intense
fear of having it again?
panic disorder
40-30 year old, nulliparous, hx of irregular cycle and dyspareunia,
presented with Lower abdominal pain, starts 1-2 days before menses,
increase during menses, , then get better, on examination TENDERNESS
AND NODULARITY IN THE POSTERIOR CUL-DE-SAC, sister has similar
issue, diagnosis?
- Endometriosis( cul- de sac is the hallmark for endometriosis as
mentioned in the question above. as well as dyspareunia with lower
abdominal pain before menses and during menses)
-Primigravida week 29, Painless bright red vaginal bleeding, Fetal heart
beat was 150 , next step:
Obstetric US (the best initial step when suspected placenta previa
18 month came with compline of clear runny nose throat congestion
he was at day care center where other child has similar symptoms What’s
best to do in this age:-
-nasal saline drop and humidifier air steam
Child with Hx of fall down, pain at the elbow ( x-ray attached ) asking
about what kind of injury can occur on his case:
radial head fracture
-Foot ankle twist while football game, with minimal bearing of weight,
tenderness on the inferior lateral malleolus, no ecchymosis or bruises ((
not fit for Ottawa rule )) what to Do
Analgesics and support
Case of patient fall on outstretched hand , he was having tenderness in
base of thumb X ray attached : what’s is the management»_space;
Forearm thumb spica
Infants 2 mo old presented by his parents with clear-white discharge
without conjunctivitis from his eye:
Duct massage (this first step then follow up)
nasolacrimal duct (NLD) atresia/obstruction in an infant dacryostenosis
pt hit on face by football c/o FB sensation , Examination was normal,
ask about next management:
antibiotics if dirty wound
53 year old patient , Diabetic/o dyspepsia mildly respond to anti acids
(H2 BLOCKER )with epigastric tenderness No weight loss, no hx of
bleeding per rectum What’s the most appropriate management ?
H. Pylori testing
