547- Child with Spinal Muscular Atrophy. The pediatrician deemed he needs intubation. Both parents don’t want intubation as they had a son with the same illness who died. What do you do?

A
Call child protection
B
Search the internet for solutions of similar cases
C
Discuss with hospital ethics committee
D
Ignore both parents and intubate the child as this is an emergency ✅

548- Pt in his 60’s came with flank pain and hematuria, tender mass in lumber region his vital
BP= 160/90
What’s the most diagnostic investigation ?
A-US
B-CT abdomen ✅
C-MRI
D-Radionuclides

549- anti-tb causing peripheral neuropathy?
- INH ✅

550- Elderly with vomiting, constipation, abdominal distention. Upon imaging they described a shape going towards the right upper quadrant, what’s the dx?
-Rectosigmoid cancer
-Sigmoid volvulus ✅
-obstruction
-closed loop

551- most poorly prognostic in pregnancy?
AR
AS
MR
MS ✅

552- Case of patient with seizures
K normal
Na low
plasma osmolarity low
urine osmolarity normal (but was high normal)

addison
cushing
conn
siadh ✅

553- most common cause of OM
viral
bacterial ✅
fungal

554- Patient with whooping cough, cause is:
viral
bacterial ✅

555- Drug abuser comes to er a lot, complains of issues but acts normal when nobody is looking.
A conversion disorder
B malingering ✅

556- Young women with depression (and other symptoms) prior to her cycle every month it is effecting her work what to give her
A- ssri ✅
B- medroxyprogesterone
C- progesterone
D- estrogen

557- Asymptomatic smoker for 30 years how to screen for lung cancer?
A- CXR
B- Low dose CT ✅

558- Child with rash with cervical and occipital lymphadenopathy?
Rubella ✅
Measles

559- child with bilateral knee pain diagnosed with JIA, what type is it?
Oligo ✅
Systemic
Poly

560- error reduction strategy

والخيارات كانت صعبة وصعب تذكرها
ممكن تنزلو عن هاد الموضوع وين موجود بكتب الهيئة

561- Case of toxoplasmosis ttt

pyrimethamine and sulfadiazine ✅

562- HIV with 6 mm ppd normal x ray no symptom:
1 Isonazid and pyramid for 1 yr
2 Isonazid and pyramid for 6 mnt ✅
3 Isonazid and pyramid and rifampicine and ethambutol for 1 yr
4 No need for ttt

Latent TB.
I think they means INH and Pyridoxine for 6 months.

563- male fall down in the race and present with dark urine dx:

564- Child with Heliotrope rash thikness over metcaropharygeal and muscle pain:
Juvenile dermatomyositis ✅
Scleroderma

565- Child present with periumblical pain nausea and vomiting in the morning related to school and separation anaxity:
1 stop school fo 3 month
2 involve the child with peers activity ✅
3 start citalopram
4 othe psycho med