1- causes of tracheal deviation ( tension pneumothorax- massive hemithorax) الاتنين ينفعوا
2-signs of acute appendicitis except ( Murphy's sign) مخدنهاش و من الحاجات الي اتلغت الراوند الي فات
3- not used in uveitis ( mytomycin) مش علينا و اتكلمنا فيها و مع ذلك جت المرة التانية بعد ما بردو اتلغت الراوند الي فات
4- A case of retrobulbar hge:
a) lateral canthotomy +exploration
b) immediate drainage of retrobulbar hge.
حاسس الاجابتين صح.
5- causes of central cyanosis:
a) methemoglobinemia
b) ventilation perfusion mismatch
c) pulmonary AV fistula
التلاته ينفعوا
6- case of black teste:
a) exploration of same teste
b) exploration of contralateral teste
المعلومه دي مش متوضحه في الpdf ولا في شرح المحاضره
7- flashes floaters and field defect:
a) retinal detachment
b) vitreous hemorrhage
تقريبا بردو الاتنين يعملوا نفس الاعراض
8- CRAO first ttt
Both pharmacological and surgical action are mentioned in the presentation
9 no need for informed consent
1 female breast examination
2 blood transfusion
3 chemotherapy
4 deep sedation
Three year old boy rectal prolapse first to do
10. ...Patient with abdominal pain, erythematous patches on the chin of the tibia....
1.Ibd
2.Juvenile polyp
3.
4.
(wasn't included in our curriculum)
2-signs of acute appendicitis except ( Murphy's sign) مخدنهاش و من الحاجات الي اتلغت الراوند الي فات
3- not used in uveitis ( mytomycin) مش علينا و اتكلمنا فيها و مع ذلك جت المرة التانية بعد ما بردو اتلغت الراوند الي فات
4- A case of retrobulbar hge:
a) lateral canthotomy +exploration
b) immediate drainage of retrobulbar hge.
حاسس الاجابتين صح.
5- causes of central cyanosis:
a) methemoglobinemia
b) ventilation perfusion mismatch
c) pulmonary AV fistula
التلاته ينفعوا
6- case of black teste:
a) exploration of same teste
b) exploration of contralateral teste
المعلومه دي مش متوضحه في الpdf ولا في شرح المحاضره
7- flashes floaters and field defect:
a) retinal detachment
b) vitreous hemorrhage
تقريبا بردو الاتنين يعملوا نفس الاعراض
8- CRAO first ttt
Both pharmacological and surgical action are mentioned in the presentation
9 no need for informed consent
1 female breast examination
2 blood transfusion
3 chemotherapy
4 deep sedation
Three year old boy rectal prolapse first to do
10. ...Patient with abdominal pain, erythematous patches on the chin of the tibia....
1.Ibd
2.Juvenile polyp
3.
4.
(wasn't included in our curriculum)
اجابات ال emergency
1- carbon monoxide
2- colorless , odorless
3- obaque cataract lens
4- mainly stick to cornea
5- question el pneumo-intestinalis مش عارفه اجابته
6- very reduction of blood glucose
7- murphys sign
8- US gallbladder
9- Airway
10- Cushing triad
11- HTN
12- recurrent inguinoscrotal hernia
13- immediate exploration
14- appendicitis— Clinical
15- IM epinephrine
16- sclera
17- cord prolapse— ergernt Cs
18- Dark brown color
19- associated with dilation and effacement of cervix
20- Successful surgery— all of the above
21- prevent patient falls
22- to know hospital name board
23- keep rescures safety
24- hypokalemia
25- upper airway obstruction
26- Disability
27- Respiratory Muscle paralysis
28- tensio pneumothorax
29- sphenopalatine a
1- carbon monoxide
2- colorless , odorless
3- obaque cataract lens
4- mainly stick to cornea
5- question el pneumo-intestinalis مش عارفه اجابته
6- very reduction of blood glucose
7- murphys sign
8- US gallbladder
9- Airway
10- Cushing triad
11- HTN
12- recurrent inguinoscrotal hernia
13- immediate exploration
14- appendicitis— Clinical
15- IM epinephrine
16- sclera
17- cord prolapse— ergernt Cs
18- Dark brown color
19- associated with dilation and effacement of cervix
20- Successful surgery— all of the above
21- prevent patient falls
22- to know hospital name board
23- keep rescures safety
24- hypokalemia
25- upper airway obstruction
26- Disability
27- Respiratory Muscle paralysis
28- tensio pneumothorax
29- sphenopalatine a
اجابات تاني امتحان emergency
1- Cold shock
2- placenta abraptio , Rapture uterus****
3- US, speculum, PV
4- Mg salphate
5- Necrotizing enterocholitis
6- A&D ( appendicitis & ectopic)
7- perforated dudenal Ulcer
8- Admited to hospital for observation*
9- ABC
10- metabolic acidosis
11- Acute pancreatitis
12- Immediate exploration
13- US ? Contra lateral side with orchiopexy?***🙆🏻♀️
14- All of the above ? Constipation?*
15- supperiosteal abcess
16- CST
17- flame shaped Hge
18- Mitotics
19- Enucleation
20- NSAIDs? Miomycin?*
21- lateral canthotomy
22- Urticaria
23- Steven Johnson Syndrome
24- anaphylactic reaction
25- drug used in anaphylaxis
26- drug not used in anaphylaxis
27- patient idenentification
28- acute calcular cholecystitis
29- peri tonsillar abcess
1- Cold shock
2- placenta abraptio , Rapture uterus****
3- US, speculum, PV
4- Mg salphate
5- Necrotizing enterocholitis
6- A&D ( appendicitis & ectopic)
7- perforated dudenal Ulcer
8- Admited to hospital for observation*
9- ABC
10- metabolic acidosis
11- Acute pancreatitis
12- Immediate exploration
13- US ? Contra lateral side with orchiopexy?***🙆🏻♀️
14- All of the above ? Constipation?*
15- supperiosteal abcess
16- CST
17- flame shaped Hge
18- Mitotics
19- Enucleation
20- NSAIDs? Miomycin?*
21- lateral canthotomy
22- Urticaria
23- Steven Johnson Syndrome
24- anaphylactic reaction
25- drug used in anaphylaxis
26- drug not used in anaphylaxis
27- patient idenentification
28- acute calcular cholecystitis
29- peri tonsillar abcess
Measles
- high grade fever for 4 days
- rash progresses over 3 days
- associated with further rise of temp
- koplik spot
- dry desquamation
Scarlet fever
- severe rash for 24h
- fine papular goose flesh/ sandpaper rash
- face erythema with circumoral pallor
- red strawberry tongue → white strawberry tongue
- pastia lines
- exfoliative dermatitis/ desquamation (finger peeling)
Rubella
- rash progresses over hours
- LN enlargement
Erythema infectiosum
- parvovirus B19
- slapped cheeks erythematous rash
- evolves to papular on extremities and buttocks
- disappears within 7-9 days
- school aged children
Roseola infantum
- HHV
- high grade fever for 4 days
- rash progresses over 24h
- rash appears as soon as fever stops
- children <2 years
Infectious mononucleosis
- fever + HSM + LN + tonsillopharyngitis (kissing disease)
- palatal petechiae
- maculopapular rash for 2-7 days after penicillin
Enteroviruses
- coxsackie virus = hand foot & mouth disease
Erythema multiforme
- hypersensitivity to radiation, drugs, infevtious agents (>50% idiopathic)
- target lesions
- mild = rash in arms, hands and feet
- severe = Steven Johnson $ in mouth, genitalia, mucocutaneous
Chicken pox
- varicella zoster
- papulovesicular centripetal rash (pleomorphic)
- pruiritis
- mouth and tongue ulcers (looks like a white tongue keda)
- no residual scarring
Staphycolococcal scalded skin $
- coagulase positive staph
- nikolsky’s sign
- eye edema and severely distorted skin around eye and mouth
- dehydration and electrolye imbalances
Toxic shock syndrome
- staph aureus
- characteristic lesion = non pitting systemic edema
Vesicular impetigo
- in inguinal and abdominal
- absent from palms and soles
Herpes simplex
- focal lesion around lips
- painful vesicles
Meningococcemia
- peticheal rash (early may be maculopapular)
- symptoms of meningeal irritation
Kawasaki
- conjunctivitis
- mucus membrane changes (red lips, strawberry tongue)
- cervical lymphadenopathy
- rash
- hand and foot edema + peeling
- high grade fever for 4 days
- rash progresses over 3 days
- associated with further rise of temp
- koplik spot
- dry desquamation
Scarlet fever
- severe rash for 24h
- fine papular goose flesh/ sandpaper rash
- face erythema with circumoral pallor
- red strawberry tongue → white strawberry tongue
- pastia lines
- exfoliative dermatitis/ desquamation (finger peeling)
Rubella
- rash progresses over hours
- LN enlargement
Erythema infectiosum
- parvovirus B19
- slapped cheeks erythematous rash
- evolves to papular on extremities and buttocks
- disappears within 7-9 days
- school aged children
Roseola infantum
- HHV
- high grade fever for 4 days
- rash progresses over 24h
- rash appears as soon as fever stops
- children <2 years
Infectious mononucleosis
- fever + HSM + LN + tonsillopharyngitis (kissing disease)
- palatal petechiae
- maculopapular rash for 2-7 days after penicillin
Enteroviruses
- coxsackie virus = hand foot & mouth disease
Erythema multiforme
- hypersensitivity to radiation, drugs, infevtious agents (>50% idiopathic)
- target lesions
- mild = rash in arms, hands and feet
- severe = Steven Johnson $ in mouth, genitalia, mucocutaneous
Chicken pox
- varicella zoster
- papulovesicular centripetal rash (pleomorphic)
- pruiritis
- mouth and tongue ulcers (looks like a white tongue keda)
- no residual scarring
Staphycolococcal scalded skin $
- coagulase positive staph
- nikolsky’s sign
- eye edema and severely distorted skin around eye and mouth
- dehydration and electrolye imbalances
Toxic shock syndrome
- staph aureus
- characteristic lesion = non pitting systemic edema
Vesicular impetigo
- in inguinal and abdominal
- absent from palms and soles
Herpes simplex
- focal lesion around lips
- painful vesicles
Meningococcemia
- peticheal rash (early may be maculopapular)
- symptoms of meningeal irritation
Kawasaki
- conjunctivitis
- mucus membrane changes (red lips, strawberry tongue)
- cervical lymphadenopathy
- rash
- hand and foot edema + peeling
❤1
1. Cancer vocal cord 👉🏻 Old age with hoarseness (picture).
2. Angiofibroma 👉🏻 Unilateral mass and epistaxis.
3. Drainage through longitudinal incision 👉🏻 Retropharyngeal abscess .
4. Abdominal examination 👉🏻 All useful in vertigo except.
5. Except opaque cataract lens 👉🏻 Blunt trauma to the eye.
6. Blanching of BV 👉🏻 Worst prognosis after alkali.
7. Retinal detachment 👉🏻 New field loss after trauma.
8. AC paracentesis 👉🏻 1st line in CRAO.
9. CPR & DC 👉🏻 VF.
10. Transfer medical record within unit 👉🏻 Meaning of continuity.
11. Room number 👉🏻 Not written on patient's ID wristband.
12. Doing right thing wrong way 👉🏻 Nurse washing her hands wrongly.
13. Tachycardia, flushing & dilated pupil 👉🏻 Anticholinergic toxidrome.
14. Do urgent US 👉🏻 7 years old girl with suspected appendicitis.
15. Airway and start antidote 👉🏻 Factory workers poisoning.
16. Manual stabilisation and intubation then cervical collar?* 👉🏻 Cervical spine injury after motor cycle accident.
17. A+B (Conscious patient & Risk of aspiration) 👉🏻 Laryngeal mask contraindications.
18. Endoscopy 👉🏻 Not used in Perforate.
19. Acute pancreatitis 👉🏻 High amylase 6 times.
20. Rovsing sign 👉🏻 Sign of acute appendicitis.
21. Prostaglandin E infusion?* 👉🏻 6 hours old baby with cyanosis and ejection systolic murmur on pulmonary area.
22. O -ve 👉🏻 Best for emergent transfusion.
23. Hypokalemia 👉🏻 Care for in DKA.
24. Scrotal duplex and US 👉🏻 History of UTI and presented with scrotal pain and swelling after 12 hours.
25. Gradual homogeneous hemianopia 👉🏻 Occur in stroke except.
26. Very rapid reduction of Blood sugar 👉🏻 Brain edema.
27. Neonates usually salvaged??** (All answers wrong) 👉🏻 What is true about testicular torsion.
28. pH < 7.4 👉🏻 Criteria of DKA except.
29. pH < 7.2 👉🏻 We use HCO3 in all except.
30. Airway 👉🏻 Aspiration in which step.
31. From left to right 👉🏻 Characters of uterine contractions except.
32. Antibiotics / IV access and fluids ??** (Both are right) 👉🏻 Pregnant female in severe sepsis.
33. Short acting insulin 👉🏻 Admission severe hypoglycemia
34. Except tocolytics 👉🏻 Placental abruption
35. Lower CS if there is risk of infection (Department Book) 👉🏻 A case of pregnant in labor and had 1 previous lower CS.
36. 60 👉🏻 Bradycardia
37. ADCD 👉🏻 Systemic approach
38. Proteinuria?* 👉🏻 definitive signs of sever preeclampsia except.
39. Intubate 👉🏻 Toxicity from depression therapy.
40. Oxygen, IM adrenaline, then IV 👉🏻 Airway edema.
41. Fever 👉🏻 Anaphylaxis signs except.
42. Cardiogenic shock 👉🏻 Child with HF not compliant on ttt.
43. Hypovolemic 👉🏻 Child with hematemesis.
44. Except GERD 👉🏻DD of appendicitis.
45. Postictal confusion 👉🏻 Case of confused female after a fit.
46. levetiracetam 👉🏻 after 2 doses of benzo.
47. Except cushing disease 👉🏻Severe hypoglycemia.
48. Absent reflex 👉🏻 Grade 3 Coma
49. Measure blood glucose 👉🏻 Child with seizure.
50. Give stool softeners 👉🏻 Anal fissure uncomplicated.
51.Except laparoscopy 👉🏻 In ectopic pregnancy.
52. Operation next morning unilateral herniotomy 👉🏻 Irreducible hernia + unstrangulated ovary.
53. Stabilize airway 👉🏻 Female pregnant known hypertensive with fits initial management.
54. IV antihypertensive 👉🏻 Pregnant with BP 200/100 not responding to labetalol.
55. All of the above 👉🏻 Useful in diagnosis in a patient suspected ectopic or appendicitis.
56. Handover 👉🏻 Best way for communication.
57. Scrotal swelling means recurrence 👉🏻 All true except after treatment of hernia.
58. Rarely show signs of deterioration 👉🏻 All except in deteriorating patient.
2. Angiofibroma 👉🏻 Unilateral mass and epistaxis.
3. Drainage through longitudinal incision 👉🏻 Retropharyngeal abscess .
4. Abdominal examination 👉🏻 All useful in vertigo except.
5. Except opaque cataract lens 👉🏻 Blunt trauma to the eye.
6. Blanching of BV 👉🏻 Worst prognosis after alkali.
7. Retinal detachment 👉🏻 New field loss after trauma.
8. AC paracentesis 👉🏻 1st line in CRAO.
9. CPR & DC 👉🏻 VF.
10. Transfer medical record within unit 👉🏻 Meaning of continuity.
11. Room number 👉🏻 Not written on patient's ID wristband.
12. Doing right thing wrong way 👉🏻 Nurse washing her hands wrongly.
13. Tachycardia, flushing & dilated pupil 👉🏻 Anticholinergic toxidrome.
14. Do urgent US 👉🏻 7 years old girl with suspected appendicitis.
15. Airway and start antidote 👉🏻 Factory workers poisoning.
16. Manual stabilisation and intubation then cervical collar?* 👉🏻 Cervical spine injury after motor cycle accident.
17. A+B (Conscious patient & Risk of aspiration) 👉🏻 Laryngeal mask contraindications.
18. Endoscopy 👉🏻 Not used in Perforate.
19. Acute pancreatitis 👉🏻 High amylase 6 times.
20. Rovsing sign 👉🏻 Sign of acute appendicitis.
21. Prostaglandin E infusion?* 👉🏻 6 hours old baby with cyanosis and ejection systolic murmur on pulmonary area.
22. O -ve 👉🏻 Best for emergent transfusion.
23. Hypokalemia 👉🏻 Care for in DKA.
24. Scrotal duplex and US 👉🏻 History of UTI and presented with scrotal pain and swelling after 12 hours.
25. Gradual homogeneous hemianopia 👉🏻 Occur in stroke except.
26. Very rapid reduction of Blood sugar 👉🏻 Brain edema.
27. Neonates usually salvaged??** (All answers wrong) 👉🏻 What is true about testicular torsion.
28. pH < 7.4 👉🏻 Criteria of DKA except.
29. pH < 7.2 👉🏻 We use HCO3 in all except.
30. Airway 👉🏻 Aspiration in which step.
31. From left to right 👉🏻 Characters of uterine contractions except.
32. Antibiotics / IV access and fluids ??** (Both are right) 👉🏻 Pregnant female in severe sepsis.
33. Short acting insulin 👉🏻 Admission severe hypoglycemia
34. Except tocolytics 👉🏻 Placental abruption
35. Lower CS if there is risk of infection (Department Book) 👉🏻 A case of pregnant in labor and had 1 previous lower CS.
36. 60 👉🏻 Bradycardia
37. ADCD 👉🏻 Systemic approach
38. Proteinuria?* 👉🏻 definitive signs of sever preeclampsia except.
39. Intubate 👉🏻 Toxicity from depression therapy.
40. Oxygen, IM adrenaline, then IV 👉🏻 Airway edema.
41. Fever 👉🏻 Anaphylaxis signs except.
42. Cardiogenic shock 👉🏻 Child with HF not compliant on ttt.
43. Hypovolemic 👉🏻 Child with hematemesis.
44. Except GERD 👉🏻DD of appendicitis.
45. Postictal confusion 👉🏻 Case of confused female after a fit.
46. levetiracetam 👉🏻 after 2 doses of benzo.
47. Except cushing disease 👉🏻Severe hypoglycemia.
48. Absent reflex 👉🏻 Grade 3 Coma
49. Measure blood glucose 👉🏻 Child with seizure.
50. Give stool softeners 👉🏻 Anal fissure uncomplicated.
51.Except laparoscopy 👉🏻 In ectopic pregnancy.
52. Operation next morning unilateral herniotomy 👉🏻 Irreducible hernia + unstrangulated ovary.
53. Stabilize airway 👉🏻 Female pregnant known hypertensive with fits initial management.
54. IV antihypertensive 👉🏻 Pregnant with BP 200/100 not responding to labetalol.
55. All of the above 👉🏻 Useful in diagnosis in a patient suspected ectopic or appendicitis.
56. Handover 👉🏻 Best way for communication.
57. Scrotal swelling means recurrence 👉🏻 All true except after treatment of hernia.
58. Rarely show signs of deterioration 👉🏻 All except in deteriorating patient.
❤3