292- A case of suspected MER-COV, the patient asked you not to report it as he is afraid he may lose his job. An infection control senior is waiting for results so that he can send it to the ministry of health. What is the most appropriate action?
Anonymous Poll
A- Confirm the case then report
B- Report as suspected case within 24 hours
C- Treat the patient then report
D- Respect the patient’s wishes and do not report

293-

294- 32 non smoker presented with lung nodule 7 mm otherwise normal except
for ca 4 mmol :
A. Repeat CT scan within 3-6 months
B.Pulmonary funtion test
C. Biopsy of the lesion
D. PET scan

295- old man after episod of cuogh have SOB and abdominal pain
on Xray there is air fluid level in neck and under diaphragm and left pleural effusion
Pt vital Bp: 90/65
HR : 115
RR : 25
O2 sat : 90 on room air
what is most important management?
A- bulla of lung
B- laparotomy
C- chest tube drainage
D- observation

296- 80 year old smoker for 40 years , all labs normal except high Ca , Dx ?
A- paget dis
B- hyperparathyroidism
C- lung cancer

297- Dm + htn + ckd came with hight bp low k and high crea what the immediate step in management
A- Diyalisis
B- NAHcO3
C- Calcium gluconate
D- Insuline

298- 22 y female admitted with pulmonary hemorrhage and golomerunephratis hx of sinisitis and numbness in right upper limb and left lower limb
Dx :
A- Giant cell arthritis
B- Hsp
C- Granulomatosis with polyangitis

299- 60 y post tb bronchiectasis with massive hemopttysis and crepitation in right scapular area wof initial management
A/sedation
B/positional right lateral decubitus

300- Elderly patient with pelvic fracture and bleeding per rectum.
Urethrogram - retroperitoneal urethral injury. Your management:
A. Foleys catheter
B. Suprapubic cystostomy
C. Laproscopic repair

301- Pregnant 34 weeks, she have a history of fibroids, presented with abdominal pain and fever, no contraction felt and not in labor, whats the managment?
A- Observe
B- Myomyctomy
C- CS
D- IOL

302- patient with a history of radiofrequency ablation is at risk for hypothyroidism. He comes for a checkup and his labs show a TSH of 5 (Normal is 0.5 - 5.0). What will you do to establish a diagnosis
A. Repeat TSH in 4 weeks
B. Measure T4 levels
C. Thyroid scan
D. Thyroid US
جاني هذا السؤال بس ما ذكر انه في هيستوري للابلاشين! وكان البيشنت عنده سبمتموز واضحة للهايبوثايرودسم لكن نفس نتيجة التحليل، للامانة مو متأكدة من الاجابة في الحالة

303- Patient on TPN, what’s a common metablic abnormality?
A- Hypokalemia
B- Hypocalcemia
C- Hypophosphatemia

304- Polyhidraminos, what a possible association?
A- trisomy 21
B- Renal agenisis
C- IUGR

305- what’s a common cause for polyhidraminos?
A- Uncontrolled diabetes

306- 55 years old female came to the clinic for regular follow up. 6 months age she was diagnosed with atrial fibrillation. Now she is asymptotic and has no palpitations, her medical history is significant for transit ischemic attack and hypertension. She is on Warfarin, Beta blockers, and statins. What is the most appropriate management for her?
A- Discontinue warfarin
B- Continue warfarin
C- Continue warfarin and start aspirin
D- Discontinue warfarin and start clopidogrel

307- Patient with 2 perianal fistulas, GI symptoms (but not diagnesd with crohn), what a high diagnostic tool?
A- Colonscopy

308- inhalation burn injury, whats the most important to protect?
A- Airway
B- Breathing
C- Circulation

309- 35 yrs old pregnant patient, she is currently a smoker, has history of subfertility and family history of DM, what is the most risk for this current pregnancy?
A- Age
B- Smoking
C- history of subfertility
D- FH DM
هنا طلب تحديدا على البرقننسي الحالية بس ركزوا ما حصل لها مسكارج ولا شي، احترت بين الايج والسموكنق

310- trichomoniasis scenario how to treat the husband?
A- Metronidazole
B- No need

311- CTG of prolonged decelration, what ms the possible cause?
A- Epidural analgesia

312- HF patient already on bb, acei, furusemide now has dyspnea and basal crakles, what to add?
A- spironolactone
B- digoxcin
C- ccd