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CHING Finale > Random > Flashcards

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1
Q

How to prevent pork hookworm

A

aVOID FRESH water stream

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2
Q

OCP for 10 years What cancer

A

Cervical Ca if not in the option then choose breast ca

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3
Q

OCP is protective to what cancers

A

Bowel, endometirum and ovary

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4
Q

rubbery nontender mass

A

Lipoma

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5
Q

Cord prolapse , 9cm dilated
What is next?

A

Fill the bladder

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6
Q

Guy with uveities symptom with poly arthritis
inv?

A

HLA B27

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7
Q

Presents with problems involving his teeth, bones and vision
Family history of tumors of the thyoid and adrenal glands
Clinical evaluation reveals supernumerary teeth, long bone and osteomas and increased retinal pigmentation

A

Gardner Syndrome

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8
Q

A young lady with SLE with facial rash and arthralgia beside NSAIDs
Patients complaints is not good with her current drug
What else to prescribe

A

Hydroxychloroquine

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9
Q

Pneumothorax after chest trauma with presence of chest symptom and SaO2 95% and Xray shows 25% collapse with BP 100/60
Mgt?

A

Chest Tube drain

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10
Q

Ruptured Blisters of 2 -4 cm, rash, history given present with itchy rash with tense blisters and scratch marks present
What is the treatment?

A

Prednisolone

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11
Q

UIT in pregnancy in 9 weeks

A

Cephalexin

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12
Q

UTI in pregnancy 12-15
asymptomatic
tx?

A

Treat

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13
Q

Patient nonpregnant
pus cells 5-7 Nitrate positive

A

TreatS

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14
Q

Patient nonpregnant
pus cells 5-7 Nitrate negative

A
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15
Q

PAtient with long standing RIght subclavian Central Line
Now removed
Came with fever. left sided chest pain and crepts
B/L/ A/E Normal

A

Infection

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16
Q

Antidote for Warfarin

A

Heparin

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17
Q

multiple constrictions
Allergy
dysphagia

A

Eosinophilic Esophagitis
tx: Fluticasone

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18
Q

difficulty in breathing
raised JVP
bilateral fine crackles to the mid zone
AF
mgt?

A

Synchronized DC cardioversion

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19
Q

fever and migrating joint pains in the knees and elbows
sore throat, fever and rash
mgt?

A

ESR

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20
Q

complaints of profuse sweating and some weight loss
Thyroid level was done
T3 and T4 normal
TSH is decreased
Dx?

A

Subclinical Hyperthyroidism

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21
Q

spontaenous movements of the hand or chorea
gait problem
dementia or mental changes

A

Huntington’s disease

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22
Q

Rheumatoid positive
dsDNA positive
Joint swellings
Raynaud phenomenon
dx and tx?

A

SLE
tx: Hydroxychloroquine

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23
Q

SOB and cough
mitral stenosis with bilateral crepts
Dx?

A

Pulmonary Hypertension

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24
Q

painful lumpy skin lesions on legs and shins
bilateral ankle swelling
dx

A

Sarcoidosis

25
Q

fever and sore throat
developed pain in the wrist later developed arthralgia and swelling in ankle joint
No murmur mentioned
initial mgt?

A

ESR

26
Q

longstanding history of 1 cm lesion on his arm
started bleeding on touch
dx?

A

Squamous Cell Ca

27
Q

4-10 years
limp and knee pain

A

Legg CAlve Perthes

28
Q

Neonatal intensive care unit
tachypnea, grunting and nasal flaring
ground glass appearance of the lungs

A

Necrotizing Enterocolitis

29
Q

itching eczema 4 month old baby
face and trunk are covered with a monomorphic vesicular rash
nxt step?

A

IV Acyclovir
- Eczema Herpeticum - HSV

30
Q

barking cough

A

Croup

31
Q

Vegetarin and admiited being picky over her food

A

B12 deficiency

32
Q

Most impt clinical examination finding in a child with acute viral bronchiolitis

A

Inspiratory crackles

33
Q

before receiving yellow fever vaccine ,
one should be screened for allergies to which?

A

Egg

34
Q

unwell from 24 hrs
pale and cold
other examination findings are normal except for the cracles of the lungs
initial ste?

A

Iv fluids and oxygen

35
Q

night awakenings
5yo
screaming

A

Night terrors

36
Q

CHild with nephrotic syndrome treated with steroids suddently developed hypotension. diffused abdominal apin fever and vomiting for 1 week
Cause?

A

Peritonitis

37
Q

weight loss
recurrent episode of bilateral flank pain
nocturia
palpable mass in the right flank
dx?

A

Polycystic kindey disease

38
Q

best treatment to remove serum K from his body

A

Kayexalate

39
Q

45yo man develops Renal failure with acute gout
Ideal tx?

A

Prednisolone

40
Q

Possible mechanism of high blood pressure in the diagnosis of polycystic kidney disease

A

Increased activity of RAS

41
Q

Patient with ureteric colic
What is the indication for further operative mechanism?

A

Patient having fever with chills and loin pain
dx: Pyeonephrosis

42
Q

can’t see properly at night
has changed her glasses quite a few times
normal pupil and cornea
Dx?

A

Cataract

43
Q

Purulent unilateral discharge from nose
mgt?

A

Nasal examination under general anasthesia

44
Q

inflammation arounf the nasal Aspect of her lower lid and medial canthuus
red and painful
mgt?

A

Refer to oculoplastic surgeon for a dacryocystorhinostomy

45
Q

saw halos around the street lights
vision is decreased
conjunctival injection, cloudy cornea and pupils
tx?

A

Laser peripheral iridotomy

46
Q

Worsening deafness over the past 6 months
hearing of whispered voice appears diminished on both sides
AC better thn BC on both sides
Weber test - louder in the left ear
cause of her deafness?

A

Presbycusis

47
Q

/progressive deafness over the past few months
Tinnitus of mild degree
hear better in noisy surroundings
history of deafness
what causes her deafness

A

Otosclerosis

48
Q

decrease movements in the Right hip
USG shows widening of joint space
tx and x

A

PErthe’s disease
- Immobilise

49
Q
A
49
Q

unable to move Right hand to abduct with loss of sensation in lateral aspect of the arm
lesion involved?

A

c5

50
Q

severe colicky and periumbilical pain
mild abdominal distention
loud borborygmi

A

ABdominal xray
- SBO

51
Q

difficulty in defecation due to severe pain
after relieving retention with urinary catheter
What to do next?

A

Apply GTN ointment
- dx: Anal fissure

52
Q
A
53
Q

vomiting within 1 hour after each meal

A

Duodenal Ulcer

54
Q

fall from a bicycle and hit his head on the ground

A

Epidural hematoma

55
Q

Factors that improve the prognosis in a patient with chronic renal failure are

A

Protein Restriction and the use of ACE inhibitors

56
Q

Treatment of hyperkalemia

A

Calcium gluconate
Sodium Bicarbonate
Insulin drio with dextrose
Diuretics

57
Q

It is characterized by multiple renal cysts and intermittent flank pain, hematuria, urinary tract infections and nephrolithiasis

A

Polycystic Kidney Disease

58
Q
A

CHING Finale (4 decks)

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