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